ArticleInternational journal of environmental research and public health2021
Comprehensive Geriatric Assessment and Clinical Outcomes in the Older People at the Emergency Department.
Article in International journal of environmental research and public health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.
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Who cites it
12 citing papers in PubMed, 1 synthesis or guideline pooled it, 16 citations in OpenAlex.
- The diagnostic and predictive accuracy of the PRISMA-7 screening tool for frailty in older adults: a systematic review, and meta-analysis.BMC geriatrics · 2025Pooled it
- 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
- Challenges and Contributing Factors to Emergency Department Overcrowding in Taiwan After the Lunar New Year Holiday: A 2024 Survey.Journal of acute medicine · 2025Article
- Team-based, Multidisciplinary Care in the Emergency Department.Emergency medicine clinics of North America · 2025Review
- Sleep and geriatric syndromes in elderly emergency patients in China: a cross-sectional survey.PeerJ · 2025Article
- "What Matters" in the Emergency Department: A Prospective Analysis of Older Adults' Concerns and Desired Outcomes.Medical care · 2024Observational
- What is the level of nutrition care provided to older adults attending emergency departments? A scoping review.BMC geriatrics · 2024Article
- A mapping review of interventions to address patients who frequently seek care in the emergency department.BMC emergency medicine · 2024Article
- Association between Boarding of Frail Individuals in the Emergency Department and Mortality: A Systematic Review.Journal of clinical medicine · 2024Review
- Strategies for improving ED-related outcomes of older adults who seek care in emergency departments: a systematic review.International journal of emergency medicine · 2024Review
- Initial Development of a Patient-Reported Experience Measure for Older Adults Attending the Emergency Department: Part II-Focus Groups with Professional Caregivers.Healthcare (Basel, Switzerland) · 2023Article
- Acute Practitioners' Experiences of Implementing Frailty Same Day Emergency Care: A Researcher-in-Residence Study.International journal of integrated careArticle
Corrections and comments
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Authors and funding
7 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Visits by older people to the Emergency Department (ED) have increased in recent decades with higher revisiting and admission rates after discharge, particularly for those with frailties. This study used a before-after design aimed at evaluating Comprehensive Geriatric Assessment (CGA) screening in older ED patients (aged ≥ 75 years) during the 12-month preintervention period. Additionally, a CGA-based structured follow-up program after ED discharge was executed during the next 12-month intervention period. Amongst the 358 participants (median age 82 years), involving 122 in the preintervention period and 236 in the intervention period, 77 participants (21.5%) were identified as pre-frailty, while 274 (76.5%) were identified as frail using the Fried frailty phenotype. One-hundred ten (110) (30.7%) patients revisited the ED with 73 (20.4%) being admitted and 20 (5.6%) dying within three months after ED discharge. Compared with preintervention and intervention period, it was shown that the rates of admission at the index ED visit (50.8% vs. 23.1%), and mortality (10.7% vs. 3.0%), were both were significantly reduced. Using multivariate regression analysis, it was shown frailty was significantly associated with three-month mortality after adjusting for potential confounders. On the contrary, the program significantly decreased admission and death rate. It is suggested that frailty was prevalent amongst the older ED patients, and should be screened for in order to decrease revisits/admissions after ED discharge.
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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.