The DOI matches its Crossref record; 34 of the 34 references it cites were found in a registry or an index.
Emergency Department Use Among Older Adults With Dementia
Open accessAbstract
Although persons with dementia are frequently hospitalized, relatively little is known about the health profile, patterns of health care use, and mortality rates for patients with dementia who access care in the emergency department (ED). We linked data from our hospital system with Medicare and Medicaid claims, Minimum Data Set, and Outcome and Assessment Information Set data to evaluate 175,652 ED visits made by 10,354 individuals with dementia and 15,020 individuals without dementia over 11 years. Survival rates after ED visits and associated charges were examined. Patients with dementia visited the ED more frequently, were hospitalized more often than patients without dementia, and had an increased odds of returning to the ED within 30 days of an index ED visit compared with persons who never had a dementia diagnosis (odds ratio, 2.29; P<0.001). Survival rates differed significantly between patients by dementia status (P<0.001). Mean Medicare payments for ED services were significantly higher among patients with dementia. These results show that older adults with dementia are frequent ED visitors who have greater comorbidity, incur higher charges, are admitted to hospitals at higher rates, return to EDs at higher rates, and have higher mortality after an ED visit than patients without dementia.
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“Specifically, people with dementia experience disproportionately higher rates of acute and post-acute care utilization, including hospitalizations, emergency department visits, 30-day re-hospitalization events, repeat emergency department visits, and entry into post-acute care settings.3, 15–20”
From Discharge Communication of Dementia-Related Neuropsychiatric Symptoms and Care Management Strategies during Hospital to Skilled Nursing Facility Transitions (2021) · cites this paper as [17]
Experimental — accuracy not yet measuredThe source backs part of the claim, not all of it — or backs it for a different population, condition or comparison.
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“Thanks to their daily caregiving role, direct care workers are well-placed to observe and report changes of status to clinical care partners, thereby helping to reduce the risk of emergency department visits, avoidable hospitalizations and other adverse outcomes that are disproportionately high among people living with dementia.664,665”
From 2023 Alzheimer's disease facts and figures (2023) · cites this paper as [665]
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“Thanks to their daily caregiving role, direct care workers are well‐placed to observe and report changes of status to clinical colleagues, thereby helping to reduce the risk of emergency department visits, avoidable hospitalizations and other adverse outcomes that are disproportionately high among people living with dementia.”
From 2024 Alzheimer's disease facts and figures (2024) · cites this paper as [774]
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Citations
Cites
Hearing loss and cognitive decline in older adults
Lin, F. R., Yaffe, K., Xia, J., Xue, Q.-L., Harris, T. B., Purchase-Helzner, E., Satterfield, S., Ayonayon, H. N., Ferrucci, L., Simonsick, E. M., et al. (2013) · JAMA Internal Medicine · doi:10.1001/jamainternmed.2013.1868 · Cited by 4,017
Alzheimer disease in the United States (2010–2050) estimated using the 2010 census
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Monetary Costs of Dementia in the United States
Hurd, M. D., Martorell, P., Delavande, A., Mullen, K. J., & Langa, K. M. (2013) · New England Journal of Medicine · doi:10.1056/nejmsa1204629 · Cited by 1,484
Assessing Quality Using Administrative Data
Iezzoni, L. I. (1997) · Annals of Internal Medicine · doi:10.7326/0003-4819-127-8_part_2-199710151-00048 · Cited by 981
Association of Incident Dementia With Hospitalizations
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Geriatric Care Management for Low-Income Seniors
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Self-citationDelirium in Older Emergency Department Patients: Recognition, Risk Factors, and Psychomotor Subtypes
Han, J. H., Zimmerman, E. E., Cutler, N. S., Schnelle, J. F., Morandi, A., Dittus, R. S., Storrow, A. B., & Ely, E. W. (2009) · Academic Emergency Medicine · doi:10.1111/j.1553-2712.2008.00339.x · Cited by 435
Bynum, J. P. W., Rabins, P. V., Weller, W., Niefeld, M., Anderson, G. F., & Wu, A. W. (2004) · Journal of the American Geriatrics Society · doi:10.1111/j.1532-5415.2004.52054.x · Cited by 405
Delirium in Older Emergency Department Patients Discharged Home: Effect on Survival
Kakuma, R., du Fort, G. G., Arsenault, L., et al. (2003) · Journal of the American Geriatrics Society · doi:10.1046/j.1532-5415.2003.51151.x · Cited by 336
