ArticleAcademic emergency medicine : official journal of the Society for Academic Emergency Medicine2018
An Emergency Department Observation Unit Is a Feasible Setting for Multidisciplinary Geriatric Assessments in Compliance With the Geriatric Emergency Department Guidelines.
Article in Academic emergency medicine : official journal of the Society for Academic Emergency Medicine, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 3 of them syntheses that pooled it.
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Who cites it
26 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
- Strategies to improve care for older adults who present to the emergency department: a systematic review.BMC health services research · 2024Pooled it
- Acute care models for older people living with frailty: a systematic review and taxonomy.BMC geriatrics · 2023Pooled it
- Can an Emergency Department-Initiated Intervention Prevent Subsequent Falls and Health Care Use in Older Adults? A Randomized Controlled Trial.Annals of emergency medicine · 2020Trial
- GAPcare: The Geriatric Acute and Post-Acute Fall Prevention Intervention in the Emergency Department: Preliminary Data.Journal of the American Geriatrics Society · 2020Trial
- Reimbursement and Costs of a Geriatric Nurse Practitioner in a High-Volume Emergency Department.Journal of the American Geriatrics Society · 2026Article
- State of the Art: Observation Units in the Emergency Department, an Interim Practice Update and Policy Review.Journal of the American College of Emergency Physicians open · 2026Article
- Disseminating Acute Care for Elders Principles in a Geriatric Observation Unit: Preliminary Data.Journal of the American Geriatrics Society · 2026Article
- Physical and Occupational Therapist Evaluations for Fall Prevention in the Emergency Department: A Geriatric ED Guidelines 2.0 Systematic Review.Academic emergency medicine : official journal of the Society for Academic Emergency Medicine · 2026Article
- Outcomes of Physical and Occupational Therapy Evaluation in the Emergency Department for Older Adults With Falls: A Retrospective Multicenter Cohort.Journal of the American College of Emergency Physicians open · 2025Article
- Are There Benefits to Observation Units in the Emergency Departments: A Narrative Review.Journal of clinical medicine · 2025Review
- Team-based, Multidisciplinary Care in the Emergency Department.Emergency medicine clinics of North America · 2025Review
- Geriatric screening in the emergency department increases consultations to geriatric medicine and physical and occupational therapy: A pre/post cohort study.Academic emergency medicine : official journal of the Society for Academic Emergency Medicine · 2024Observational
- Impact of Geriatric Consult Evaluations on Hospital Admission Rates for Older Adults.The western journal of emergency medicine · 2024Article
- Implementation of geriatric screening in the emergency department using the Consolidated Framework for Implementation Research.Academic emergency medicine : official journal of the Society for Academic Emergency Medicine · 2023Article
- Do we really need another risk prediction rule? Yes, we do.Academic emergency medicine : official journal of the Society for Academic Emergency Medicine · 2022Article
- Implementing a multidisciplinary rapid geriatric observation unit for non-critical older patients referred to hospital: observational study on real-world data.Aging clinical and experimental research · 2022Observational
- Opportunities for Using Health Information Technology for Elderly Care in the Emergency Departments: A Qualitative Study.Perspectives in health information managemen · 2022Article
- An implementation science approach to geriatric screening in an emergency department.Journal of the American Geriatrics Society · 2022Article
- Applying Geriatric Principles to Transitions of Care in the Emergency Department.Emergency medicine clinics of North America · 2021Review
Corrections and comments
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Authors and funding
5 authors.
Funding
Abstract
backgroundThe Geriatric Emergency Department (ED) Guidelines recommend providing multidisciplinary geriatric assessment in the ED, but these assessments can be difficult to coordinate and may prolong length of stay. Patients who need longer than a typical ED stay can be placed in an ED observation unit (Obs Unit). We investigated the effects of offering multidisciplinary assessments for ED patients in an Obs Unit.
methodsEvaluation by a geriatric hospital consultation team, physical therapist, case manager, and/or pharmacist was made available to all Obs Unit patients. Use of any or all of these ancillary consult services could be requested by the Obs Unit physician. A retrospective chart review of random older adult Obs Unit patients was done to assess rates of consult use and interventions by these consulting teams. All patients ≥ 65 years old in our institutional review board-approved, monthly Obs Unit quality database from October 2015 through March 2017 were included.
resultsOur quality database included 221 older patients over 18 months. The mean (±SD) age was 73.3 (±6.8) years (range = 65-96 years) and 55.2% were women. The mean (±SD) observation length of stay was 14.7 (±6.5) hours. The majority (74.3%) were discharged from the Obs Unit and 72-hour ED recidivism was 3.6%. Overall, at least one of the multidisciplinary consultant services were requested in 40.3% of patients (n = 89). Additional interventions or services were recommended in 80.0% of patients evaluated by physical therapy (32 of 40 patients), 100% of those evaluated by a pharmacist (five of five patients), 38% of those evaluated by case management (27 of 71 patients), and 100% of those evaluated by a geriatrician (eight of eight patients). Only 5.4% (n = 12) of patients were placed in observation specifically for multidisciplinary assessment; these patients had a mean (±SD) length of stay of 12.2 (±5) hours and an admission rate of 41.7%.
conclusionsIncorporating elements of multidisciplinary geriatric assessment for older patients is feasible within an observation time frame and resulted in targeted interventions. An Obs Unit is a reasonable setting to offer services in compliance with the Geriatric ED Guidelines.
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