2025
Detection of emergency department patients at risk of dementia through artificial intelligence
Cohen I, Taylor R, Xue H, Faustino I, Festa N, Brandt C, Gao E, Han L, Khasnavis S, Lai J, Mecca A, Sapre A, Young J, Zanchelli M, Hwang U. Detection of emergency department patients at risk of dementia through artificial intelligence. Alzheimer's & Dementia 2025, 21: e70334. PMID: 40457744, PMCID: PMC12130574, DOI: 10.1002/alz.70334.Peer-Reviewed Original ResearchConceptsElectronic health record dataHealth record dataEmergency departmentDetect dementiaDementia detectionYale New Haven HealthRecord dataRisk of dementiaEmergency department patientsBalance detection accuracyDementia algorithmsImprove patient outcomesCare coordinationCare transitionsDementia diagnosisReal-time applicationsClinical decision-makingClinician supportED usePatient safetyProbable dementiaMachine learning algorithmsED workflowED visitsED encounters
2024
CARE TRANSITION EXPERIENCES OF HISPANIC PATIENTS WITH DEMENTIA FOLLOWING EMERGENCY DEPARTMENT DISCHARGE
Sandoval J, Brook J, Lien Z, Monin J, Gettel C, Hagaman A, Hwang U. CARE TRANSITION EXPERIENCES OF HISPANIC PATIENTS WITH DEMENTIA FOLLOWING EMERGENCY DEPARTMENT DISCHARGE. Innovation In Aging 2024, 8: 1193-1193. PMCID: PMC11692411, DOI: 10.1093/geroni/igae098.3820.Peer-Reviewed Original ResearchCare transition experiencesCare partnersEmergency departmentED transitionsCognitive impairmentExperience of careTransitions of carePost-discharge experiencesResearch team membersNon-English-speaking populationsDeductive-inductive approachTransition experiencesAccessibility of servicesSemi-structured interviewsCare coordinationCare transitionsDementia diagnosisDischarge careThematic saturationInadequate referralsOutpatient carePartner prioritiesQuality measurement frameworkHispanic patientsCareCognitive screening in the emergency department: Agreement between the patient‐ and caregiver‐completed AD8
Galske J, Sather A, Chera T, Hwang U, Carpenter C, Gettel C. Cognitive screening in the emergency department: Agreement between the patient‐ and caregiver‐completed AD8. Alzheimer's & Dementia 2024, 20: e087105. PMCID: PMC11710470, DOI: 10.1002/alz.087105.Peer-Reviewed Original ResearchAscertain Dementia 8Intraclass correlation coefficientEmergency departmentOlder adultsCognitive impairmentCommunity-dwelling older adultsSelf-administered screening toolElectronic health recordsTrained research assistantsDiagnosis of dementiaChanges associated with dementiaOlder adult patientsAbsence of cognitive impairmentDementia diagnosisEmergency careED settingHealth recordsCognitive screeningCaregiversAnalytic sampleResearch assistantsScreening toolDementiaModerate agreementImpaired cognitionCare Quality and Outcomes of Ischemic Stroke in Patients With Premorbid Dementia: Get With The Guidelines-Stroke Registry
Ganesh A, Wang M, Schwamm L, Fonarow G, Messé S, Xian Y, Saver J, Smith E. Care Quality and Outcomes of Ischemic Stroke in Patients With Premorbid Dementia: Get With The Guidelines-Stroke Registry. Stroke 2024, 55: 2901-2905. PMID: 39503052, DOI: 10.1161/strokeaha.124.049027.Peer-Reviewed Original ResearchQuality of stroke carePremorbid dementiaGuidelines-Stroke registryStroke careGuidelines-StrokeDoor-to-needle timeImprove care qualityNational quality measuresQuality of careEmergency medical servicesQuality measuresHospice admissionPrestroke dementiaCare qualityDementia diagnosisIschemic strokeAcute stroke interventionHospital characteristicsIntravenous thrombolysisDischarge destinationPoststroke outcomesMedical servicesIn-Hospital MortalityIschemic stroke patientsComprehensive stroke centerAssessment of disparities in timely diagnosis and comprehensive workup of cognitive impairment between English and Spanish speakers
Silva-Rudberg J, Carrión C, Pérez-Palmer N, Li J, Mehta S, Diab N, Mecca A, O'Dell R. Assessment of disparities in timely diagnosis and comprehensive workup of cognitive impairment between English and Spanish speakers. American Journal Of Geriatric Psychiatry 2024, 32: 773-786. PMID: 38336573, PMCID: PMC11162952, DOI: 10.1016/j.jagp.2024.01.030.Peer-Reviewed Original ResearchDiagnosis of mild cognitive impairmentSpanish-speaking patientsMild cognitive impairmentHispanic/Latino patientsCognitive impairmentNon-English language preferenceLanguage preferenceComprehension of diagnosisImpact of language barriersAssessment of disparitiesDiagnosis of cognitive impairmentSpanish language preferenceDiagnosis of dementiaElectronic medical recordsCross-sectional studyTimeliness of diagnosisDementia careRetrospective cross-sectional studyDementia diagnosisHealth disparitiesU.S. Hispanic/Latino populationBinomial logistic regressionNeighborhood disadvantageSpanish speakersHealth care
