ArticleClinical medicine (London, England)2016
Embedding comprehensive geriatric assessment in the emergency assessment unit: the impact of the COPE zone.
Article in Clinical medicine (London, England), 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 3 of them syntheses that pooled it.
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Who cites it
15 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Outcomes of emergency department observation units for geriatric assessment: a systematic review and meta-analysis.Singapore medical journal · 2026Pooled it
- Acute care models for older people living with frailty: a systematic review and taxonomy.BMC geriatrics · 2023Pooled it
- Effectiveness of interventions to alleviate emergency department crowding by older adults: a systematic review.BMC emergency medicine · 2019Pooled it
- The utility and cost of embedding geriatric expertise in a tertiary referral renal clinic.Clinical kidney journal · 2026Article
- Cost-effectiveness of emergency department-based vs mobile geriatric care models for older patients.BMC geriatrics · 2026Article
- Identification and information management of cognitive impairment of patients in acute care hospitals: An integrative review.International journal of nursing sciences · 2024Review
- Impact of the Emergency Procedure Zone on Emergency Care.Medicina (Kaunas, Lithuania) · 2023Article
- Frailty assessment and acute frailty service provision in the UK: results of a national 'day of care' survey.BMC geriatrics · 2022Article
- Structure and processes of emergency observation units with a geriatric focus: a scoping review.BMC geriatrics · 2021Article
- Study protocol for IMAGE: implementing multidisciplinary assessments for geriatric patients in an emergency department observation unit, a hybrid effectiveness/implementation study using the Consolidated Framework for Implementation Research.Implementation science communications · 2020Article
- Undertaking a Collaborative Rapid Realist Review to Investigate What Works in the Successful Implementation of a Frail Older Person's Pathway.International journal of environmental research and public health · 2018Review
- Barriers to the identification of frailty in hospital: a survey of UK clinicians.Future healthcare journal · 2017Article
- Response.Clinical medicine (London, England) · 2016Article
- Response.Clinical medicine (London, England) · 2016Article
- Does Case-Finding for Admission to Aged Care Rapid Investigation and Assessment Unit for Older Patients Improve Hospital Length of Stay?International journal of integrated careArticle
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
We introduced a geographically embedded frailty unit, the comprehensive older person's evaluation 'COPE' zone within our emergency assessment unit (EAU). We collated data for all medical patients over 75 years admitted non-electively for one month before and after this service change. Significantly more patients were seen by a geriatrician on the EAU earlier in their admission in 2014 (33.4 vs 19.3%, p<0.001; 11 vs 20 h, p<0.001). More patients had documented comprehensive geriatric assessment and discussion in a geriatrician multidisciplinary team meeting (relative risk (RR) 3.3, 95% confidence interval (CI) 2.35-4.73, p<0.001; RR 3.6, 95% CI 2.26-5.57, p<0.001, respectively). More patients with markers of frailty were discharged directly from EAU (42.2 vs 29.0%, p = 0.006) without increasing readmissions. Mean length of stay was reduced (9.5 vs 6.8 days, p = 0.02). The introduction of the COPE zone has improved service delivery at the point of access for older people admitted to hospital.
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