Community paramedic support after ER visits for people with dementia
Community Paramedicine
['FUNDING_OTHER'] · NEW YORK UNIVERSITY SCHOOL OF MEDICINE · NIH-11179238
This project offers community paramedic visits and follow-up support after emergency room visits to people living with dementia to help them stay safe at home and avoid repeat ER trips.
Quick facts
| Phase | ['FUNDING_OTHER'] |
|---|---|
| Study type | Nih_funding |
| Sex | All |
| Sponsor | NEW YORK UNIVERSITY SCHOOL OF MEDICINE (nih funded) |
| Locations | 1 site (NEW YORK, UNITED STATES) |
| Trial ID | NIH-11179238 on ClinicalTrials.gov |
What this research studies
If I or my loved one with dementia goes to the emergency room and is sent home, this project would arrange follow-up visits and support from trained community paramedics who work beyond traditional 911 response. The paramedics will deliver an adapted Care Transitions Intervention to help with medications, home safety, caregiver coaching, and connections to local services. The team will run a large embedded pragmatic clinical trial comparing outcomes for people who get the paramedic-led support alone or combined with other interventions. The main outcomes tracked will include repeat ED visits, adverse events after discharge, and ability to remain safely at home.
Who could benefit from this research
Good fit: Ideal candidates are community-dwelling adults with Alzheimer’s disease or related dementia who visit a participating emergency department and are discharged to home.
Not a fit: People living in nursing homes or other long-term care facilities, those who are admitted to the hospital instead of being sent home, or people outside the program’s service area may not be eligible or likely to benefit.
Why it matters
Potential benefit: If successful, this could cut repeat emergency visits and improve safety and outcomes for people living with dementia after ED discharge.
How similar studies have performed: A prior pilot of this community paramedic transition program showed a 75% reduction in 30-day ED revisits among patients with cognitive impairment, but this larger trial will test the approach more broadly.
Where this research is happening
NEW YORK, UNITED STATES
- NEW YORK UNIVERSITY SCHOOL OF MEDICINE — NEW YORK, UNITED STATES (ACTIVE)
Researchers
- Principal investigator: SHAH, MANISH N — NEW YORK UNIVERSITY SCHOOL OF MEDICINE
- Study coordinator: SHAH, MANISH N
About this research
- This is an active NIH-funded research project — typically early-stage science, not a clinical trial accepting patient enrollment.
- Some NIH-funded labs run parallel clinical studies or seek volunteers for related work. To check, contact the principal investigator or institution listed above.
- For full project details, budget, and progress reports, visit the official NIH RePORTER page below.
Conditions: Alzheimer disease dementia, Alzheimer syndrome, Alzheimer's Disease