Evidence map›Paper›PMID 40399761›Full record

Trial reportAlzheimer's & dementia : the journal of the Alzheimer's Association2025

Program of intensive support in emergency departments for care partners of cognitively impaired patients: A randomized controlled trial.

Joshua Chodosh, Nicole R Fowler, Anthony J Perkins, Karen I Connor, Frank Messina, Malaz Boustani, Soo Borson

Abstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Alzheimer's & dementia : the journal of the Alzheimer's Association, 2025. 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. Trial
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

7 authors.

Joshua ChodoshDivision of Geriatric Medicine and Palliative Care, Department of Medicine, New York University Grossman School of Medicine, New York, New York, USA.ORCID 0000-0001-7784-4306
Nicole R FowlerCenter for Aging Research Regenstrief Institute, Inc, Indiana University School of Medicine, Indianapolis, Indiana, USA.
Anthony J PerkinsDepartment of Biostatistics and Health Data Science, Indiana University School of Medicine, Indianapolis, Indiana, USA.
Karen I ConnorDavid Geffen School of Medicine, University of California Los Angeles, Los Angeles, California, USA.
Frank MessinaEskenazi Health, Indianapolis, Indiana, USA.
Malaz BoustaniDepartment of Biostatistics and Health Data Science, Indiana University School of Medicine, Indianapolis, Indiana, USA.
Soo BorsonDepartment of Family Medicine, University of Southern California Keck School of Medicine, Los Angeles, California, USA.

Funding

UNDERSTANDING AND IMPROVING EPISODE-BASED HOSPITAL CAREP01AG019783 · NIA · DARTMOUTH COLLEGE · PI Alistair James O'MALLEY · 2001 to 2026
$52.9M
The Neighborhoods Study: Contextual Disadvantage and Alzheimer’s Disease and Related Dementias (ADRD)R01AG070883 · NIA · UNIVERSITY OF WISCONSIN-MADISON · PI AMY J. KIND · 2021 to 2026
$42.1M
Research Education ComponentP30AG066512 · NIA · NEW YORK UNIVERSITY SCHOOL OF MEDICINE · PI Mary Sherman Mittelman · 2020 to 2026
$28.4M
The NH Explanatory Trials Network: Supporting Transformation by Enhancing Partnerships (The NEXT STEPS).U24AG087939 · NIA · INDIANA UNIVERSITY INDIANAPOLIS · PI Kathleen T Unroe · 2024 to 2026
$9.4M
5-Cog Paradigm to Improve Detection of Cognitive Impairment in Primary Care: Pragmatic Clinical TrialU01NS105565 · NINDS · STATE UNIVERSITY NEW YORK STONY BROOK · PI MALAZ BOUSTANI, JOE VERGHESE · 2022 to 2026
$6.3M
BRinging the Diabetes Prevention Program to GEriatric Populations (BRIDGE)R01DK127916 · NIDDK · NEW YORK UNIVERSITY SCHOOL OF MEDICINE · PI Jeannette Michele Beasley, JOSHUA CHODOSH · 2022 to 2026
$3.8M
Care for Persons With Dementia in Nurse Practitioner Practices and Racial and Ethnic Health DisparitiesR01AG069143 · NIA · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI POGHOSYAN, LUSINE · 2020 to 2024
$3.5M
The Caregiver Outcomes of Alzheimer's Disease Screening (COADS) TrialR01AG056325 · NIA · INDIANA UNIVERSITY INDIANAPOLIS · PI FOWLER, NICOLE R. · 2018 to 2022
$3.0M
Program of Intensive Support in Emergency Departments for Care Partners of Cognitively Impaired Patients (POISED-CPCIP)R01AG054574 · NIA · NEW YORK UNIVERSITY SCHOOL OF MEDICINE · PI CHODOSH, JOSHUA · 2017 to 2020
$3.0M
PERSEVERE in Lewy Body Dementia: A Randomized, Controlled Trial of Peer Mentor Support and Caregiver EducationR01AG079128 · NIA · RUSH UNIVERSITY MEDICAL CENTER · PI Jori Erin Fleisher · 2023 to 2026
$2.8M
California Department of Public Health 23-10609CDC HHS 33NR020845CDC HHS NU58DP006911CDC HHS P01AG019783CDC HHS R01AG069765CDC HHS R25AG078136CDC HHS U01NS105565CDC HHS U24AG082930CDC HHS U24AG087939CDC HHS U54AG063546National Palliative Care Research Center Kornfeld Scholars ProgramNBER AG074064-01NBER P01AG005842-35A1NBER R01AG056325NBER R01AG076489NIA NIH HHS 1R01AG054574NIA NIH HHS 1U19AG078105-01A1NIA NIH HHS 5R01AG077113-02NIA NIH HHS P01 AG019783NIA NIH HHS P30 AG066512NIA NIH HHS P30AG066512NIA NIH HHS R01 AG054574NIA NIH HHS R01 AG056325NIA NIH HHS R01 AG069143NIA NIH HHS R01AG070883NIA NIH HHS R01 AG079128NIA NIH HHS U24 AG087939NIDDK NIH HHS R01DK127916NIH HHSNINDS NIH HHS 291R01AG079128-01A1NINDS NIH HHS U01 NS105565PI 1R01AG087166-01PI 1U01NS128913PI 5R01AG066957-02PI 5R01AG069143- 02PI 5R61AG 069770-02PI DE-2022C1-25666PI NU58DP006911PI P01 AG005842-35PI R01AG069765PI R01AG076489PI R01AG078234PI R25AG078136PI SR61AG078475PI U01NS105565Samuels Foundation
6 · The paper itself

Abstract

introductionReasons for emergency department (ED) visits for persons with cognitive impairment are usually driven by unmet needs.

methodsED patients ≥ 75 years old with screener-detected cognitive impairment (Mini-Cog ≤ 3/5) or care partner tool (Informant Questionnaire on Cognitive Decline in the Elderly > 3.4), and care partners from New York and Indiana academically affiliated EDs, were randomly assigned to 6-month dementia care management or usual care. Nurses and paraprofessionals used principles of dementia care management informed by root cause analyses of participants' ED visits. We used logistic regression to compare ED revisit rates during the 6-month intervention.

resultsOf 642 dyads-320 intervention, 322 usual care-256 of 632 (40.5%) had at least one ED revisit within 6 months of index visit, but without between-group differences in revisit rates, care partner activation, or symptoms of depression or anxiety at 3 or 6 months. DISCUSSION: Using root cause analysis to inform dementia care management did not reduce ED revisits. HIGHLIGHTS: Cognitive screening during emergency department (ED) visits is feasible for quality improvement. ED cognitive screening alone may not identify dyads who need care management. Identifying root causes for ED visits could personalize post-visit care management. Root cause-informed care management did not reduce ED revisits. Need-based screening might better target ED patients with cognitive impairment.

Indexed as

CaregiversCognitive DysfunctionDementiaEmergency Service, HospitalAgedAged, 80 and overFemaleHumansIndianaMaleNew Yorkcare managementdementiaemergency departmentrevisitsroot cause

Identifiers

PMID40399761
PMCPMC12094886

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.