ReviewClinical interventions in aging2014
Comprehensive geriatric assessment in the emergency department.
Review in Clinical interventions in aging, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 65 papers, 2 of them syntheses that pooled it.
What it found
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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
65 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- The effectiveness of interventions to reduce adverse outcomes among older adults following Emergency Department discharge: umbrella review.BMC geriatrics · 2022Pooled it
- Effectiveness of interventions to alleviate emergency department crowding by older adults: a systematic review.BMC emergency medicine · 2019Pooled it
- Walking Aids and Locomotion Training in the Emergency Department: A Randomized Clinical Trial.JAMA network open · 2025Trial
- A Physiotherapy-Led Transition to Home Intervention for Older Adults Following Emergency Department Discharge: A Pilot Feasibility Randomised Controlled Trial (ED PLUS).Clinical interventions in aging · 2023Trial
- Trial
- Unplanned Readmission prevention by Geriatric Emergency Network for Transitional care (URGENT): protocol of a prospective single centre quasi-experimental study.BMC geriatrics · 2018Trial
- Considerations in referring older patients to hospital in acute situations: a qualitative study based on the experiences of healthcare providers.BMC primary care · 2026Article
- Risk stratification tool for older emergency department patients: the 6-items brief geriatric assessment.BMC geriatrics · 2026Observational
- When the older patient meets the emergency department: paradigm shift for a super-aged Singapore.Singapore medical journal · 2026Article
- Avoidable emergency department admissions among nursing home residents - insights from a retrospective study.European geriatric medicine · 2026Article
- Development of a Novel Frailty Trigger for Use at Triage in the Emergency Department.Academic emergency medicine : official journal of the Society for Academic Emergency Medicine · 2026Article
- Age and gender patterns in emergency alarms and missions: a cross-sectional observational study.BMC emergency medicine · 2026Observational
- Article
- Validation of predictive factors for hospital admission in elderly patients transported by emergency medical services: a retrospective observational study.BMC emergency medicine · 2025Observational
- Article
- Article
- Impact of Community-Level Social Vulnerability on Preventable Emergency Department Visits in Insured Patients.Journal of the American College of Emergency Physicians open · 2025Article
- Impact of Living Arrangements on Delirium in Older ED Patients.Journal of clinical medicine · 2025Article
- Issues and Challenges of Older Persons and Research and Health Facility-based Assessors in the Conduct of Comprehensive Geriatric Assessment in the Philippines: A Descriptive Study.Acta medica Philippina · 2025Article
- Frailty and Clinical Outcomes of Older Patients Admitted to an Emergency Department in Japan.Cureus · 2024Article
5 more citing papers are in PubMed but not listed here.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Changing global demography is resulting in older people presenting to emergency departments (EDs) in greater numbers than ever before. They present with greater urgency and are more likely to be admitted to hospital or re-attend and utilize greater resources. They experience longer waits for care and are less likely to be satisfied with their experiences. Not only that, but older people suffer poorer health outcomes after ED attendance, with higher mortality rates and greater dependence in activities of daily living or rates of admission to nursing homes. Older people's assessment and management in the ED can be complex, time consuming, and require specialist skills. The interplay of multiple comorbidities and functional decline result in the complex state of frailty that can predispose to poor health outcomes and greater care needs. Older people with frailty may present to services in an atypical fashion requiring detailed, multidimensional, and increasingly multidisciplinary care to provide the correct diagnosis and management as well as appropriate placement for ongoing care or admission avoidance. Specific challenges such as delirium, functional decline, or carer strain need to be screened for and managed appropriately. Identifying patients with specific frailty syndromes can be critical to identifying those at highest risk of poor outcomes and most likely to benefit from further specialist interventions. Models of care are evolving that aim to deliver multidimensional assessment and management by multidisciplinary specialist care teams (comprehensive geriatric assessment). Increasingly, these models are demonstrating improved outcomes, including admission avoidance or reduced death and dependence. Delivering this in the ED is an evolving area of practice that adapts the principles of geriatric medicine for the urgent-care environment.
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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.