SynthesisJournal of the American Geriatrics Society2019
Emergency Department Interventions for Older Adults: A Systematic Review.
Synthesis in Journal of the American Geriatrics Society, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 48 papers, 3 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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
48 citing papers in PubMed, 3 syntheses or guidelines pooled it, 126 citations in OpenAlex.
- Patient flow in emergency departments: a comprehensive umbrella review of solutions and challenges across the health system.BMC health services research · 2024Pooled it
- The effectiveness of interventions to reduce adverse outcomes among older adults following Emergency Department discharge: umbrella review.BMC geriatrics · 2022Pooled it
- Impact of transitional care interventions on hospital readmissions in older medical patients: a systematic review.BMJ open · 2021Pooled it
- Geriatric team support in the emergency department-a randomised trial investigating the effects on hospital admission and community care in older adults (GerED-21).Age and ageing · 2026Trial
- Trial
- Frequencies and reasons for unplanned emergency department return visits by older adults: a cohort study.BMC geriatrics · 2023Trial
- Patient experiences of a care transition intervention for Veterans to reduce emergency department visits.Academic emergency medicine : official journal of the Society for Academic Emergency Medicine · 2023Trial
- 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
- Exploring differential response to an emergency department-based care transition intervention.The American journal of emergency medicine · 2021Trial
- Trial
- Systematic geriatric assessment for older patients with frailty in the emergency department: a randomised controlled trial.BMC geriatrics · 2021Trial
- Trial
- Discharge Information and Support for Patients Discharged from the Emergency Department: Results from a Randomized Controlled Trial.Journal of general internal medicine · 2020Trial
- Daily, weekly, and monthly dynamics of crowding in emergency department of university clinical centre Serbia: a one-year analysis of NEDOCS score.International journal of emergency medicine · 2026Article
- Caring for older adults in the Emergency Department: a Delphi-based national consensus by the Academy of Emergency Medicine and Care and the Italian Society of Gerontology and Geriatrics.European geriatric medicine · 2026Article
- Observational
- Recruitment of older adults to clinical trials in the Emergency Department: A qualitative study with clinical trial stakeholders.BMC medical research methodology · 2026Article
- Article
- Evaluation of a care pathway for older adults presenting with nonspecific complaints at the emergency department: a before-and-after study.European geriatric medicine · 2025Article
- "A banana in the tailpipe": a qualitative study of patient flow in the healthcare system.BMC health services research · 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
15 authors at 3 institutions in 1 country.
Funding
Abstract
objectivesTo evaluate the effect of emergency department (ED) interventions on clinical, utilization, and care experience outcomes for older adults.
designA conceptual model informed, protocol-based systematic review.
settingEmergency Department (ED).
participantsOlder adults 65 years of age and older. METHODS AND MEASUREMENT: Medline, Embase, CINAHL, and PsycINFO were searched for English-language studies published through December 2017. Studies evaluating the use of one or more eligible intervention strategies (discharge planning, case management, medication safety or management, and geriatric EDs including those that cited the 2014 Geriatric ED Guidelines) with adults 65 years of age and older were included. Studies were classified by the number of intervention strategies used (ie, single strategy or multi-strategy) and key intervention components present (ie, assessment, referral plus follow-up, and contact both before and after ED discharge ["bridge"]). The effect of ED interventions on clinical (functional status, quality of life [QOL]), patient experience, and utilization (hospitalization, ED return visit) outcomes was evaluated.
resultsA total of 2000 citations were identified; 17 articles describing 15 unique studies (9 randomized and 6 nonrandomized) met eligibility criteria and were included in analyses. ED interventions showed a mixed pattern of effects. Overall, there was a small positive effect of ED interventions on functional status but no effects on QOL, patient experience, hospitalization at or after the initial ED index visit, or ED return visit.
conclusionStudies using two or more intervention strategies may be associated with the greatest effects on clinical and utilization outcomes. More comprehensive interventions, defined as those with all three key intervention components present, may be associated with some positive outcomes.
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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.