Evidence map›Paper›PMID 40995890›Full record

ArticleJournal of applied gerontology : the official journal of the Southern Gerontological Society2026

Ambulatory Care Follow-Up and Fragmentation After Emergency Department Visits Among Older Adults.

Cameron J Gettel, Yuxiao Song, Theodore A Lee, Craig Rothenberg, Courtney Kitchen, Yixuan Liang, Julie P W Bynum, Susan N Hastings, Arjun K Venkatesh

Abstract read
In one paragraph

Article 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 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Observational
  2. 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

9 authors.

Cameron J GettelDepartment of Emergency Medicine, Yale School of Medicine, New Haven, CT, USA.ORCID 0000-0002-6249-1023
Yuxiao SongDepartment of Emergency Medicine, Yale School of Medicine, New Haven, CT, USA.
Theodore A LeeYale School of Medicine, New Haven, CT, USA.
Craig RothenbergDepartment of Emergency Medicine, Yale School of Medicine, New Haven, CT, USA.
Courtney KitchenDepartment of Emergency Medicine, Yale School of Medicine, New Haven, CT, USA.
Yixuan LiangYale School of Public Health, New Haven, CT, USA.
Julie P W BynumInstitute for Healthcare Policy and Innovation, University of Michigan, Ann Arbor, MI, USA.
Susan N HastingsCenter of Innovation to Accelerate Discovery and Practice Transformation (ADAPT), Durham VA Health Care System, Durham, NC, USA.
Arjun K VenkateshDepartment of Emergency Medicine, Yale School of Medicine, New Haven, CT, USA.

Funding

Training Core (I)U54AG063546 · NIA · BROWN UNIVERSITY · PI JOSEPH E. GAUGLER · 2019 to 2026
$125.9M
Yale Alzheimer Disease Research CenterP30AG066508 · NIA · YALE UNIVERSITY · PI STEPHEN M STRITTMATTER · 2020 to 2026
$30.2M
Pepper OAIC Coordinating CenterU24AG059624 · NIA · WAKE FOREST UNIVERSITY HEALTH SCIENCES · PI DALANE W KITZMAN · 2018 to 2026
$6.0M
Geriatrics Emergency care Applied Research Network 2.1 - AdvanCing and Expanding Dementia care (GEAR 2.1 - ACED)R33AG069822 · NIA · YALE UNIVERSITY · PI Ula Y Hwang, MANISH N SHAH · 2023 to 2026
$5.3M
Growing the Geriatric Emergency care Applied Research (GEAR 1.1) network: Expanding and sustaining an emergency care aging study infrastructure.R33AG058926 · NIA · YALE UNIVERSITY · PI Ula Y Hwang, Daniella Meeker · 2020 to 2026
$4.6M
NIA Short Term Research Training: Students in Health Professional SchoolsT35AG049685 · NIA · YALE UNIVERSITY · PI Sarwat I Chaudhry, Terri R. Fried · 2016 to 2026
$804k
Development and validation of the Patient-Reported Outcome Measure - Older adult care Transitions from the Emergency Department (PROM-OTED) toolR03AG073988 · NIA · YALE UNIVERSITY · PI GETTEL, CAMERON · 2021 to 2022
$335k
NIA NIH HHS P30 AG066508NIA NIH HHS R03 AG073988NIA NIH HHS R33 AG058926NIA NIH HHS R33 AG069822NIA NIH HHS T35 AG049685NIA NIH HHS U24 AG059624NIA NIH HHS U54 AG063546
6 · The paper itself

Abstract

ObjectivesThis study aimed to characterize ambulatory care patterns among older adults discharged from the emergency department (ED).MethodsThis retrospective cohort study of 55,391 ED visits from the 2015-2021 Medicare Current Beneficiary Survey examined ambulatory follow-up within 7 and 30 days. Care fragmentation was assessed by identifying visits where patients saw 2+ different providers. Zero-inflated negative binomial models analyzed associations between patient characteristics (e.g., dementia, multiple chronic conditions) and follow-up.ResultsFollow-up occurred in 22.9% and 44.2% of cases within 7 and 30 days, respectively. Care fragmentation occurred in 4.6% and 25.3% of cases. Dementia reduced follow-up odds (OR 0.74; 95% CI 0.66-0.84;

Indexed as

AftercareAmbulatory CareContinuity of Patient CareEmergency Room VisitsEmergency Service, HospitalAgedAged, 80 and overDementiaFemaleHumansMaleMedicareRetrospective StudiesUnited Statesambulatory care follow-updementiaemergency departmentfragmentationmultiple chronic conditions

Identifiers

PMID40995890
PMCPMC12519494

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Registered trials

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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.