{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,3]],"date-time":"2026-09-03T03:12:54Z","timestamp":1788405174970,"version":"build-2803163510"},"reference-count":45,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,9,2]],"date-time":"2026-09-02T00:00:00Z","timestamp":1788307200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,9,2]],"date-time":"2026-09-02T00:00:00Z","timestamp":1788307200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/100000738","name":"U.S. Department of Veterans Affairs","doi-asserted-by":"publisher","award":["SDR 02\u2010237"],"award-info":[{"award-number":["SDR 02\u2010237"]}],"id":[{"id":"10.13039\/100000738","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000738","name":"U.S. Department of Veterans Affairs","doi-asserted-by":"publisher","award":["SDR 98\u2010004"],"award-info":[{"award-number":["SDR 98\u2010004"]}],"id":[{"id":"10.13039\/100000738","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["agsjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J American Geriatrics Society"],"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>People living with dementia (PLWD) are more likely to be hospitalized and have longer hospital stays compared with the general population. Prolonged hospitalizations are associated with inpatient complications, functional decline, and mortality. This study aimed to identify patient\u2010level factors associated with prolonged hospitalizations for PLWD.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Secondary analysis of a stepped\u2010wedge, cluster randomized trial that enrolled community\u2010dwelling older adults hospitalized for at least 2\u2009days at eight Veterans Health Administration hospitals between August 2017 and August 2019. A logistic regression model was used to identify patient\u2010level factors associated with prolonged hospitalizations (\u2265\u200921\u2009days) for PLWD.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      2612 individuals with dementia were included in this cohort. PLWD had a median length of stay of 6.0\u2009days (IQR: 4.0\u20139.0) and 138 (5.3%) were admitted to the hospital for at least 21\u2009days. Social vulnerability (OR: 1.74, 95% CI: 1.16, 2.61), higher Nosos chronic disease burden (OR: 1.06, 95% CI: 1.01, 1.10), and presence of delirium at admission (OR: 1.55, 95% CI: 1.07, 2.26) were associated with higher odds of prolonged hospitalization. In contrast, greater clinical frailty was associated with lower odds of prolonged hospitalization (overall\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.006).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Several patient\u2010level factors present at time of admission are associated with prolonged hospitalizations for PLWD. These findings can inform early identification and tailored interventions for those at risk. Further research is needed to better characterize these relationships, particularly frailty.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Trial Registration<\/jats:title>\n                    <jats:p>NCT03300336<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jgs.70694","type":"journal-article","created":{"date-parts":[[2026,9,3]],"date-time":"2026-09-03T02:16:27Z","timestamp":1788401787000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Identifying Factors Associated With Prolonged Hospitalizations for Community\u2010Dwelling Veterans Living With Dementia"],"prefix":"10.1111","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3805-3290","authenticated-orcid":false,"given":"Chelsea R.","family":"Perfect","sequence":"first","affiliation":[{"name":"Department of Medicine Duke University School of Medicine  Durham North Carolina USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6912-7315","authenticated-orcid":false,"given":"Justine","family":"Seidenfeld","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine Durham VA Health Care System  Durham North Carolina USA"},{"name":"Department of Emergency Medicine Duke University School of Medicine  Durham North Carolina USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kayla W.","family":"Kilpatrick","sequence":"additional","affiliation":[{"name":"Center of Innovation to Accelerate Discovery and Practice Transformation (ADAPT) Durham VA Health Care System  Durham North Carolina USA"},{"name":"Department of Biostatistics and Bioinformatics Duke University School of Medicine  Durham North Carolina USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Karen M.","family":"Stechuchak","sequence":"additional","affiliation":[{"name":"Center of Innovation to Accelerate Discovery and Practice Transformation (ADAPT) Durham VA Health Care System  Durham North Carolina USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0007-8829-7759","authenticated-orcid":false,"given":"Caitlin B.","family":"Kappler","sequence":"additional","affiliation":[{"name":"Center of Innovation to Accelerate Discovery and Practice Transformation (ADAPT) Durham VA Health Care System  Durham North Carolina USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9047-0051","authenticated-orcid":false,"given":"Juliessa M.","family":"Pavon","sequence":"additional","affiliation":[{"name":"Department of Medicine Duke University School of Medicine  Durham North Carolina USA"},{"name":"Department of Biostatistics and Bioinformatics Duke University School of Medicine  Durham North Carolina USA"},{"name":"Geriatric Research Education Clinical Center Durham Veteran Affairs Health Care System  Durham North Carolina USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S. Nicole","family":"Hastings","sequence":"additional","affiliation":[{"name":"Department of Medicine Duke University School of Medicine  Durham North Carolina USA"},{"name":"Center of Innovation to Accelerate Discovery and Practice Transformation (ADAPT) Durham VA Health Care System  Durham North Carolina USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,9,2]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1186\/1472\u20106963\u20108\u2010108"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamanetworkopen.2023.2109"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1177\/1471301213520172"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1532\u20105415.1996.tb00910.x"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMra052321"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.3346\/jkms.2024.39.e87"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12913\u2010015\u20100929\u20106"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/jocn.12714"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1080\/08959420.2023.2267399"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.1093\/gerona\/glr171"},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.1111\/1475\u20106773.13541"},{"key":"e_1_2_9_13_1","doi-asserted-by":"publisher","DOI":"10.1093\/gerona\/60.12.1576"},{"key":"e_1_2_9_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjmed.2016.11.018"},{"key":"e_1_2_9_15_1","doi-asserted-by":"publisher","DOI":"10.1097\/MLR.0000000000001345"},{"key":"e_1_2_9_16_1","first-page":"1","article-title":"Long\u2010Stay Patients in Short\u2010Stay Hospitals","volume":"229","author":"Hall M. 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