Care sequences leading to the diagnosis of Alzheimer's disease and related dementias: An analysis of electronic health records.

ABSTRACT:

Background

We examined the sequences of clinical care leading to diagnoses of Alzheimer's disease and related dementias (ADRD) using electronic health records from a large academic medical center.

Methods

We included patients aged 65+ with their first ADRD diagnoses from January 1, 2014 to December 31, 2019. Using state sequence analysis, care sequences were defined by the ordering of healthcare utilizations occurred in the 2 years before ADRD diagnosis.

Results

Of 3621 patients (median age 80), nearly half followed a care sequence of having one primary care visit close to their ADRD diagnosis. Additional care sequences included periodic (n = 322, 8.9%) and multiple (n = 416, 11.5%) outpatient visits to primary care and having one (n = 395, 10.9%), multiple (n = 469,

SUBMITTER: Xu H 

PROVIDER: S-EPMC10984433 | biostudies-literature | 2024 Mar

REPOSITORIES: biostudies-literature