CoChat
Sign Up
Cited by 107Dementia and Cognitive Impairment ResearchNursing care and researchGeriatric Care and Nursing Homes

Acute Care Utilization by Dementia Caregivers Within Urban Primary Care Practices

Open access
Schubert, Cathy C., Boustani, Malaz, Callahan, Christopher M., Perkins, Anthony J., Hui, Siu, Hendrie, Hugh C.·2008·Journal of General Internal Medicine
DOI 10.1007/s11606-008-0711-0PMC PMC2585674
Open this paper in CoChat — free accountOpen PDF

Abstract

BACKGROUND: Caring for an individual with Alzheimer's dementia (AD) is stressful, and studies show that this stress has an impact on both the physical and mental health of the caregiver. However, many questions remain about the characteristics of AD patients and their caregivers that contribute to this stress and how it impacts caregivers' use of healthcare resources. OBJECTIVE: To study the impact of stress on the physical and mental health of the caregiver. DESIGN: Patients underwent extensive testing to allow description of their degree of cognitive impairment, behavioral and psychological symptoms, medical comorbidities, and functional abilities. Caregivers were assessed for depressive symptoms and also for emergency department (ED) use and hospitalizations in the previous six months. Multivariate logistic regression was used to evaluate impact of patients' dementia symptoms on caregivers' acute care utilization. PARTICIPANTS: One hundred and fifty-three AD patients and their caregivers attending two large, urban, university-affiliated primary care practices were enrolled in a cross-sectional study to examine the facets of dementia caregiving that impact caregiver acute health care utilization. RESULTS: Twenty-four percent of the caregivers had at least one ED visit or hospitalization in the six months prior to enrollment. After adjusting for caregiver age, gender, and education, our logistic regression model found that the caregivers' acute care utilization was associated with their depression as measured by the PHQ-9 (OR 1.09, 95% CI 1.00-1.18), the patients' behavioral and psychological symptoms as measured by the NPI (OR 1.04, 95% CI 1.01-1.08), and the patients' functional status as measured by the ADCS-ADL (OR 1.05, 95% CI 1.01-1.09). CONCLUSION: To improve the health of AD caregivers, a primary care system needs to reallocate resources to manage the functional, behavioral, and psychological symptoms related to the care-recipients suffering from AD.

The claims and statistics of this paper haven’t been checked yet.

Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.

A few free checks a day · papers already verified open instantly · results are public

Integrity signals

Registry

Crossref · 10.1007/s11606-008-0711-0

Cites

34 of 34 references verified0 citation errors · 0 not checkable

Statistics

Claims the paper makes

The claims and statistics of this paper haven’t been checked yet.

Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.

A few free checks a day · papers already verified open instantly · results are public

Claims other papers make about this one

Each is checked against this paper’s own text: does it say what the citing paper says it does?

  • When people with dementia also have depression, behavioral disturbances or low functional status, their caregivers face a higher risk of emergency department visits and hospitalization compared with caregivers of people with dementia alone.

    “When people with dementia also have depression, behavioral disturbances or low functional status, their caregivers face a higher risk of emergency department visits and hospitalization compared with caregivers of people with dementia alone.525,526”

    From 2023 Alzheimer's disease facts and figures (2023) · cites this paper as [525]

    The Results (page not supplied) associate patients’ behavioral and psychological symptoms with caregivers’ ED visits or hospitalizations. But the measured depression was the caregiver’s, not the patient’s; the Methods say higher ADCS-ADL scores mean better function, and the Results associate higher—not lower—scores with utilization. The study analyzed ED visits or hospitalizations as a combined outcome, not each outcome separately. (LLM, conf=0.91)

    Experimental — accuracy not yet measured

  • When people with dementia also have depression, behavioral disturbances or low functional status, their caregivers face a higher risk of emergency department visits and hospitalization compared with caregivers of people with dementia without these challenges.

    “When people with dementia also have depression, behavioral disturbances or low functional status, their caregivers face a higher risk of emergency department visits and hospitalization compared with caregivers of people with dementia without these challenges. 573 , 574”

    From 2024 Alzheimer's disease facts and figures (2024) · cites this paper as [573]

    Split into 2 atoms — 0 confirmed, 2 partially supported, 0 disputed, 0 misattributed, 0 unverifiable. Expand the claim to see per-atom verdicts.

    Experimental — accuracy not yet measured

Self-check

Percentages, sums and reported differences re-computed from the paper’s own numbers.

The self-check needs the paper’s full text.

Cites

Flagged first, then by citations

Research works printed but not linked: 1

  1. [16]Sano M Zhu CW Whitehouse PJ ADCS Prevention Instrument Project: Pharmacoeconomics: assessing health-related resource use among healthy elderly Alzheimer Dis Assoc Disord 2006 20 Suppl 3 S191 S202 PMC3229195 17135812 Sano M, Zhu CW, Whitehouse PJ, et al. ADCS Prevention Instrument Project: Pharmacoeconomics: assessing health-related resource use among healthy elderly. Alzheimer Dis Assoc Disord. 2006;20(Suppl 3):S191–202. 17135812 PMC3229195

Cited by

Sorted by citations

Related

Authors
Schubert, C. C., Boustani, M., Callahan, C. M., Perkins, A. J., Hui, S., & Hendrie, H. C.
Affiliations
  • Indiana University School of Medicine (US)
  • Regenstrief Institute (US)
Corresponding author
Boustani, Malaz
ORCID
Venue
Journal of General Internal Medicine
Publisher
Springer Science and Business Media LLC
Published
2008-08-09
Volume
23
Issue
11
Pages
1736-1740
ISSN
  • 0884-8734 (ISSN-L)
  • 1525-1497
DOI
10.1007/s11606-008-0711-0
PMC
PMC2585674
OpenAlex
W2102192683
Cited by
107
References
34
Citations by year
2026: 3 · 2025: 3 · 2024: 4 · 2023: 7 · 2022: 7 · 2021: 3 · 2020: 1 · 2019: 2 · 2018: 8 · 2017: 7 · 2016: 6 · 2015: 10 · 2014: 14 · 2013: 10 · 2012: 3
FWCI
4.45
Type
journal article
Language
en
Open access
Licence
Locations
  • Journal of General Internal Medicine (publishedVersion, cc-by-nc)
  • Europe PMC (PubMed Central) (publishedVersion)
  • PubMed Central (publishedVersion)
  • PubMed (publishedVersion)
Funders
  • Agency for Healthcare Research and Quality (R01 HS10884-01, R01 HS010884)
  • National Institute on Aging (K23 AG 26770-01, K23AG026770)
Topics
  • Health Sciences › Medicine › Psychiatry and Mental health › Dementia and Cognitive Impairment Research
  • Health Sciences › Health Professions › Pharmacy › Nursing care and research
  • Health Sciences › Health Professions › General Health Professions › Geriatric Care and Nursing Homes
Keywords
Alzheimer's disease, dementia caregiving, caregiver stress, caregiver depression, acute care utilization, emergency department visits, hospitalization, behavioral and psychological symptoms, functional status, primary care, caregiver health
MeSH terms
Academic Medical Centers, Aged, Aged, 80 and over, Cross-Sectional Studies, Dementia, Depression, Emergency Medical Services, Female, Hospitalization, Humans, Male, Middle Aged, Patient Acceptance of Health Care, Quality of Life, Urban Population, Odds Ratio, Caregivers

About these checks

Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.

Statistics and arithmetic are recomputed, not judged.

Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.

What counts as a claim ›How we measure confidence ›How we check this ›

Are you an author, or do you see a problem with this page? Request a review