Evidence map›Paper›PMID 27797638›Full record

ArticleJournal of palliative medicine2017

Preparing Older Adults with Serious Illness to Formulate Their Goals for Medical Care in the Emergency Department.

Kei Ouchi, Vinicius Knabben, Laura Rivera-Reyes, Niharika Ganta, Laura P Gelfman, Rebecca Sudore, Ula Hwang

Abstract read
In one paragraph

Article in Journal of palliative medicine, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 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

7 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Advance Care Planning Engagement of Older Adults in the Emergency Department.The American journal of hospice & palliative care · 2026
    Article
  3. Article
  4. Article
  5. 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
  6. Article
  7. 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

7 authors.

Kei Ouchi1 Department of Emergency Medicine, Brigham and Women's Hospital , Boston, Massachusetts.
Vinicius Knabben4 Department of Emergency Medicine, Icahn School of Medicine at Mount Sinai , New York, New York.
Laura Rivera-Reyes4 Department of Emergency Medicine, Icahn School of Medicine at Mount Sinai , New York, New York.
Niharika Ganta5 Department of Medicine, University of Pennsylvania , Philadelphia, Pennsylvania.
Laura P Gelfman6 Department of Geriatrics and Palliative Medicine, Icahn School of Medicine at Mount Sinai , New York, New York.
Rebecca Sudore7 Department of Medicine, University of California , San Francisco, San Francisco, California.
Ula Hwang4 Department of Emergency Medicine, Icahn School of Medicine at Mount Sinai , New York, New York.

Funding

Mentoring Researchers in Advance Care Planning for Underrepresented Older Adults at Risk for Alzheimer’s Disease and Related Dementias and Their CaregiversK24AG054415 · NIA · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI REBECCA L SUDORE · 2017 to 2026
$1.7M
Goals of Care Discussions in Older Adults with Heart Failure and Their CaregiversK23AG049930 · NIA · ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI · PI GELFMAN, LAURA PILAR · 2016 to 2022
$816k
NIA NIH HHS K23 AG049930NIA NIH HHS K24 AG054415
6 · The paper itself

Abstract

backgroundEmergency department (ED) clinicians often lack training and resources to conduct advance care planning (ACP) conversations. The use of technology for health education is increasing, yet little is known if it can be used to engage older ED patients in ACP.

objectiveTo determine the feasibility of using tablets to provide ACP education ( www.prepareforyourcare.org )(PREPARE) to older ED patients.

designA feasibility study conducted in late 2014 and early 2015. SETTING/SUBJECTS: Subjects were recruited from a parent cohort of older adults enrolled in a survey about Geriatric ED care. Inclusion criteria were ≥65 years age and English speaking; exclusions were hearing or vision impairment or if clinically unstable. MEASUREMENTS: Primary outcome was completion of ≥1 of 5 PREPARE modules. Secondary outcomes were ease of use (10-point scale; 1 = very hard, 10 = very easy) and the reasons for refusal to participate.

resultsSixty-one subjects were approached; 24 (39%) were interested in viewing PREPARE after the Geriatric ED survey. Mean age was 75 years (standard deviation [SD] 9); 67% were female and 54% were nonwhite. Seventy-one percent of participants completed ≥1 module. Participants rated the website as easy to use for themselves (mean 8.4, SD 2.39) and for others (mean 7.3, SD 2.31). Of the subjects who declined, top reasons cited were fatigue (26%), already feeling prepared (13%), and technology limitations (11%).

conclusionPREPARE has the potential to engage older adults who are not acutely ill in ACP during their ED visits. Further studies should explore optimal approaches for ED implementation.

Indexed as

advance care planningeducational toolemergency departmentgeriatrics

Identifiers

PMID27797638
PMCPMC5385414

What OpenQuestion holds

Textmetadata
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.