Observational studyJournal of the American Geriatrics Society2018
Geriatric Emergency Department Innovations: Transitional Care Nurses and Hospital Use.
Observational study in Journal of the American Geriatrics Society, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06273917 (Deprescribing Potentially Inappropriate Medications in the Emergency Department for Persons Living With Dementia), which is not on this map. Cited by 59 papers, 6 of them syntheses that pooled 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.
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.
Deprescribing Potentially Inappropriate Medications in the Emergency Department for Persons Living With Dementia
Who cites it
59 citing papers in PubMed, 6 syntheses or guidelines pooled it.
- Pooled it
- Acute care models for older people living with frailty: a systematic review and taxonomy.BMC geriatrics · 2023Pooled it
- Pooled it
- Nurses Training and Capacitation for Palliative Care in Emergency Units: A Systematic Review.Medicina (Kaunas, Lithuania) · 2020Pooled it
- Indicators of home-based hospitalization model and strategies for its implementation: a systematic review of reviews.Systematic reviews · 2020Pooled it
- Emergency Department Interventions for Older Adults: A Systematic Review.Journal of the American Geriatrics Society · 2019Pooled it
- Effects of a Geriatric Emergency Department Multidisciplinary Intervention on Functional Status and Quality of Life: A Pre/Post Cohort Study.Academic emergency medicine : official journal of the Society for Academic Emergency Medicine · 2026Trial
- Effectiveness of a care transitions intervention for older adults discharged home from the emergency department: A randomized controlled trial.Academic emergency medicine : official journal of the Society for Academic Emergency Medicine · 2022Trial
- The Geriatric Emergency Department Intervention model of care: a pragmatic trial.BMC geriatrics · 2018Trial
- Improving the ED-to-Home Transition: The Community Paramedic-Delivered Care Transitions Intervention-Preliminary Findings.Journal of the American Geriatrics Society · 2018Trial
- Reimbursement and Costs of a Geriatric Nurse Practitioner in a High-Volume Emergency Department.Journal of the American Geriatrics Society · 2026Article
- Integrating comprehensive geriatric care into emergency departments: the GIROT-ED model.Internal and emergency medicine · 2026Article
- Development of a Predictive Model for Identifying High-Risk Older Adults for Geriatric Emergency Department Screening.Journal of the American College of Emergency Physicians open · 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
- Association of Geriatric Emergency Department Care With Hospitalization and Mortality in Older Adults.Journal of the American Geriatrics Society · 2026Article
- Case management in emergency care: insights on health-related quality of life from the Case management for At-Risk patients in the Emergency Department (CARED) programme.Singapore medical journal · 2026Article
- Comparison of Three Coordination Methods to Increase Outpatient Follow Up Among Older Adults Discharged From the Emergency Department: A Pilot Study.Journal of patient-centered research and reviews · 2026Article
- A Qualitative Study of Health Priorities of People With Dementia and Care Partners in Emergency Department and Hospital Care in a Public Safety-Net Setting.Journal of the American Geriatrics Society · 2025Article
- Article
- Association of hospital and health system factors with emergency department length of stay in older adults with dementia.BMC emergency medicine · 2025Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
14 authors.
Funding
Abstract
objectivesTo examine the effect of an emergency department (ED)-based transitional care nurse (TCN) on hospital use.
designProspective observational cohort.
settingThree U.S. (NY, IL, NJ) EDs from January 1, 2013, to June 30, 2015.
participantsIndividuals aged 65 and older in the ED (N = 57,287).
interventionThe intervention was first TCN contact. Controls never saw a TCN during the study period. MEASUREMENTS: We examined sociodemographic and clinical characteristics associated with TCN use and outcomes. The primary outcome was inpatient admission during the index ED visit (admission on Day 0). Secondary outcomes included cumulative 30-day admission (any admission on Days 0-30) and 72-hour ED revisits.
resultsA TCN saw 5,930 (10%) individuals, 42% of whom were admitted. After accounting for observed selection bias using entropy balance, results showed that when compared to controls, TCN contact was associated with lower risk of admission (site 1: -9.9% risk of inpatient admission, 95% confidence interval (CI) = -12.3% to -7.5%; site 2: -16.5%, 95% CI = -18.7% to -14.2%; site 3: -4.7%, 95% CI = -7.5% to -2.0%). Participants with TCN contact had greater risk of a 72-hour ED revisit at two sites (site 1: 1.5%, 95% CI = 0.7-2.3%; site 2: 1.4%, 95% CI = 0.7-2.1%). Risk of any admission within 30 days of the index ED visit also remained lower for TCN patients at both these sites (site 1: -7.8%, 95% CI = -10.3% to -5.3%; site 2: -13.8%, 95% CI = -16.1% to -11.6%).
conclusionTargeted evaluation by geriatric ED transitions of care staff may be an effective delivery innovation to reduce risk of inpatient admission.
Indexed as
Identifiers
What OpenQuestion holds
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.