Evidence map›Paper›PMID 42414168›Full record

ArticleThe American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry2026

Psychiatric Hospitalization Precipitants and Outcomes in a Comprehensive Dementia Care Program.

David R Lee, Andrew S Endo, Tahmineh R Kalbasi, Maurice Turner, Ivette A Jimenez, Katherine Sy Serrano, Andrea Centeno, David B Reuben

Abstract read
In one paragraph

Article in The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry, 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
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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

8 authors.

David R LeeDivision of Geriatrics (DRL, IAJ, KSS, AC, DBR), David Geffen School of Medicine at UCLA, Multicampus Program in Geriatric Medicine and Gerontology, University of California, Los Angeles, CA. Electronic address: drlee@mednet.ucla.edu.
Andrew S EndoCollege of Medicine (ASE), The University of Arizona, Tucson, AZ.
Tahmineh R KalbasiDepartment of Medicine Statistics Core (TR), David Geffen School of Medicine, University of California, Los Angeles, CA.
Maurice TurnerKaiser Permanente South Bay (MT), Southern California Permanente Medical Group, Harbor City, CA.
Ivette A JimenezDivision of Geriatrics (DRL, IAJ, KSS, AC, DBR), David Geffen School of Medicine at UCLA, Multicampus Program in Geriatric Medicine and Gerontology, University of California, Los Angeles, CA.
Katherine Sy SerranoDivision of Geriatrics (DRL, IAJ, KSS, AC, DBR), David Geffen School of Medicine at UCLA, Multicampus Program in Geriatric Medicine and Gerontology, University of California, Los Angeles, CA.
Andrea CentenoDivision of Geriatrics (DRL, IAJ, KSS, AC, DBR), David Geffen School of Medicine at UCLA, Multicampus Program in Geriatric Medicine and Gerontology, University of California, Los Angeles, CA.
David B ReubenDivision of Geriatrics (DRL, IAJ, KSS, AC, DBR), David Geffen School of Medicine at UCLA, Multicampus Program in Geriatric Medicine and Gerontology, University of California, Los Angeles, CA.

Funding

UCLA Summer Research Training in Aging for Medical Stud*T35AG026736 · NIA · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI Cathy Lee, John C Newman · 2005 to 2026
$3.0M
NIA NIH HHS T35 AG026736
6 · The paper itself

Abstract

objectivesCharacterize the precipitants and outcomes of psychiatric hospitalizations among patients enrolled in a comprehensive dementia care program and identify factors associated with discharge to higher-level residential setting.

designRetrospective cohort study.

settingUCLA Alzheimer's and Dementia Care Program.

participantsPatients hospitalized at the UCLA Resnick Neuropsychiatric Hospital (NPH). MEASUREMENTS: Precipitating reasons for hospitalization, patient demographic and clinical characteristics, hospitalization-level characteristics, and caregiver relationship. Discharge to higher-level residential settings (e.g., assisted living, nursing home). Change in scheduled Central Nervous System (CNS)-active medications (antipsychotics, antidepressants, and sedative/hypnotics).

resultsThere were 180 psychiatric hospitalizations among 150 patients, with a median age of 79 years (IQR, 73-85) at admission and MMSE score of 17 (IQR, 12-24) at first hospitalization. Agitation was the most common precipitating reason for hospitalization (n = 127, 71%). Median length of stay was 14 days (IQR, 9-26); 54 (30%) resulted in discharge to a higher-level residential setting. Agitation as the precipitant for hospitalization (aOR, 4.7; 95% CI, 1.7-12.9, p = 0.003) and male sex (aOR, 2.3; 95% CI, 1.0-5.5, p = 0.049) were associated with higher odds of discharge to a higher-level setting. Most hospitalizations resulted in no change in the number of scheduled CNS-active medications (e.g., 69% had no change in the number of scheduled antipsychotics), while escalation occurred in 19%-28%, depending on medication class.

conclusionPsychiatric hospitalization precipitated by agitation or involving male patients was often followed by transition to higher-level residential care. Future studies should evaluate whether earlier outpatient psychiatry involvement and proactive placement planning can reduce hospitalization and subsequent placement changes.

Indexed as

DementiaHospitalizationHospitals, PsychiatricPsychomotor AgitationAgedAged, 80 and overFemaleHumansLength of StayMalePatient DischargeRetrospective Studiescomprehensive dementia careneuropsychiatric symptomsPsychiatric hospitalizationspsychotropic medications

Identifiers

PMID42414168
PMCPMC13403673

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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.