Evidence map›Paper›PMID 34389196›Full record

ArticleAnnals of emergency medicine2022

Reach and Adoption of a Geriatric Emergency Department Accreditation Program in the United States.

Maura Kennedy, Adriane Lesser, Juhi Israni, Shan W Liu, Ilianna Santangelo, Nicole Tidwell, Lauren T Southerland, Christopher R Carpenter, Kevin Biese, Surriya Ahmad and 1 more

Abstract read
In one paragraph

Article in Annals of emergency medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 58 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
58citing papers in PubMed, 3 pooled it
–field-weighted citation impact
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

58 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Guideline
  2. Pooled it
  3. Pooled it
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Marginal Dispositions and Shared Decision-Making Among Older Adults in the ED: A Prospective Cohort Study.Academic emergency medicine : official journal of the Society for Academic Emergency Medicine · 2026
    Article
  10. Review
  11. Development of a Novel Frailty Trigger for Use at Triage in the Emergency Department.Academic emergency medicine : official journal of the Society for Academic Emergency Medicine · 2026
    Article
  12. Article
  13. Review
  14. Article
  15. Implementation of geriatric clinical decision support in the emergency department for potentially inappropriate medications.Academic emergency medicine : official journal of the Society for Academic Emergency Medicine · 2026
    Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Observational
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

11 authors.

Maura KennedyDepartment of Emergency Medicine, Massachusetts General Hospital, Boston, MA; Department of Emergency Medicine, Harvard Medical School, Boston, MA. Electronic address: mkennedy8@partners.org.
Adriane LesserWest Health Institute, La Jolla, CA.
Juhi IsraniWest Health Institute, La Jolla, CA.
Shan W LiuDepartment of Emergency Medicine, Massachusetts General Hospital, Boston, MA; Department of Emergency Medicine, Harvard Medical School, Boston, MA.
Ilianna SantangeloDepartment of Emergency Medicine, Massachusetts General Hospital, Boston, MA.
Nicole TidwellAmerican College of Emergency Physicians, Irving, TX.
Lauren T SoutherlandDepartment of Emergency Medicine, The Ohio State University, Columbus, OH.
Christopher R CarpenterDepartment of Emergency Medicine and Emergency Care Research Core, Washington University in St. Louis School of Medicine, St. Louis, MO.
Kevin BieseWest Health Institute, La Jolla, CA; Department of Emergency Medicine, University of North Carolina, Chapel Hill, NC.
Surriya AhmadDepartment of Emergency Medicine, SUNY Downstate, Kings County Hospital Center, Brooklyn, NY.
Ula HwangDepartment of Emergency Medicine, Yale School of Medicine, New Haven, CT; Geriatrics Research, Education and Clinical Center, James J. Peters VA Medical Center, Bronx, NY.

Funding

Geriatrics Emergency care Applied Research Network 2.1 - AdvanCing and Expanding Dementia care (GEAR 2.1 - ACED)R33AG069822 · NIA · YALE UNIVERSITY · PI Ula Y Hwang, MANISH N SHAH · 2023 to 2026
$5.3M
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
Geriatric Emergency care Applied Research network 2.0 - Advancing Dementia Care (GEAR 2.0 ADC)R61AG069822 · NIA · YALE UNIVERSITY · PI HWANG, ULA Y, SHAH, MANISH N · 2020 to 2021
$3.0M
Implementation of Multidisciplinary Assessments for Geriatric Patients in an ED Observation Unit (IMAGE)K23AG061284 · NIA · OHIO STATE UNIVERSITY · PI SOUTHERLAND, LAUREN T. · 2019 to 2023
$832k
NIA NIH HHS K23 AG061284NIA NIH HHS R33 AG058926NIA NIH HHS R33 AG069822NIA NIH HHS R61 AG069822
6 · The paper itself

Abstract

STUDY

objectiveThe objectives of this study were to describe the reach and adoption of Geriatric Emergency Department Accreditation (GEDA) program and care processes instituted at accredited geriatric emergency departments (EDs).

methodsWe analyzed a cross-section of a cohort of US EDs that received GEDA from May 2018 to March 2021. We obtained data from the American College of Emergency Physicians and publicly available sources. Data included GEDA level, geographic location, urban/rural designation, and care processes instituted. Frequencies and proportions and median and interquartile ranges were used to summarize categorical and continuous data, respectively.

resultsOver the study period, 225 US geriatric ED accreditations were issued and included in our analysis-14 Level 1, 21 Level 2, and 190 Level 3 geriatric EDs; 5 geriatric EDs reapplied and received higher-level accreditation after initial accreditation at a lower level. Only 9 geriatric EDs were in rural regions. There was significant heterogeneity in protocols enacted at geriatric EDs; minimizing urinary catheter use and fall prevention were the most common.

conclusionThere has been rapid growth in geriatric EDs, driven by Level 3 accreditation. Most geriatric EDs are in urban areas, indicating the potential need for expansion beyond these areas. Future research evaluating the impact of GEDA on health care utilization and patient-oriented outcomes is needed.

Indexed as

AccreditationEmergency Service, HospitalAgedCohort StudiesHumansRural PopulationUnited States

Identifiers

PMID34389196
PMCPMC10015385

What OpenQuestion holds

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Registered trials

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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.