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60/100

✓ Peer-reviewed alzhub usefulness score 60 out of 100. Clinical safety

Topic: Risk, prevention and care in population studies

Our sample included 11,105 patients (median age 77, 51% female), with 2299 in the hallway group and 8806 in the non-hallway group. Prolonged ED hallway exposure was not associated with delirium and severe agitation for our general geriatric cohort (OR 0.87 [0.53-1.42]) but was for PLWD (OR 1.48 [1.03-2.13]). We observed no association between hallway care and our secondary outcomes except that the hallway group was associated with lower 30-day readmission (OR 0.69 [0.52-0.92]). Prolonged ED hallway care was not associated with delirium and severe agitation in a general geriatric cohort but was for older PLWD. Prospective research is needed to determine if hospitals should consider prioritizing PLWD for rooms.

Key findings

Our sample included 11,105 patients (median age 77, 51% female), with 2299 in the hallway group and 8806 in the non-hallway group.
Prolonged ED hallway exposure was not associated with delirium and severe agitation for our general geriatric cohort (OR 0.87 [0.53-1.42]) but was for PLWD (OR 1.48 [1.03-2.13]).
We observed no association between hallway care and our secondary outcomes except that the hallway group was associated with lower 30-day readmission (OR 0.69 [0.52-0.92]).
Prolonged ED hallway care was not associated with delirium and severe agitation in a general geriatric cohort but was for older PLWD.
Prospective research is needed to determine if hospitals should consider prioritizing PLWD for rooms.

Why it matters

In this retrospective cohort, prolonged emergency department hallway care was linked to delirium and severe agitation in older adults living with dementia, though not in the general older group. It suggests hospitals might prioritise people with dementia for rooms, but prospective research is needed and this is not a treatment or cure.

Study details

Study designretrospective cohort
Participants11,105
Effect sizeOR 0.87; OR 1.48; OR 0.69
Evidence strengthModerate

How this study scored 60/100

Published in a peer-reviewed journal, and it is a retrospective cohort study, reconstructed from past records. Scored zero for randomised / blinded because the record does not state it.

Component	Points	Why
Journal tier	7 / 10	Tier 3 — peer-reviewed journal (Journal of the American Geriatrics Society)
Journal's citation record	3 / 4	Journal of the American Geriatrics Society: journal h-index 344 (OpenAlex, 2026-10-29)
Study design	7 / 12	A retrospective cohort study, reconstructed from past records
Strength of evidence	3 / 5	Rated “moderate” in our summary
Peer-review validation	10 / 10	Peer-reviewed. Published as an article in a named peer-reviewed journal.
How recent	5 / 5	2026 — within 1 year(s) of the newest study here
Sample size	4 / 4	11,105 participants
Effect reported	3 / 3	Effect reported with a statistic (interval, p-value, ratio or similar)
Studied in people	3 / 3	Studied in people (participant count stated)
Randomised / blinded	0 / 2	No randomisation or blinding stated — scores zero (not stated in the record — scored 0)
Times cited	1 / 7	Cited 1 times (OpenAlex, 2026-10-10)
Citations per year	0 / 5	0.5 citations a year over 2 year(s) since 2026
Impact for its field and year	3 / 6	Cited 5.6× the average for papers of its field and year (OpenAlex FWCI)
Cited by studies here	0 / 6	No other study in this library cites it
Still being cited	0 / 4	Cited 1 times in 2024–2026 (2026 still in progress; OpenAlex)
Senior author's track record	2 / 4	Last-listed author Shan W. Liu: h-index 27 (OpenAlex, whole career)
Institution's track record	3 / 3	Harvard University: institution h-index 3,235 (OpenAlex)
Multi-centre collaboration	2 / 3	OpenAlex lists 6 institution(s) in 1 country
Indexed in PubMed	2 / 2	Indexed in PubMed (PMID 41540920)
Free to read	2 / 2	Free to read
Total	60 / 100	—

What each of these 20 components measures, and what this score is not →

Read the original

Full text: free to read — OpenAlex lists this copy as free to read: the link above (checked 6 Feb 1020).

Cite this study APA, Vancouver, BibTeX · download .bib or .ris

Built from the record alzhub holds for this paper, not looked up. Volume, issue and page numbers are not held in the record. Check the citation against the original before you use it.

APA 7th

Perelman, S. E., Meeker, M. A., Kennedy, M., Joseph, J. W., & Liu, S. W. (2026). Emergency Department Hallways Are Associated With Incident Delirium and Severe Agitation in Older Adults Living With Dementia. Journal of the American Geriatrics Society. https://doi.org/10.1111/jgs.70307

Vancouver

Perelman SE, Meeker MA, Kennedy M, Joseph JW, Liu SW. Emergency Department Hallways Are Associated With Incident Delirium and Severe Agitation in Older Adults Living With Dementia. Journal of the American Geriatrics Society. 2026. doi:10.1111/jgs.70307. PMID: 41540920.

BibTeX

@article{perelman2026-41540920,
  author  = {Perelman, Sarah E. and Meeker, Melissa A and Kennedy, Maura and Joseph, Joshua W. and Liu, Shan W.},
  title   = {{Emergency Department Hallways Are Associated With Incident Delirium and Severe Agitation in Older Adults Living With Dementia}},
  journal = {Journal of the American Geriatrics Society},
  year    = {2026},
  doi     = {10.1111/jgs.70307},
  pmid    = {41540920},
  url     = {https://doi.org/10.1111/jgs.70307}
}

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