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Abstract Details

Evaluating the causes of ED visits by patients with Alzheimer’s disease
Aging, Dementia, and Behavioral Neurology
Aging and Dementia Posters (7:00 AM-5:00 PM)
039

(1) describe the major complaints of individuals living with dementia who present to the ED. (2) evaluate the associated comorbidities of individuals living with dementia. (3) describe the associated costs to individuals living with dementia.

Dementia is an acquired loss of cognition in multiple cognitive domains sufficiently severe to affect social or occupational functioning. As a result, individuals living with Alzheimer’s disease or related dementias require increasing levels of medical care and familial support as the disease progresses.

We completed a database search of articles published between 2009 and 2019 from EBSCOhost and PubMed. 36 articles out of 1820 met the criteria for full-text review and 18 articles were included in our review. 3 articles were obtained from the references of reviewed articles. Topics included were: direct and indirect costs of Alzheimer’s disease, incidence, and prevalence of Alzheimer’s disease, ED encounters for Alzheimer’s disease.

The studies showed a higher utilization of the ED by individuals with dementia compared to those without dementia. Individuals with dementia also had increased 30-day revisit rates and mortality rates compared to those without dementia. Interventions such as an Alzheimer’s specialty clinic lowered ED usage. Major reasons for ED visits included falls, ill-defined symptoms, and organ-specific symptoms. Studies also showed individuals living with dementia placed a higher economic burden on Medicare and Medicaid.

Alzheimer’s disease confers a higher risk of ED utilization with its associated costs. The findings indicate that individuals with Alzheimer’s who present to the ED have more associated comorbidities and mortality following their ED visit. Individuals living in nursing homes or receiving specialized care did not have increased ED use when compared to matched controls. Moving forward, the role of the ED physician may be to ensure coordination of care to minimize ED utilization and costs.

Authors/Disclosures
Jean-Luc Rolland, MD (Johns Hopkins Hospital)
PRESENTER
Mr. Rolland has nothing to disclose.
Chantale O. Branson, MD, MSCR, FÂé¶¹´«Ã½Ó³»­ (Morehouse School of Medicine) Dr. Branson has received personal compensation in the range of $0-$499 for serving on a Scientific Advisory or Data Safety Monitoring board for Supernus. Dr. Branson has received personal compensation in the range of $10,000-$49,999 for serving on a Scientific Advisory or Data Safety Monitoring board for UCB.
No disclosure on file