Pines, J. M., Mullins, P. M., Cooper, J. K., Feng, L. B., & Roth, K. E. (2013) · Journal of the American Geriatrics Society · doi:10.1111/jgs.12072 · Cited by 330
Cited by
Sorted by citations
2023 Alzheimer's disease facts and figures
(2023) · Alzheimer's & Dementia · doi:10.1002/alz.13016 · Cited by 3,212
2024 Alzheimer's disease facts and figures
(2024) · Alzheimer's & Dementia · doi:10.1002/alz.13809 · Cited by 2,536
Mondor, L., Maxwell, C. J., Hogan, D. B., Bronskill, S. E., Gruneir, A., Lane, N. E., & Wodchis, W. P. (2017) · PLOS Medicine · doi:10.1371/journal.pmed.1002249 · Cited by 173
Association Between Caregiver Depression and Emergency Department Use Among Patients With Dementia
Guterman, E. L., Allen, I. E., Josephson, S. A., Merrilees, J. J., Dulaney, S., Chiong, W., Lee, K., Bonasera, S. J., Miller, B. L., & Possin, K. L. (2019) · JAMA Neurology · doi:10.1001/jamaneurol.2019.1820 · Cited by 77
30‐Day Emergency Department Revisit Rates among Older Adults with Documented Dementia
Kent, T., Lesser, A., Israni, J., Hwang, U., Carpenter, C., & Ko, K. J. (2019) · Journal of the American Geriatrics Society · doi:10.1111/jgs.16114 · Cited by 68
Godard-Sebillotte, C., Le Berre, M., Schuster, T., Trottier, M., & Vedel, I. (2019) · PLOS ONE · doi:10.1371/journal.pone.0218426 · Cited by 50
Hunt, L. J., Coombs, L. A., & Stephens, C. E. (2018) · Journal of Gerontological Nursing · doi:10.3928/00989134-20171206-01 · Cited by 56
Primary care continuity and potentially avoidable hospitalization in persons with dementia
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Integrated Memory Care Clinic: Design, Implementation, and Initial Results
Clevenger, C. K., Cellar, J., Kovaleva, M., Medders, L., & Hepburn, K. (2018) · Journal of the American Geriatrics Society · doi:10.1111/jgs.15528 · Cited by 49
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“Although we did not examine healthcare utilisation using years since diagnosis, we observed an increased rates of long-term care placement and home care visits over time and decreases in other forms of healthcare utilisation.”
Carnahan, J. L., Slaven, J. E., Callahan, C. M., Tu, W., & Torke, A. M. (2017) · Journal of the American Medical Directors Association · doi:10.1016/j.jamda.2017.05.007 · Cited by 41
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Guterman, E. L., Kiekhofer, R. E., Wood, A. J., Allen, I. E., Kahn, J. G., Dulaney, S., Merrilees, J. J., Lee, K., Chiong, W., Bonasera, S. J., et al. (2023) · JAMA Internal Medicine · doi:10.1001/jamainternmed.2023.4764 · Cited by 32
Hill, J. D., Schmucker, A. M., Siman, N., Goldfeld, K. S., Cuthel, A. M., Chodosh, J., Bouillon‐Minois, J., & Grudzen, C. R. (2022) · Journal of the American Geriatrics Society · doi:10.1111/jgs.17833 · Cited by 28
Disparities in 30‐day readmission rates among Medicare enrollees with dementia
Gilmore‐Bykovskyi, A., Zuelsdorff, M., Block, L., Golden, B., Kaiksow, F., Sheehy, A. M., Bartels, C. M., Kind, A. J. H., & Powell, W. R. (2023) · Journal of the American Geriatrics Society · doi:10.1111/jgs.18311 · Cited by 25
MacNeil-Vroomen, J. L., Nagurney, J. M., & Allore, H. G. (2020) · The American Journal of Emergency Medicine · doi:10.1016/j.ajem.2019.07.023 · Cited by 22
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Metadata
- Authors
- LaMantia, M. A., Stump, T. E., Messina, F. C., Miller, D. K., & Callahan, C. M.
- Affiliations
- Regenstrief Institute (US)
- Venue
- Alzheimer Disease & Associated Disorders
- Published
- 2016-01
- Volume
- 30
- Issue
- 1
- Pages
- 35-40
- ISSN
- 0893-0341 (ISSN-L)
- PMC
- PMC4764430
- OpenAlex
- W2186824412
- Cited by
- 235
- References
- 34
- Citations by year
- 2026: 28 · 2025: 33 · 2024: 38 · 2023: 33 · 2022: 23 · 2021: 22 · 2020: 22 · 2019: 14 · 2018: 15 · 2017: 4 · 2016: 2
- FWCI
- 7.12
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Alzheimer Disease & Associated Disorders (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- IUScholarWorks (Indiana University) (submittedVersion)
- Purdue University Indianapolis (Indiana University) (submittedVersion)
- Funders
- National Institutes of Health (UL1TR001108)
- National Institute on Aging (K24AG024078, K23AG043498, P30AG024967)
- National Center for Advancing Translational Sciences
- Topics
- Health Sciences › Medicine › Emergency Medicine › Emergency and Acute Care Studies
- Health Sciences › Medicine › Psychiatry and Mental health › Dementia and Cognitive Impairment Research
- Health Sciences › Medicine › Geriatrics and Gerontology › Geriatric Care and Nursing Homes
- Keywords
- dementia, emergency department visits, older adults, hospitalization, health care utilization, Medicare payments, comorbidities, return visits, health care costs
- MeSH terms
- Aged, Aged, 80 and over, Dementia, Emergency Service, Hospital, Female, Medicare, Humans, Male, Medicaid, Middle Aged, Patient Readmission, United States, Comorbidity, Survival Rate, Health Care Costs
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