Evidence map›Paper›PMID 40209124›Full record

Observational studyJournal of applied gerontology : the official journal of the Southern Gerontological Society2026

Association of Cognitive Impairments and Alzheimer's Disease and Related Dementias With Hospital and Skilled Nursing Facility Utilization Among Community-Dwelling Older Adults.

Meiling Ying, Zijing Cheng, Richard A Hirth, Karen E Joynt Maddox, Yue Li

Abstract readObservational Study
PubMed Full text at PMC Publisher
In one paragraph

Observational study in Journal of applied gerontology : the official journal of the Southern Gerontological Society, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Meiling YingDepartment of Foundations of Medicine, New York University Grossman Long Island School of Medicine, Mineola, NY, USA.ORCID 0000-0002-3012-9791
Zijing ChengDepartment of Public Health Sciences, University of Rochester Medical Center, Rochester, NY, USA.
Richard A HirthDepartment of Health Management and Policy, University of Michigan, Ann Arbor, MI, USA.
Karen E Joynt MaddoxCardiovascular Division, John T. Milliken Department of Internal Medicine, Washington University School of Medicine in St Louis, St Louis, MO, USA.
Yue LiDepartment of Public Health Sciences, University of Rochester Medical Center, Rochester, NY, USA.ORCID 0000-0001-7592-0299

Funding

Family care to nursing home residents and state essential caregiver programs during the COVID-19 pandemic: impact on dementia care, outcomes, and disparitiesRF1AG082992 · NIA · UNIVERSITY OF ROCHESTER · PI LI, YUE · 2023 to 2023
$1.1M
Impact of state HCBS generosity on dementia outcomes and disparitiesR01AG069733 · NIA · UNIVERSITY OF ROCHESTER · PI LI, YUE · 2020 to 2022
$1.1M
NIA NIH HHS R01 AG069733NIA NIH HHS RF1 AG082992
6 · The paper itself

Abstract

This observational cohort study examined the association between Alzheimer's disease and related dementias (ADRD) and hospital and skilled nursing facility (SNF) utilization among community-dwelling older adults aged 65 and older. Using four waves of longitudinal survey data from the 2016-2022 Health and Retirement Study conducted by the University of Michigan and multivariate, individual-level regressions, we found that the cognitive impairment but no dementia (CIND) and ADRD groups exhibited similar patterns in hospitalizations, hospital visits, and total hospital days compared to the normal cognition group. However, CIND was significantly associated with increased odds of SNF stays (odds ratio [OR], 1.22) and a higher number of SNF visits (incidence rate ratio [IRR], 1.45) than the normal cognition group. Higher odds of any SNF stay (OR, 1.26) and number of SNF visits (IRR, 1.45) were also observed for ADRD compared to normal cognition. These findings suggest that CIND or ADRD was not associated with hospital use but was significantly associated with increased SNF use.

Indexed as

Alzheimer DiseaseCognitive DysfunctionDementiaHospitalizationIndependent LivingSkilled Nursing FacilitiesAgedAged, 80 and overFemaleHumansLongitudinal StudiesMaleMichiganAlzheimer’s disease and related dementiascommunity-dwelling older adultshospital utilizationskilled nursing facility

Identifiers

PMID40209124
PMCPMC12353768

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.