Trial reportBMC geriatrics2012
The impact of early emergency department allied health intervention on admission rates in older people: a non-randomized clinical study.
Trial report in BMC geriatrics, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 5 of them syntheses that pooled 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.
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.
Who cites it
21 citing papers in PubMed, 5 syntheses or guidelines pooled it, 60 citations in OpenAlex.
- Comprehensive geriatric assessment and management in primary care: a systematic literature review with a descriptive mapping of team composition and assessment instruments.Frontiers in public health · 2026Pooled it
- Are Lists of Potentially Inappropriate Medications Associated with Hospital Readmissions? A Systematic Review.Drugs & aging · 2024Pooled it
- Pooled it
- Emergency Department Interventions for Older Adults: A Systematic Review.Journal of the American Geriatrics Society · 2019Pooled it
- Pooled it
- Systematic geriatric assessment for older patients with frailty in the emergency department: a randomised controlled trial.BMC geriatrics · 2021Trial
- Implementation of hospital-initiated complex interventions for adult people with multiple long-term conditions: a scoping review.BMC health services research · 2025Article
- Emergency department physiotherapists: consideration of perceived barriers and facilitators to help optimise their role in the Australian emergency department.International journal of emergency medicine · 2024Article
- Impact of Geriatric Consult Evaluations on Hospital Admission Rates for Older Adults.The western journal of emergency medicine · 2024Article
- Can dedicated emergency team and area for older people reduce the hospital admission rate? - An observational pre- and post-intervention study.BMC geriatrics · 2021Article
- Older people's challenges and expectations of healthcare in Ghana: A qualitative study.PloS one · 2021Article
- Concepts in Practice: Geriatric Emergency Departments.Annals of emergency medicine · 2020Article
- What is the evidence for the management of patients along the pathway from the emergency department to acute admission to reduce unplanned attendance and admission? An evidence synthesis.BMC health services research · 2017Review
- Geriatric support in the emergency department: a national survey in Belgium.BMC geriatrics · 2017Article
- Discharge Planning: Screening Older Patients for Multidisciplinary Team Referral.International journal of integrated care · 2016Article
- Early Postoperative Emergency Department Care of Abdominal Transplant Recipients.Transplantation · 2015Article
- Use of a risk nomogram to predict emergency department reattendance in older people after discharge: a validation study.Internal and emergency medicine · 2015Article
- Characteristics of older adults admitted to the emergency department (ED) and their risk factors for ED readmission based on comprehensive geriatric assessment: a prospective cohort study.BMC geriatrics · 2015Article
- The impact of EHR and HIE on reducing avoidable admissions: controlling main differential diagnoses.BMC medical informatics and decision making · 2013Article
- Derivation of a nomogram to estimate probability of revisit in at-risk older adults discharged from the emergency department.Internal and emergency medicine · 2013Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThis study sought to determine whether early allied health intervention by a dedicated Emergency Department (ED) based team, occurring before or in parallel with medical assessment, reduces hospital admission rates amongst older patients presenting with one of ten index problems.
methodsA prospective non-randomized trial in patients aged sixty five and over, conducted in two Australian hospital EDs. Intervention group patients, receiving early comprehensive allied health input, were compared to patients that received no allied health assessment. Propensity score matching was used to compare the two groups due to the non-randomized nature of the study. The primary outcome was admission to an inpatient hospital bed from the ED.
resultsOf five thousand two hundred and sixty five patients in the trial, 3165 were in the intervention group. The admission rate in the intervention group was 72.0% compared to 74.4% in the control group. Using propensity score probabilities of being assigned to either group in a conditional logistic regression model, this difference was of borderline statistical significance (p = 0.046, OR 0.88 (0.76-1.00)). On subgroup analysis the admission rate in patients with musculoskeletal symptoms and angina pectoris was less for those who received allied health intervention versus those who did not. This difference was significant.
conclusionsEarly allied health intervention in the ED has a significant but modest impact on admission rates in older patients. The effect appears to be limited to a small number of common presenting problems.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
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.