2023
The Adult Changes in Thought (ACT) Medical Records Abstraction Project: A resource for research on the aging brain and Alzheimer’s disease and related dementias
Crane P, Lind B, Dodd T, Lyons M, Macuiba J, Gray S, Meyers K, Kelley A, Nemerever L, Covey J, Campbell C, Lederman B, Sheridan L, Tom S, Larson E, Nelson J, LaCroix A, Renz A. The Adult Changes in Thought (ACT) Medical Records Abstraction Project: A resource for research on the aging brain and Alzheimer’s disease and related dementias. Alzheimer's & Dementia 2023, 19 DOI: 10.1002/alz.079041.Peer-Reviewed Original ResearchMedical recordsClinical dataMedical conditionsAlzheimer's diseaseAdult ChangesElectronic medical record dataProspective cohort studyClinical-pathological correlationChart review dataLaboratory dataMedical record dataLongitudinal clinical dataAutopsy cohortCerebrovascular accidentCohort studyBlood pressureMedication dataPharmacy dataDementia statusCardiovascular conditionsNeurological conditionsDementia diagnosisAbstract medical recordsPsychiatric conditionsAnalysis of association
2022
Applying Data‐Independent Acquisition Mass Spectrometry on Cerebrospinal Fluid Samples from a Neurology Clinic for Biomarker Discovery in Alzheimer’s Disease
de Geus M, Leslie S, Ramirez C, Trombetta B, Wang W, Lam T, Gotti C, Roux‐Dalvai F, Droit A, Nairn A, Arnold S, Carlyle B. Applying Data‐Independent Acquisition Mass Spectrometry on Cerebrospinal Fluid Samples from a Neurology Clinic for Biomarker Discovery in Alzheimer’s Disease. Alzheimer's & Dementia 2022, 18 DOI: 10.1002/alz.064314.Peer-Reviewed Original ResearchAlzheimer's diseaseMild cognitive impairmentPatient cohortAD-specific biomarkersNon-AD diagnosesPrognosis of ADCerebrospinal fluid samplesNeurology clinicBrain metabolismFluid biomarkersAD progressionCognitive prognosisComplex cohortBackground DiagnosisTreatment efficacyDementia diagnosisLarge-scale patient cohortsPathophysiological processesSpecific biomarkersRegulation of balanceDiagnosisCognitive AssessmentDiseaseCohortBiomarkersJoint Models for Estimating Determinants of Cognitive Decline in the Presence of Survival Bias
Davis-Plourde KL, Mayeda ER, Lodi S, Filshtein T, Beiser A, Gross AL, Seshadri S, Glymour MM, Tripodis Y. Joint Models for Estimating Determinants of Cognitive Decline in the Presence of Survival Bias. Epidemiology 2022, 33: 362-371. PMID: 35383644, DOI: 10.1097/ede.0000000000001472.Peer-Reviewed Original ResearchConceptsCognitive declineSurvival biasCox proportional hazards modelHazard of mortalityProportional hazards modelExposure of interestEffect of educationEffects of exposureHazards modelDementia diagnosisAlzheimer's diseaseMixed-effects modelsGEE modelMortalitySurvivalInconsistent resultsDiseaseInformative attritionStudy dataAttrition weightsExposureRisk Factors of Skilled Nursing Facility Admissions and the Interrelation With Hospitalization and Amount of Informal Caregiving Received
Cao Y, Allore H, Gutman R, Vander Wyk B, Jørgensen TSH. Risk Factors of Skilled Nursing Facility Admissions and the Interrelation With Hospitalization and Amount of Informal Caregiving Received. Medical Care 2022, 60: 294-301. PMID: 35149662, PMCID: PMC8916995, DOI: 10.1097/mlr.0000000000001697.Peer-Reviewed Original ResearchConceptsSkilled nursing facility admissionsNursing facility admissionsNumber of hospitalizationsSNF admissionImportant risk factorRisk factorsHospital admissionFacility admissionNon-Hispanic white race/ethnicityWhite race/ethnicityInformal caregivingWeak positive correlationDaily living (ADL) disabilityPossible risk factorsPositive correlationAging Trends StudyRace/ethnicityObservational followStrong positive correlationNational HealthAdmissionDementia diagnosisHospitalizationAlzheimer's diseaseHealth factors
2021
Mortality rates in Alzheimer's disease and non-Alzheimer's dementias: a systematic review and meta-analysis
