Evidence map›Paper›PMID 21676064›Full record

ArticleAcademic emergency medicine : official journal of the Society for Academic Emergency Medicine2011

Research priorities for high-quality geriatric emergency care: medication management, screening, and prevention and functional assessment.

Christopher R Carpenter, Kennon Heard, Scott Wilber, Adit A Ginde, Kirk Stiffler, Lowell W Gerson, Neal S Wenger, Douglas K Miller, Society for Academic Emergency Medicine (SAEM) Geriatric Task Force

Abstract read
In one paragraph

Article in Academic emergency medicine : official journal of the Society for Academic Emergency Medicine, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed, 4 pooled it
–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

32 citing papers in PubMed, 4 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Emergency Department Interventions for Older Adults: A Systematic Review.Journal of the American Geriatrics Society · 2019
    Pooled it
  4. Predicting geriatric falls following an episode of emergency department care: a systematic review.Academic emergency medicine : official journal of the Society for Academic Emergency Medicine · 2014
    Pooled it
  5. Implementation of geriatric clinical decision support in the emergency department for potentially inappropriate medications.Academic emergency medicine : official journal of the Society for Academic Emergency Medicine · 2026
    Article
  6. Article
  7. Observational
  8. Article
  9. Article
  10. Research priority setting in emergency care: A scoping review.Journal of the American College of Emergency Physicians open · 2022
    Article
  11. Article
  12. Mapping the future for research in emergency medicine palliative care: A research roadmap.Academic emergency medicine : official journal of the Society for Academic Emergency Medicine · 2022
    Article
  13. Article
  14. Article
  15. Observational
  16. Article
  17. Article
  18. Article
  19. Impact of Jahnigen/GEMSSTAR Scholarships on Careers of Recipients in Emergency Medicine and on Development of Geriatric Emergency Medicine.Academic emergency medicine : official journal of the Society for Academic Emergency Medicine · 2018
    Article
  20. 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

9 authors.

Christopher R CarpenterDivision of Emergency Medicine, Washington University in St. Louis, MO, USA. carpenterc@wustl.edu
Kennon Heard
Scott Wilber
Adit A Ginde
Kirk Stiffler
Lowell W Gerson
Neal S Wenger
Douglas K Miller
Society for Academic Emergency Medicine (SAEM) Geriatric Task Force

Funding

Washington University Institute of Clinical and Translational SciencesUL1TR000448 · NCATS · WASHINGTON UNIVERSITY · PI EVANOFF, BRADLEY A · 2012 to 2016
$41.4M
WASHINGTON UNIVERSITY CER MENTORED CAREER DEVELOPMENT AWARD KM1KM1CA156708 · NCI · WASHINGTON UNIVERSITY · PI FRASER, VICTORIA J. · 2010 to 2010
$2.5M
Effect of chronic antipsychotic medication administration on cocaine poisoningK08DA020573 · NIDA · UNIVERSITY OF COLORADO DENVER · PI HEARD, KENNON JAMES · 2006 to 2010
$800k
NCATS NIH HHS UL1 TR000448NCI NIH HHS KM1 CA156708NIDA NIH HHS K08 DA020573NIDA NIH HHS K08DA020573
6 · The paper itself

Abstract

backgroundGeriatric adults represent an increasing proportion of emergency department (ED) users and can be particularly vulnerable to acute illnesses. Health care providers have recently begun to focus on the development of quality indicators (QIs) to define a minimal standard of care.

objectivesThe original objective of this project was to develop additional ED-specific QIs for older patients within the domains of medication management, screening and prevention, and functional assessment, but the quantity and quality of evidence were insufficient to justify unequivocal minimal standards of care for these three domains. Accordingly, the authors modified the project objectives to identify key research opportunities within these three domains that can be used to develop QIs in the future.

methodsEach domain was assigned one or two content experts who created potential QIs based on a systematic review of the literature, supplemented by expert opinion. Candidate QIs were then reviewed by four groups: the Society for Academic Emergency Medicine (SAEM) Geriatric Task Force, the SAEM Geriatric Interest Group, and audiences at the 2008 SAEM Annual Meeting and the 2009 American Geriatrics Society Annual Meeting, using anonymous audience response system technology as well as verbal and written feedback.

resultsHigh-quality evidence based on patient-oriented outcomes was insufficient or nonexistent for all three domains. The participatory audiences did not reach a consensus on any of the proposed QIs. Key research questions for medication management (three), screening and prevention (two), and functional assessment (three) are presented based on proposed QIs that the majority of participants accepted.

conclusionsIn assessing a minimal standard of care by which to systematically derive geriatric QIs for medication management, screening and prevention, and functional assessment, compelling clinical research evidence is lacking. Patient-oriented research questions that are essential to justify and characterize future QIs within these domains are described.

Indexed as

Geriatric AssessmentAccidental FallsAged, 80 and overDisease ManagementEmergency Medical ServicesEmergency Service, HospitalHumansProcess Assessment, Health CareQuality Indicators, Health CareResearch

Identifiers

PMID21676064
PMCPMC3117251

What OpenQuestion holds

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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 OpenQuestion graph.