Evidence mapPaperPMID 41987015Full record

ArticleJournal of the American Geriatrics Society2026

Bridging the Gap Between the ED and Home: The Community Paramedic-Led Transitions Intervention for Persons Living With Dementia.

Meghan Jenkins Morales, Stephanie Ricketts, Corita R Grudzen, Abraham A Brody, Joshua Chodosh, Keith Goldfeld, Manish N Shah, ED‐LEAD Investigators

Abstract read
In one paragraph

Article in Journal of the American Geriatrics Society, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Meghan Jenkins MoralesBerbeeWalsh Department of Emergency Medicine, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin, USA.
Stephanie RickettsBerbeeWalsh Department of Emergency Medicine, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin, USA.
Corita R GrudzenDivision of Supportive and Acute Care Services, Memorial Sloan Kettering Cancer Center, New York, New York, USA.
Abraham A BrodyDivision of Geriatric Medicine and Palliative Care, New York University Grossman School of Medicine, New York, New York, USA.ORCID https://orcid.org/0000-0002-3405-7043
Joshua ChodoshDivision of Geriatric Medicine and Palliative Care, New York University Grossman School of Medicine, New York, New York, USA.ORCID https://orcid.org/0000-0001-7784-4306
Keith GoldfeldDepartment of Population Health, New York University Grossman School of Medicine, New York, New York, USA.
Manish N ShahBerbeeWalsh Department of Emergency Medicine, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin, USA.ORCID https://orcid.org/0000-0001-6331-1074
ED‐LEAD Investigators

Funding

The Patient-Reported Outcomes, Community-Engagement and Language (PRO-CEL) CoreP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · 1985 to 2025
$88.4M
Statistics CoreU19AG078105 · NEW YORK UNIVERSITY SCHOOL OF MEDICINE · 2025 to 2025
$16.8M
NCI NIH HHS P30 CA008748NIA NIH HHS U19 AG078105NIA NIH HHS U19 AG078105-01A1
6 · The paper itself

Abstract

More than 6 million persons living with dementia (PLWD) in the United States rely on the emergency department (ED) for unscheduled care, with up to half discharged home after treatment. The ED-to-home transition poses significant challenges for PLWD and their care partners (referred to as "dyads"), contributing to high rates of ED revisits and adverse outcomes. The Community Paramedic-led Transitions Intervention (CPTI) was developed to address these challenges by adapting the validated Care Transitions Intervention for the ED setting. Delivered by trained community paramedics, CPTI is a short-term 30-day program that includes one home visit and up to three follow-up phone calls. Using a coaching model, paramedic coaches work with members of the dyad to strengthen their knowledge, skills, and confidence to manage their health and successfully navigate the health care system. CPTI is being implemented as part of Emergency Departments LEading the Transformation of Alzheimer's and Dementia Care (ED-LEAD), a cluster-randomized pragmatic trial testing 3 interventions designed to improve outcomes for PLWD discharged home from the ED across 14 health systems and 79 EDs nationwide. This paper describes the CPTI model as implemented within ED-LEAD, detailing its theoretical foundation, structure, training curriculum, workflow integration, and implementation monitoring. This framework can provide a model for health systems, provider groups, and emergency medical service agencies interested in adopting this innovative approach and implementing the CPTI. Insights from its implementation within ED-LEAD will guide future efforts to improve post-ED outcomes and continuity of care for PLWD and their care partners.

Indexed as

DementiaEmergency Service, HospitalHome Care ServicesAgedContinuity of Patient CareEmergency Room VisitsHumansParamedicsPatient DischargeUnited Statescare transitionscommunity paramedicineED‐to‐home transitionemergency departmentpersons living with dementiapost‐ED outcomes

Identifiers

PMID41987015
PMCPMC13403662

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.