Evidence map›Paper›PMID 41882986›Full record

ArticleJournal of the American Geriatrics Society2026

Emergency Departments Leading the Transformation of Alzheimer's and Dementia Care: Emergency Care Redesign.

Afshana Hoque, Allison Cuthel, Corita R Grudzen, Manish N Shah, Abraham A Brody, Jori E Fleisher, Jennifer DiMascio-Donohue, Katelyn McLain, Lin T Tun, Julia Levine and 3 more

Abstract read
In one paragraph

Article in Journal of the American Geriatrics 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

13 authors.

Afshana HoqueDivision of Supportive and Acute Care Services, Memorial Sloan Kettering Cancer Center, New York, New York, USA.ORCID 0009-0004-9614-120X
Allison CuthelDivision of Supportive and Acute Care Services, Memorial Sloan Kettering Cancer Center, New York, New York, USA.
Corita R GrudzenDivision of Supportive and Acute Care Services, Memorial Sloan Kettering Cancer Center, New York, New York, USA.
Manish N ShahDepartment of Emergency Medicine, University of Wisconsin-Madison, Madison, Wisconsin, USA.ORCID 0000-0001-6331-1074
Abraham A BrodyNYU Rory Meyers College of Nursing, Hartford Institute for Geriatric Nursing, New York, New York, USA.ORCID 0000-0002-3405-7043
Jori E FleisherDepartment of Neurological Sciences, Rush University Medical Center, Chicago, Illinois, USA.ORCID 0000-0001-5003-9091
Jennifer DiMascio-DonohueDivision of Geriatric Medicine and Palliative Care, New York University Grossman School of Medicine, New York, New York, USA.
Katelyn McLainDivision of Geriatric Medicine and Palliative Care, New York University Grossman School of Medicine, New York, New York, USA.
Lin T TunDivision of Geriatric Medicine and Palliative Care, New York University Grossman School of Medicine, New York, New York, USA.
Julia LevineDivision of Geriatric Medicine and Palliative Care, New York University Grossman School of Medicine, New York, New York, USA.
Keith S GoldfeldDepartment of Population Health, New York University Grossman School of Medicine, New York, New York, USA.
Joshua ChodoshDivision of Geriatric Medicine and Palliative Care, New York University Grossman School of Medicine, New York, New York, USA.ORCID 0000-0001-7784-4306
ED‐LEAD Investigators

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI Nicholas D Socci · 1985 to 2026
$347.4M
Statistics CoreU19AG078105 · NIA · NEW YORK UNIVERSITY SCHOOL OF MEDICINE · PI MANISH N SHAH · 2023 to 2026
$58.3M
Research Education ComponentP30AG066512 · NIA · NEW YORK UNIVERSITY SCHOOL OF MEDICINE · PI Mary Sherman Mittelman · 2020 to 2026
$28.4M
NCI NIH HHS P30 CA008748NIA NIH HHS P30 AG066512NIA NIH HHS U19 AG078105NIA NIH HHS U19 AG078105-01A1
6 · The paper itself

Abstract

Over 50% of persons living with dementia (PLWD) and their care partners (dyads) visit the emergency department (ED) every year. In the ED, healthcare professionals face complex challenges managing acute issues and symptoms of Alzheimer's disease and Alzheimer's disease-related dementias without provider training or in-ED structures to ensure a successful discharge. While many of these visits are for conditions more suitable for ambulatory care, as many as 50% of PLWD discharged from the ED return within 30 days, suggesting opportunities to improve ED care, and discharge processes. Emergency Care Redesign (ECR) includes intentional workflows where physicians, nurses, and social workers engage in a team-based approach with structured assessments to manage a myriad of potential psychosocial and behavioral issues contributing to the need for ED care. Three core components comprise this evidence-based, efficient pragmatic intervention for PLWD and their care partners: (1) problem identification, (2) problem prioritization, and (3) provision of non-pharmacologic solutions supported by community resources. Although these components are essential to provide optimal ED care and reduce revisits and other adverse outcomes, they require an embedded clinical decision support structure, focused training, and clear workflows. In this paper, we describe the ECR intervention as one of three being implemented in the cluster-randomized multifactorial pragmatic trial, Emergency Departments LEading Transformation of Alzheimer's and Dementia Care (ED-LEAD), designed to improve care for PLWD and their outcomes after discharge home within 15 health systems and 79 EDs across the United States.

Indexed as

Alzheimer DiseaseDementiaEmergency Service, HospitalAgedEmergency Room VisitsHumansPatient Care TeamPatient Dischargechampionsclinical decision supportdementiaemergency departmenthuddlesrevisits

Identifiers

PMID41882986
PMCPMC13314118

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.