Trial reportAcademic emergency medicine : official journal of the Society for Academic Emergency Medicine2021
Predictors of Older Adult Adherence With Emergency Department Discharge Instructions.
Trial report in Academic emergency medicine : official journal of the Society for Academic Emergency Medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.
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
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
14 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Discharge instruction comprehension by older adults in the emergency department: A systematic review and meta-analysis.Academic emergency medicine : official journal of the Society for Academic Emergency Medicine · 2024Pooled it
- 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
- Community dwelling older adults' decision to, and experience of attending the Emergency Department during COVID-19: a qualitative study.BMC geriatrics · 2025Article
- Article
- Implementation of a novel computer assisted telephone follow-up model for older patients after emergency department discharge in an Asian population.Aging clinical and experimental research · 2024Article
- Predictors of follow-up care for critically-ill patients with seizures and epileptiform abnormalities on EEG monitoring.Clinical neurology and neurosurgery · 2024Article
- Older adults experience of transition to the community from the emergency department: a qualitative evidence synthesis.BMC geriatrics · 2024Article
- Patient Reasoning: Patients' and Care Partners' Perceptions of Diagnostic Accuracy in Emergency Care.Medical decision making : an international journal of the Society for Medical Decision Making · 2024Article
- Emergency Department-to-Community Transitions of Care: Best Practices for the Older Adult Population.Clinics in geriatric medicine · 2023Review
- Coaching older adults discharged home from the emergency department: The role of competence and emotion in following up with outpatient clinicians.Patient education and counseling · 2022Article
- Emergency department-to-community care transition barriers: A qualitative study of older adults.Journal of the American Geriatrics Society · 2022Article
- Emergency Department Communication in Persons Living With Dementia and Care Partners: A Scoping Review.Journal of the American Medical Directors Association · 2022Article
- Comparing emergency department use among individuals with varying levels of cognitive impairment.BMC geriatrics · 2022Article
- Care transitions and social needs: A Geriatric Emergency care Applied Research (GEAR) Network scoping review and consensus statement.Academic emergency medicine : official journal of the Society for Academic Emergency Medicine · 2021Article
Corrections and comments
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Authors and funding
12 authors.
Funding
Abstract
objectiveOlder adults discharged from the emergency department (ED) are at high risk for adverse outcomes. Adherence to ED discharge instructions is necessary to reduce those risks. The objective of this study is to determine the individual-level factors associated with adherence with ED discharge instructions among older adult ED outpatients.
methodsWe performed a secondary analysis of data from the control group of a randomized controlled trial testing a care transitions intervention among older adults (age ≥ 60 years) discharged home from the ED in two states. Taking data from patient surveys and chart reviews, we used multivariable logistic regression to identify patient characteristics associated with adherence to printed discharge instructions. Outcomes were patient-reported medication adherence, provider follow-up visit adherence, and knowledge of "red flags" (signs of worsening health requiring further medical attention).
resultsA total 824 patients were potentially eligible, and 699 had data in at least one pillar. A total of 35% adhered to medication instructions, 76% adhered to follow-up instructions, and 35% recalled at least one red flag. In the multivariate analysis, no factors were significantly associated with failure to adhere to medications. Participants with poor health status (adjusted odds ratio [AOR] = 0.55, 95% confidence interval [CI] = 0.31 to 0.98) were less likely to adhere to follow-up instructions. Participants who were older (AORs trended downward as age category increased) or depressed (AOR = 0.39, 95% CI = 0.17 to 0.85) or had one or more functional limitations (AOR = 0.62, 95% CI = 0.41 to 0.94) were less likely to recall red flags.
conclusionOlder adults discharged home from the ED have mixed rates of adherence to discharge instructions. Although it is thought that some subgroups may be higher risk than others, given the opportunity to improve ED-to-home transitions, EDs and health systems should consider providing additional care transition support to all older adults discharged home from the ED.
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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.