ReviewThe western journal of emergency medicine2019
A Research Agenda for the Assessment and Management of Acute Behavioral Changes in Elderly Emergency Department Patients.
Review in The western journal of emergency medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
What it found
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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
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Who cites it
9 citing papers in PubMed, 19 citations in OpenAlex.
- The epidemiology of dying within 48 hours of presentation to emergency departments: a retrospective cohort study of older people across Australia and New Zealand.Age and ageing · 2024Article
- Contemporary Practices for Medical Evaluation of the Psychiatric Patient in the Emergency Department.Focus (American Psychiatric Publishing) · 2023Article
- Research priority setting in emergency care: A scoping review.Journal of the American College of Emergency Physicians open · 2022Article
- Article
- Increased Emergency Department Hallway Length of Stay is Associated with Development of Delirium.The western journal of emergency medicine · 2021Article
- Delirium prevention and treatment in the emergency department (ED): a systematic review protocol.BMJ open · 2020Article
- The agitated older adult in the emergency department: a narrative review of common causes and management strategies.Journal of the American College of Emergency Physicians open · 2020Review
- Delirium in the Emergency Department: Moving From Tool-Based Research to System-Wide Change.Journal of the American Geriatrics Society · 2020Article
- Opportunities for Research in Mental Health Emergencies: Executive Summary and Methodology.The western journal of emergency medicine · 2019Review
Corrections and comments
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Authors and funding
5 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionAgitation, mental illness, and delirium are common reasons for older adults to seek care in the emergency department (ED). There are significant knowledge gaps in understanding how to best screen older adults for these conditions and how to manage them. In addition, in areas where research has been performed, implementation has been slow. A working group convened to develop a set of high-priority research questions that would advance the understanding of optimal management of older adults with acute behavioral changes in the ED. This manuscript is the product of a breakout session on "Special Populations: Agitation in the Elderly" from the 2016 Coalition on Psychiatric Emergencies' first Research Consensus Conference on Acute Mental Illness.
methodsParticipants were identified with expertise in emergency medicine (EM), geriatric EM, and psychiatry. Background literature reviews were performed prior to the in-person meeting in four key areas: delirium; dementia; substance abuse or withdrawal; and mental illness in older adults. Input was solicited from all participants during the meeting, and questions were iteratively focused and revised, voted on, and ranked by importance.
resultsFourteen questions were identified by the group with high consensus for their importance related to the care of older adults with agitation in the ED. The questions were grouped into three topic areas: screening and identification; management strategies; and the approach to delirium.
conclusionIt is important for emergency physicians to recognize the spectrum of underlying causes of behavioral changes, have the tools to screen older adults for those causes, and employ methods to treat the underlying causes and ameliorate their symptoms. Answers to the identified research questions have great potential to improve the care of older adults presenting with behavioral changes.
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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.