Evidence map›Paper›PMID 33282049›Full record

ArticleCanadian geriatrics journal : CGJ2020

Older Emergency Department Patients: Does Baseline Care Status Matter?

Fabrice I Mowbray, Komal Aryal, Eric Mercier, George Heckman, Andrew P Costa

Open access · diamondAbstract read
In one paragraph

Article in Canadian geriatrics journal : CGJ, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
1.7field-weighted citation impact, top 14% of its field
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 1 synthesis or guideline pooled it, 18 citations in OpenAlex.

  1. Pooled it
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  3. Detection and differentiation of undiagnosed dementia in the emergency department: A pilot referral pathway.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2025
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 4 institutions in 2 countries.

Fabrice I MowbrayDepartment of Health Research Methods, Evidence and Impact, McMaster University, Hamilton, ON.
Komal AryalDepartment of Health Research Methods, Evidence and Impact, McMaster University, Hamilton, ON.
Eric MercierDépartement de Médecine Familiale et Médecine d'Urgence, Faculté de Médecine, Université Laval, Quebec City, QC.
George HeckmanSchool of Public Health and Health Systems, University of Waterloo, Waterloo, ON.
Andrew P CostaDepartment of Health Research Methods, Evidence and Impact, McMaster University, Hamilton, ON.
McMaster University · CAImpact · CASociété Française de Médecine d'Urgence · FRUniversity of Waterloo · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundLittle is known about the prognostic differences between older emergency department (ED) patients who present with different formal support requirements in the community. We set out to describe and compare the patient profiles and patterns of health service use among three older ED cohorts: home care clients, nursing home residents and those receiving no formal support.

methodsWe conducted a secondary analysis of the Canadian cohort from the interRAI multinational ED study. Data were collected using interRAI ED contact assessment on patients 75 years of age and older (n = 2,274), in eight ED sites across Canada. A series of descriptive statistics were reported. Adjusted associations were determined using logistic regression.

resultsOlder adults receiving no formal support services were most stable. However, they were most likely to be hospitalized. Older home care clients were most likely to report depressive symptoms and distressed caregivers. They also had the greatest odds of frequent ED visitation post-discharge (OR=1.9; 95% CI=1.39-2.59). Older adults transferred from a nursing home were the frailest but had the lowest odds of hospital admission (OR=0.14; 95% CI=0.09-0.23).

conclusionWe demonstrated the importance of inquiring about community-based formal support services and provide data to support decision-making in the ED.

Indexed as

emergency departmentformal support serviceshome carenursing homeolder adults

Identifiers

PMID33282049
PMCPMC7704072
OpenAlexW3110262930

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

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.