ArticleHealth services management research2022
Hospital complications among older adults: Better processes could reduce the risk of delirium.
Article in Health services management research, 2022. 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.
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
10 citing papers in PubMed, 1 synthesis or guideline pooled it, 19 citations in OpenAlex.
- Risk factors and risk stratification approaches for delirium screening: A Geriatric Emergency Department Guidelines 2.0 systematic review.Academic emergency medicine : official journal of the Society for Academic Emergency Medicine · 2024Pooled it
- Stranded in the emergency department: an analysis of boarding trends in older adults in the United States.Health affairs scholar · 2025Article
- Experiences of the emergency department environment: a qualitative study with caregivers of people with dementia.Internal and emergency medicine · 2025Article
- A Pilot Randomized Controlled Clinical Trial to Test the Feasibility, Acceptability, and Usability of iPREPARED; A Mobile Health Technology for Patients and Care Partners.Delirium communications · 2025Article
- Disparities in Delirium across the Continuum of Care and Associations with Social Determinants of Health.Seminars in neurology · 2024Review
- Managing Delirium in the Emergency Department: An Updated Narrative Review.Current geriatrics reports · 2024Article
- Emergency Palliative Care: Early Assessment of an Older Adult With a Fall and Hip Fracture.Journal of palliative medicine · 2024Article
- It's time to mobilize: Moving mobility interventions for delirium from inpatient units to the emergency department.Journal of the American College of Emergency Physicians open · 2023Article
- Prioritizing Care of Older Adults in Times of Emergency Department Overcrowding.Journal of geriatric emergency medicine · 2023Article
- Emergency Department Policies to Improve Care Experiences for Older Adults During the COVID-19 Pandemic.Journal of geriatric emergency medicine · 2022Article
Corrections and comments
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Authors and funding
8 authors at 3 institutions in 2 countries.
Funding
Abstract
Using observational data and variation in hospital admissions across days of the week, we examined the association between ED boarding time and development of delirium within 72 hours of admission among patients aged 65+ years admitted to an inpatient neurology ward. We exploited a natural experiment created by potentially exogenous variation in boarding time across days of the week because of competition for the neurology floor beds. Using proportional hazard models adjusting for socio-demographic and clinical characteristics in a propensity score, we examined the time to delirium onset among 858 patients: 2/3 were admitted for stroke, with the remaining admitted for another acute neurologic event. Among all patients, 81.2% had at least one delirium risk factor in addition to age. All eligible patients received delirium prevention protocols upon admission to the floor and received at least one delirium screening event. While the clinical and social-demographic characteristics of admitted patients were comparable across days of the week, patients with ED arrival on Sunday or Tuesday were more likely to have had delayed floor admission (waiting time greater than 13 hours) and delirium (adjusted HR = 1.54, 95%CI:1.37-1.75). Delayed initiation of delirium prevention protocol appeared to be associated with greater risk of delirium within the initial 72 hours of a hospital admission.
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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.