ArticleCanadian geriatrics journal : CGJ2016
Characteristics of Older Adults Admitted to Hospital versus Those Discharged Home, in Emergency Department Patients Referred to Internal Medicine.
Article in Canadian geriatrics journal : CGJ, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.
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Who cites it
12 citing papers in PubMed.
- Can laboratory test-based frailty indices contribute to frailty screening in emergency departments?Age and ageing · 2025Article
- What can we learn from 68 000 clinical frailty scale scores? Evaluating the utility of frailty assessment in emergency departments.Age and ageing · 2025Article
- Implementing a new patient navigator model of care within the emergency department for older adults in Ontario, Canada.PloS one · 2025Observational
- Clinical Acuity in the Emergency Department and Injury Severity Determine Hospital Admission of Older Patients with Low Energy Falls: Outcomes from a Prospective Feasibility Study.Journal of clinical medicine · 2023Article
- Paramedic supportive discharge programmes to improve health system efficiency and patient outcomes: a scoping review protocol.BMJ open · 2023Article
- Frailty assessment in emergency medicine using the Clinical Frailty Scale: a scoping review.Internal and emergency medicine · 2022Article
- Comprehensive geriatric assessment in the emergency department: A protocol for a prospective cohort study.HRB open research · 2022Article
- Article
- A 10-min Targeted Geriatric Assessment Predicts Mortality in Fast-Paced Acute Care Settings: A Prospective Cohort Study.The journal of nutrition, health & aging · 2019Article
- Reversing Frailty Levels in Primary Care Using the CARES Model.Canadian geriatrics journal : CGJ · 2017Article
- Defining Functional Decline, Characteristics of Admitted Older Adults and Comparing Alternate Versions of the MoCA.Canadian geriatrics journal : CGJ · 2016Article
- Article
Corrections and comments
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundFrail older adults present to the Emergency Department (ED) with complex medical, functional, and social needs. When these needs can be addressed promptly, discharge is possible, and when they cannot, hospital admission is required. We evaluated the care needs of frail older adults in the ED who were consulted to internal medicine and seen by a geriatrician to determine, under current practices, which factors were associated with hospitalization and which allowed discharge.
methodsWe preformed a chart-based, exploratory study. Data were abstracted from consultation records and ED charts. All cases had a standard Comprehensive Geriatric Assessment (CGA which records a Clinical Frailty Scale (CFA) and allows calculation of a Frailty Index (FI).
resultsOf 100 consecutive patients, 2 died in the ED, 75 were admitted, and 23 were discharged, including one urgent placement. Compared with discharged patients (0.39 ± SD 0.16), those admitted had a higher mean FI-CGA (0.48 ± 0.13; p < .01). Greater mobility dependence (2% in discharged vs. 32% in admitted; p < .05) was notable.
conclusionsDischarge decisions require assessment of medical, functional, and social problems. Ill, frail patients often can be discharged home when social and nursing support can be provided. The degree of frailty, impaired mobility, and likely delirium must be taken into account when planning for their care.
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