Evidence map›Paper›PMID 41354093›Full record

ArticleJournal of the American Medical Directors Association2026

Hospitalization Experiences Among Nursing Home Residents With Dementia.

Jordan M Alpert, Jeffrey D Kovach, Nicholas J Casacchia, David Harris, Ardeshir Hashmi, Luke Dogyun Kim, Silvia Perez-Protto, Matthew A Pappas, Michael B Rothberg

Abstract read
In one paragraph

Article in Journal of the American Medical Directors Association, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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.

Jordan M AlpertCenter for Value-Based Care Research, Cleveland Clinic, Cleveland, OH, USA. Electronic address: alpertj@ccf.org.
Jeffrey D KovachDepartment of Quantitative Health Sciences, Cleveland Clinic, Cleveland, OH, USA.
Nicholas J CasacchiaCenter for Value-Based Care Research, Cleveland Clinic, Cleveland, OH, USA.
David HarrisDepartment of Hematology and Medical Oncology, Cleveland Clinic, Cleveland, OH, USA.
Ardeshir HashmiDepartment of Internal Medicine and Geriatrics, Cleveland Clinic, Cleveland, OH, USA.
Luke Dogyun KimDepartment of Internal Medicine and Geriatrics, Cleveland Clinic, Cleveland, OH, USA.
Silvia Perez-ProttoDepartment of Intensive Care and Resuscitation, Cleveland Clinic, Cleveland, OH, USA.
Matthew A PappasDepartment of Hospital Medicine, Cleveland Clinic, Cleveland, OH, USA.
Michael B RothbergCenter for Value-Based Care Research, Cleveland Clinic, Cleveland, OH, USA.

Funding

Developing shared medical appointments for informal caregivers of Alzheimer’s and Dementia patients to improve knowledge, communication, and advanced planningK01AG086606 · NIA · CLEVELAND CLINIC LERNER COM-CWRU · PI Jordan M Alpert · 2024 to 2026
$372k
NIA NIH HHS K01 AG086606
6 · The paper itself

Abstract

objectivesHospital admissions among nursing home residents with Alzheimer's disease and related dementias (ADRD) are burdensome, expensive, and provide limited clinical benefit. Compared with other patients, those with ADRD are more likely to experience adverse events when hospitalized. Our objective was to comprehensively describe the in-hospital experience of nursing home patients with ADRD.

designWe analyzed 1 randomly selected hospitalization per patient from the electronic health record. SETTING AND

participantsAdult patients with an ADRD diagnosis from a single health system in Ohio and Florida who resided in a nursing home and were transferred to a hospital from January 2013 to July 2023.

methodsDescriptive statistics for each variable.

resultsOf 10,195 patients, median age was 84 years, 71% were White, 61% were female, and median length of stay was 5 days. During the hospitalization, 69% required a sitter, 34% a Foley catheter, 21% were diagnosed with delirium, and 4% died. Six percent were put in restraints, 4% experienced a fall, and 51% were administered at least 1 neuropsychiatric medication. Fewer than half of all patients (45%) had a do-not-resuscitate order, 5% had a consultation with palliative care, 2.4% with geriatrics, and 1.1% with hospice. Nearly 20% of all patients were admitted to the intensive care unit (ICU). Of these, 58% had do-not-resuscitate orders, 78% required a sitter, 53% had delirium, 17% had an order for restraints, 62% had a Foley catheter, and 10% had a long-term feeding tube inserted. Ten percent of ICU patients had a consultation with palliative care, 3.4% with geriatrics, and 2.2% with hospice. CONCLUSIONS AND IMPLICATIONS: Patients undergoing hospital admission suffered distressing experiences, but most patients did not have do-not-resuscitate orders, and referrals to hospice and palliative care were rare. Patients and their family members should be informed about the hospital experience before admission and offered appropriate care services.

Indexed as

DementiaHospitalizationNursing HomesAgedAged, 80 and overAlzheimer DiseaseFemaleFloridaHumansLength of StayMaleOhioDementiahospitalizationnursing homes

Identifiers

PMID41354093
PMCPMC12892337

What OpenQuestion holds

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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.