ReviewZeitschrift fur Gerontologie und Geriatrie2021
Implementation of the acutely presenting older patient (APOP) screening program in routine emergency department care : A before-after study.
Review in Zeitschrift fur Gerontologie und Geriatrie, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 2 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
11 citing papers in PubMed, 2 syntheses or guidelines pooled it, 22 citations in OpenAlex.
- Implementation science in care for older adults across healthcare settings: a scoping review.Archives of public health = Archives belges de sante publique · 2026Pooled it
- Strategies to improve care for older adults who present to the emergency department: a systematic review.BMC health services research · 2024Pooled it
- Frequencies and reasons for unplanned emergency department return visits by older adults: a cohort study.BMC geriatrics · 2023Trial
- Observational
- What can we learn from 68 000 clinical frailty scale scores? Evaluating the utility of frailty assessment in emergency departments.Age and ageing · 2025Article
- Older Adult Patients in the Emergency Department: Which Patients should be Selected for a Different Approach?Annals of geriatric medicine and research · 2024Article
- Implementation of geriatric screening in the emergency department using the Consolidated Framework for Implementation Research.Academic emergency medicine : official journal of the Society for Academic Emergency Medicine · 2023Article
- Detecting Cognitive Impairment and Dementia in the Emergency Department: A Scoping Review.Journal of the American Medical Directors Association · 2022Article
- Comprehensive Geriatric Assessment and Clinical Outcomes in the Older People at the Emergency Department.International journal of environmental research and public health · 2021Article
- Experiences with and attitudes towards geriatric screening among older emergency department patients: a qualitative study.BMC geriatrics · 2021Article
- Improving the care for older emergency department patients: the Acutely Presenting Older Patient study.Zeitschrift fur Gerontologie und Geriatrie · 2021Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
7 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveThe aim of this study was to evaluate the effects of implementation of the acutely presenting older patient (APOP) screening program for older patients in routine emergency department (ED) care shortly after implementation.
methodsWe conducted an implementation study with before-after design, using the plan-do-study-act (PDSA) model for quality improvement, in the ED of a Dutch academic hospital. All consecutive patients ≥ 70 years during 2 months before and after implementation were included. The APOP program comprises screening for risk of functional decline, mortality and cognitive impairment, targeted interventions for high-risk patients and education of professionals. Outcome measures were compliance with interventions and impact on ED process, length of stay (LOS) and hospital admission rate.
resultsTwo comparable groups of patients (median age 77 years) were included before (n = 920) and after (n = 953) implementation. After implementation 560 (59%) patients were screened of which 190 (34%) were high-risk patients. Some of the program interventions for high-risk patients in the ED were adhered to, some were not. More hospitalized patients received comprehensive geriatric assessment (CGA) after implementation (21% before vs. 31% after; p = 0.002). In 89% of high-risk patients who were discharged to home, telephone follow-up was initiated. Implementation did not influence median ED LOS (202 min before vs. 196 min after; p = 0.152) or hospital admission rate (40% before vs. 39% after; p = 0.410).
conclusionImplementation of the APOP screening program in routine ED care did not negatively impact the ED process and resulted in an increase of CGA and telephone follow-up in older patients. Future studies should investigate whether sustainable changes in management and patient outcomes occur after more PDSA cycles.
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.