Liang C, Li D, Yang F, Tseng P, Carvalho A, Stubbs B, Thompson T, Mueller C, Shin J, Radua J, Stewart R, Rajji T, Tu Y, Chen T, Yeh T, Tsai C, Yu C, Pan C, Chu C. Mortality rates in Alzheimer's disease and non-Alzheimer's dementias: a systematic review and meta-analysis. The Lancet Healthy Longevity 2021, 2: e479-e488. PMID: 36097997, DOI: 10.1016/s2666-7568(21)00140-9.Peer-Reviewed Original ResearchConceptsNon-Alzheimer's disease dementiaNon-Alzheimer dementiaSurvival-related outcomesNon-AlzheimerHazard ratioSystematic reviewMortality rateRisk of all-cause mortalityHigher risk of all-cause mortalityDevelopment of preventive interventionsMental health providersRandom-effects meta-analysesMeta-analysisSubgroup analysisNewcastle-Ottawa ScaleAll-Cause MortalityDementia diagnosisRehabilitation programmeAlzheimer's diseaseHealth providersShort life expectancyLewy body dementiaMethodological qualityPreventive interventionsVascular dementiaSuicide risk in first year after dementia diagnosis in older adults
Schmutte T, Olfson M, Maust DT, Xie M, Marcus SC. Suicide risk in first year after dementia diagnosis in older adults. Alzheimer's & Dementia 2021, 18: 262-271. PMID: 34036738, PMCID: PMC8613307, DOI: 10.1002/alz.12390.Peer-Reviewed Original ResearchConceptsStandardized mortality ratioADRD diagnosisOverall standardized mortality ratioSuicide riskGeneral geriatric populationChronic pain conditionsNational Death IndexSuicide risk screeningRecent mental healthRisk of suicideFirst yearPain conditionsDeath IndexGeriatric populationNational cohortMortality ratioRisk screeningHigh riskMedicare feeDementia diagnosisService beneficiariesAlzheimer's diseaseRural residenceMental healthOlder adultsIdentifying Medicare beneficiaries with dementia
Moura LMVR, Festa N, Price M, Volya M, Benson NM, Zafar S, Weiss M, Blacker D, Normand S, Newhouse JP, Hsu J. Identifying Medicare beneficiaries with dementia. Journal Of The American Geriatrics Society 2021, 69: 2240-2251. PMID: 33901296, PMCID: PMC8373730, DOI: 10.1111/jgs.17183.Peer-Reviewed Original ResearchConceptsClaims-based definitionEligible populationElectronic health recordsAccountable care organizationsMedical recordsDiagnostic codesMedicare beneficiariesReference standardICD-10 diagnostic codesICD-9 definitionRetrospective observational studyIndividual-level linkageService Medicare beneficiariesPatients' medical recordsClaims-based diagnosesClinical reference standardNon-Hispanic whitesPretest likelihoodDementia statusObservational studyInternational ClassificationAverage ageDementia diagnosisStandardized reviewDementiaSuicide Risk in the First Year Following Dementia Diagnosis: A National Study of U.S. Older Adults
Schmutte T, Maust D, Olfson M, Xie M, Marcus S. Suicide Risk in the First Year Following Dementia Diagnosis: A National Study of U.S. Older Adults. American Journal Of Geriatric Psychiatry 2021, 29: s118-s119. DOI: 10.1016/j.jagp.2021.01.113.Peer-Reviewed Original ResearchStandardized mortality ratioSubstance use disordersRecent mental healthADRD diagnosisDementia diagnosisUse disordersSuicide riskOlder adultsMental healthSuicide deathsChronic painRisk factorsHigh riskOverall standardized mortality ratioSuicide ratesGeneral geriatric populationChronic pain conditionsNational Death IndexSuicide mortalityHealth careVeterans Health AdministrationLife-saving careCohort of adultsFirst yearSuicide risk screening
2019
30‐Day Emergency Department Revisit Rates among Older Adults with Documented Dementia
Kent T, Lesser A, Israni J, Hwang U, Carpenter C, Ko KJ. 30‐Day Emergency Department Revisit Rates among Older Adults with Documented Dementia. Journal Of The American Geriatrics Society 2019, 67: 2254-2259. PMID: 31403717, PMCID: PMC6899685, DOI: 10.1111/jgs.16114.Peer-Reviewed Original ResearchConceptsIndex ED visitED revisitsEmergency departmentED visitsDementia diagnosisIndex encounterOdds ratioOlder adultsMedicare beneficiariesEmergency department revisit rateRevisit ratesED revisit ratesHigh ED utilizationSignificant predictorsNational emergency departmentSkilled nursing facilitiesLogistic regression modelsDementia codesED utilizationMedicaid statusOutpatient claimsRepresentative sampleContinuous feeClaims dataDementia patients
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