{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,18]],"date-time":"2026-09-18T03:04:39Z","timestamp":1789700679628,"version":"4.0.1"},"reference-count":39,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,9,17]],"date-time":"2026-09-17T00:00:00Z","timestamp":1789603200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,9,17]],"date-time":"2026-09-17T00:00:00Z","timestamp":1789603200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/100000050","name":"National Heart, Lung, and Blood Institute","doi-asserted-by":"publisher","award":["K23\u2010HL153771\u201001"],"award-info":[{"award-number":["K23\u2010HL153771\u201001"]}],"id":[{"id":"10.13039\/100000050","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000049","name":"National Institute on Aging","doi-asserted-by":"publisher","award":["K76AG088428"],"award-info":[{"award-number":["K76AG088428"]}],"id":[{"id":"10.13039\/100000049","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000049","name":"National Institute on Aging","doi-asserted-by":"publisher","award":["P01AG019783"],"award-info":[{"award-number":["P01AG019783"]}],"id":[{"id":"10.13039\/100000049","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100005485","name":"American College of Cardiology Foundation","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100005485","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>As the population of older adults with Alzheimer's disease and related dementias (ADRD) increases, a growing number are presenting with acute cardiovascular events, including ST\u2010elevation myocardial infarction (STEMI). Patient\u2010centered outcomes following treatment for STEMI in this population are not well understood.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This retrospective cohort study used Medicare fee\u2010for\u2010service claims from a 100% national sample to identify beneficiaries aged 65\u2009years or older who presented to the emergency department (ED) with STEMI between 2017 and 2022 and underwent cardiac catheterization. Patients were stratified by ADRD status and nursing home admission source. The primary outcome was adjusted days alive at home in the year following the index ED visit. Secondary outcomes included 1\u2010year survival, percent of alive days spent at home, and long\u2010term nursing home care use (\u2265\u2009100\u2009days). Multivariable linear regression models controlled for age, sex, and comorbidities.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Of 117,318 patients, 7348 (6.3%) had ADRD and 2617 (2.2%) were admitted from a nursing home. Among community\u2010dwelling patients, those with ADRD had moderately lower adjusted days at home than those without ADRD (225.1 vs. 299.4; adjusted difference \u221237.8\u2009days; 95% CI, \u221241.1 to \u221234.5), but more than half spent over 300\u2009days at home. Among patients admitted from a nursing home, ADRD was associated with markedly worse outcomes (adjusted difference \u221271.9\u2009days; 95% CI, \u221284.0 to \u221259.8), and 1\u2010year survival was 42.4%.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Many community\u2010dwelling older adults with ADRD experienced meaningful survival and time at home following cardiac catheterization for STEMI. Dementia status alone should not deter appropriate STEMI care. Treatment decisions should be individualized based on cognitive status, admission source, and patient goals.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jgs.70705","type":"journal-article","created":{"date-parts":[[2026,9,18]],"date-time":"2026-09-18T02:46:04Z","timestamp":1789699564000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Days Alive at Home After Emergency Department\n                    <scp>STEMI<\/scp>\n                    Visits Among Medicare Beneficiaries With Dementia"],"prefix":"10.1111","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5745-1636","authenticated-orcid":false,"given":"Michael G.","family":"Nanna","sequence":"first","affiliation":[{"name":"Section of Cardiovascular Medicine, Department of Medicine Yale School of Medicine  New Haven Connecticut USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9161-8436","authenticated-orcid":false,"given":"Andrew B.","family":"Cohen","sequence":"additional","affiliation":[{"name":"Veterans Affairs Connecticut Healthcare System  West Haven Connecticut USA"},{"name":"Section of Geriatrics, Department of Medicine Yale School of Medicine  New Haven Connecticut USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ashleigh C.","family":"Erickson","sequence":"additional","affiliation":[{"name":"The Dartmouth Institute for Health Policy and Clinical Practice Geisel School of Medicine  Lebanon New Hampshire USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bangyao","family":"Sun","sequence":"additional","affiliation":[{"name":"Department of Health Care Policy Harvard Medical School  Boston Massachusetts USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6898-2192","authenticated-orcid":false,"given":"Raiza","family":"Rossi","sequence":"additional","affiliation":[{"name":"Section of Cardiovascular Medicine, Department of Medicine Yale School of Medicine  New Haven Connecticut USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6317-4417","authenticated-orcid":false,"given":"Zafer","family":"Akman","sequence":"additional","affiliation":[{"name":"Section of Cardiovascular Medicine, Department of Medicine Yale School of Medicine  New Haven Connecticut USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7892-0726","authenticated-orcid":false,"given":"Ashok","family":"Krishnaswami","sequence":"additional","affiliation":[{"name":"The Permanente Medical Group, Division of Cardiology Kaiser Permanente San Jose Medical Center  San Jose California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Abdulla A.","family":"Damluji","sequence":"additional","affiliation":[{"name":"Cardiovascular Center on Aging, Department of Cardiovascular Medicine Cleveland Clinic Foundation  Cleveland Ohio USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christopher G.","family":"Leggett","sequence":"additional","affiliation":[{"name":"The Dartmouth Institute for Health Policy and Clinical Practice Geisel School of Medicine  Lebanon New Hampshire USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Douglas O.","family":"Staiger","sequence":"additional","affiliation":[{"name":"Department of Economics Dartmouth College  Hanover New Hampshire USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Leila","family":"Agha","sequence":"additional","affiliation":[{"name":"Department of Health Care Policy Harvard Medical School  Boston Massachusetts USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,9,17]]},"reference":[{"key":"e_1_2_11_2_1","unstructured":"Centers for Disease Control and Prevention \u201cAbout Alzheimer's. 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