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53/100

✓ Peer-reviewed alzhub usefulness score 53 out of 100. Risk factors

Topic: Risk, prevention and care in population studies

Thirteen percent of care recipients had at least 1 ACSH. The likelihood of an ACSH was greater for patients in noncore rural counties versus large metropolitan areas (22.6% vs 12.8%, unadjusted odds ratio [OR]= 1.99; P < .01). The addition of other Andersen behavioral model variables did not eliminate the disparity (adjusted OR = 1.97; P < .05). We found that dementia patients living in the most rural counties were more likely to have an ACSH; this disparity was not explained by differences in caregiver, care recipient, or community factors. Furthermore, the annual rate of ACSH was higher in community-dwelling dementia patients compared to previous reports on the general older adult population. Dementia patients in rural areas may face particular challenges in receiving timely, effective ambulatory care.

Key findings

Thirteen percent of care recipients had at least 1 ACSH.
The likelihood of an ACSH was greater for patients in noncore rural counties versus large metropolitan areas (22.6% vs 12.8%, unadjusted odds ratio [OR]= 1.99; P < .01).
The addition of other Andersen behavioral model variables did not eliminate the disparity (adjusted OR = 1.97; P < .05).
We found that dementia patients living in the most rural counties were more likely to have an ACSH; this disparity was not explained by differences in caregiver, care recipient, or community factors.
Furthermore, the annual rate of ACSH was higher in community-dwelling dementia patients compared to previous reports on the general older adult population.

Why it matters

This study found that community-dwelling veterans with dementia in the most rural counties were more likely to have preventable hospitalizations than those in large metropolitan areas, and this disparity was not explained by caregiver, care recipient or community factors. It does not test a dementia treatment or cure.

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Study details

Study designlongitudinal study
Effect size22.6%; 12.8%; OR = 1.97
Evidence strengthModerate

How this study scored 53/100

Published in a peer-reviewed journal, and it is a longitudinal study following the same people over time. Scored zero for sample size, studied in people and randomised / blinded because the record does not state it.

Component	Points	Why
Journal tier	7 / 10	Tier 3 — peer-reviewed journal (The Journal of Rural Health)
Journal's citation record	1 / 4	The Journal of Rural Health: journal h-index 94 (OpenAlex, 2026-10-29)
Study design	7 / 12	A longitudinal study following the same people over time
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	1 / 5	2010 — within 20 year(s) of the newest study here
Sample size	0 / 4	Participant count not stated — scores zero (not stated in the record — scored 0)
Effect reported	3 / 3	Effect reported with a statistic (interval, p-value, ratio or similar)
Studied in people	0 / 3	Not stated whether this was studied in people — scores zero (not stated in the record — scored 0)
Randomised / blinded	0 / 2	No randomisation or blinding stated — scores zero (not stated in the record — scored 0)
Times cited	4 / 7	Cited 62 times (OpenAlex, 2026-10-10)
Citations per year	2 / 5	3.4 citations a year over 18 year(s) since 2010
Impact for its field and year	2 / 6	Cited 1.0× the average for papers of its field and year (OpenAlex FWCI)
Cited by studies here	2 / 6	Cited by 5 other studies in this library
Still being cited	1 / 4	Cited 14 times in 2024–2026 (2026 still in progress; OpenAlex)
Senior author's track record	2 / 4	Last-listed author Carolyn T. Thorpe: h-index 38 (OpenAlex, whole career)
Institution's track record	2 / 3	University of North Carolina at Chapel Hill: institution h-index 1,674 (OpenAlex)
Multi-centre collaboration	2 / 3	OpenAlex lists 5 institution(s) in 1 country
Indexed in PubMed	2 / 2	Indexed in PubMed (PMID 20447001)
Free to read	2 / 2	Free to read
Total	53 / 100	—

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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

Thorpe, J. M., Van Houtven, C. H., Sleath, B. L., & Thorpe, C. T. (2010). Rural-Urban Differences in Preventable Hospitalizations Among Community-Dwelling Veterans With Dementia. The Journal of Rural Health. https://doi.org/10.1111/j.1748-0361.2010.00276.x

Vancouver

Thorpe JM, Van Houtven CH, Sleath BL, Thorpe CT. Rural-Urban Differences in Preventable Hospitalizations Among Community-Dwelling Veterans With Dementia. The Journal of Rural Health. 2010. doi:10.1111/j.1748-0361.2010.00276.x. PMID: 20447001.

BibTeX

@article{thorpe2010-20447001,
  author  = {Thorpe, Joshua M. and Van Houtven, Courtney H. and Sleath, Betsy Lynn and Thorpe, Carolyn T.},
  title   = {{Rural-Urban Differences in Preventable Hospitalizations Among Community-Dwelling Veterans With Dementia}},
  journal = {The Journal of Rural Health},
  year    = {2010},
  doi     = {10.1111/j.1748-0361.2010.00276.x},
  pmid    = {20447001},
  url     = {https://doi.org/10.1111/j.1748-0361.2010.00276.x}
}

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