Evidence map›Paper›PMID 34328674›Full record

ArticleAcademic emergency medicine : official journal of the Society for Academic Emergency Medicine2021

Care transitions and social needs: A Geriatric Emergency care Applied Research (GEAR) Network scoping review and consensus statement.

Cameron J Gettel, Corrine I Voils, Alycia A Bristol, Lynne D Richardson, Teresita M Hogan, Abraham A Brody, Micaela N Gladney, Joe Suyama, Luna C Ragsdale, Christine L Binkley and 6 more

Open access · greenAbstract readScoping ReviewConsensus Statement
In one paragraph

Article 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 25 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed, 3 pooled it
5.6field-weighted citation impact, top 3% 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

25 citing papers in PubMed, 3 syntheses or guidelines pooled it, 35 citations in OpenAlex.

  1. Pooled it
  2. 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 · 2024
    Pooled it
  3. Pooled it
  4. Patient experiences of a care transition intervention for Veterans to reduce emergency department visits.Academic emergency medicine : official journal of the Society for Academic Emergency Medicine · 2023
    Trial
  5. Article
  6. Article
  7. Article
  8. The Geriatric Emergency Care Applied Research Standardization Study (GEARSS): An Observational Study of Older Emergency Department Patients.Academic emergency medicine : official journal of the Society for Academic Emergency Medicine · 2026
    Observational
  9. Review
  10. Development and validation of the Patient-Reported Outcome Measure-Older adult care Transitions from the Emergency Department (PROM-OTED) tool.Academic emergency medicine : official journal of the Society for Academic Emergency Medicine · 2026
    Article
  11. Article
  12. Article
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  15. Article
  16. Article
  17. Article
  18. Review
  19. Article
  20. Article
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

16 authors at 13 institutions in 1 country.

Cameron J GettelDepartment of Emergency Medicine, Yale School of Medicine, New Haven, Connecticut, USA.ORCID 0000-0002-6249-1023
Corrine I VoilsWilliam S. Middleton Memorial Veterans Hospital, Madison, Wisconsin, USA.
Alycia A BristolCollege of Nursing, University of Utah, Salt Lake City, Utah, USA.
Lynne D RichardsonDepartment of Emergency Medicine, Icahn School of Medicine at Mount Sinai, New York, New York, USA.
Teresita M HoganDepartment of Medicine, Section of Emergency Medicine, The University of Chicago School of Medicine, Chicago, Illinois, USA.
Abraham A BrodyHartford Institute for Geriatric Nursing, New York University Rory Meyers College of Nursing, New York, New York, USA.
Micaela N GladneyCenter of Innovation to Accelerate Discovery and Practice Transformation (ADAPT), Durham VA Health Care System, Durham, North Carolina, USA.
Joe SuyamaDepartment of Emergency Medicine, University of Pittsburgh, Pittsburgh, Pennsylvania, USA.
Luna C RagsdaleDepartment of Surgery, Division of Emergency Medicine, Duke University School of Medicine, Durham, North Carolina, USA.
Christine L BinkleyDepartment of Emergency Medicine, University of North Carolina School of Medicine, Chapel Hill, North Carolina, USA.
Carmen L MoranoSchool of Social Welfare, University at Albany, State University of New York, Albany, New York, USA.
Justine SeidenfeldDepartment of Surgery, Division of Emergency Medicine, Duke University School of Medicine, Durham, North Carolina, USA.
Nada HammoudaDepartment of Emergency Medicine, Icahn School of Medicine at Mount Sinai, New York, New York, USA.ORCID 0000-0002-0198-7287
Kelly J KoWest Health Institute, La Jolla, California, USA.
Ula HwangDepartment of Emergency Medicine, Yale School of Medicine, New Haven, Connecticut, USA.
Susan N HastingsCenter of Innovation to Accelerate Discovery and Practice Transformation (ADAPT), Durham VA Health Care System, Durham, North Carolina, USA.
Duke University · USYale University · USAlbany State University · USDurham VA Health Care System · USIcahn School of Medicine at Mount Sinai · USJohn A. Hartford Foundation · USMount Sinai Health System · USUniversity of Chicago · USUniversity of North Carolina at Chapel Hill · USUniversity of Pittsburgh · USUniversity of Utah · USUniversity of Wisconsin–Madison · USWest Health · US

Funding

Yale Clinical and Translational Science Award (U Component)UL1TR001863 · NCATS · YALE UNIVERSITY · PI John H. Krystal, LUCILA OHNO-MACHADO · 2016 to 2026
$102.9M
NRSA Training CoreTL1TR001864 · NCATS · YALE UNIVERSITY · PI CANTLEY, LLOYD G, EDELMAN, E. JENNIFER · 2016 to 2025
$9.9M
Growing the Geriatric Emergency care Applied Research (GEAR 1.1) network: Expanding and sustaining an emergency care aging study infrastructure.R33AG058926 · NIA · YALE UNIVERSITY · PI Ula Y Hwang, Daniella Meeker · 2020 to 2026
$4.6M
Building the Geriatric Emergency care Applied Research (GEAR) networkR21AG058926 · NIA · ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI · PI HWANG, ULA Y · 2018 to 2019
$463k
NCATS NIH HHS TL1 TR001864NCATS NIH HHS UL1 TR001863NIA NIH HHS R21 AG058926NIA NIH HHS R33 AG058926
6 · The paper itself

Abstract

objectivesIndividual-level social needs have been shown to substantially impact emergency department (ED) care transitions of older adults. The Geriatric Emergency care Applied Research (GEAR) Network aimed to identify care transition interventions, particularly addressing social needs, and prioritize future research questions.

methodsGEAR engaged 49 interdisciplinary stakeholders, derived clinical questions, and conducted searches of electronic databases to identify ED discharge care transition interventions in older adult populations. Informed by the Protocol for Responding to and Assessing Patients' Assets, Risks, and Experiences (PRAPARE) framework, data extraction and synthesis of included studies included the degree that intervention components addressed social needs and their association with patient outcomes. GEAR convened a consensus conference to identify topics of highest priority for future care transitions research.

resultsOur search identified 248 unique articles addressing care transition interventions in older adult populations. Of these, 17 individual care transition intervention studies were included in the current literature synthesis. Overall, common care transition interventions included coordination efforts, comprehensive geriatric assessments, discharge planning, and telephone or in-person follow-up. Fourteen of the 17 care transition intervention studies in older adults specifically addressed at least one social need within the PRAPARE framework, most commonly related to access to food, medicine, or health care. No care transition intervention addressing social needs in older adult populations consistently reduced subsequent health care utilization or other patient-centered outcomes. GEAR stakeholders identified that determining optimal outcome measures for ED-home transition interventions was the highest priority area for future care transitions research.

conclusionsED care transition intervention studies in older adults frequently address at least one social need component and exhibit variation in the degree of success on a wide array of health care utilization outcomes.

Indexed as

Emergency Medical ServicesTransitional CareAgedEmergency Service, HospitalHumansPatient DischargePatient Transfercare transitionsconsensus statementgeriatric emergency medicinescoping reviewsocial needs

Identifiers

PMID34328674
PMCPMC8725618
OpenAlexW3185409628

What OpenQuestion holds

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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.