Observational studyAging clinical and experimental research2022
Implementing a multidisciplinary rapid geriatric observation unit for non-critical older patients referred to hospital: observational study on real-world data.
Observational study in Aging clinical and experimental research, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.
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Who cites it
8 citing papers in PubMed, 1 synthesis or guideline pooled it, 9 citations in OpenAlex.
- Acute care models for older people living with frailty: a systematic review and taxonomy.BMC geriatrics · 2023Pooled it
- Disseminating Acute Care for Elders Principles in a Geriatric Observation Unit: Preliminary Data.Journal of the American Geriatrics Society · 2026Article
- Association of gait, balance, and handgrip strength with cognitive performance in hospitalized older adults: a retrospective analysis.Frontiers in aging neuroscience · 2026Article
- Factors associated with hospitalization from a geriatric short-stay unit (OBI-GER): a retrospective cohort study.Aging clinical and experimental research · 2025Article
- Implementation of hospital-initiated complex interventions for adult people with multiple long-term conditions: a scoping review.BMC health services research · 2025Article
- Identification and information management of cognitive impairment of patients in acute care hospitals: An integrative review.International journal of nursing sciences · 2024Review
- Assessment Tools for the Admission of Older Adults to Inpatient Rehabilitation: A Scoping Review.Journal of clinical medicine · 2023Article
- The prevalence of frailty and its associated factors in an Italian institutionalized older population: findings from the cross-sectional Alvise Cornaro Center Study.Aging clinical and experimental research · 2022Observational
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Authors and funding
11 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundGeriatric rapid observation units may represent an alternative to hospitalization in older patients with non-critical acute illness.
aimsTo describe the characteristics and outcomes of patients admitted to a geriatric observation unit called URGe (Unità Geriatrica Rapida), implemented in an Italian hospital and characterized by multidisciplinary medical staff with geriatric expertise, fast-track access to diagnostic resources, regular use of point-of-care ultrasound and predicted length of stay (LOS) < 72 h.
methodsThe medical records of patients admitted to URGe during a 3-month period (452 subjects, 247 F and 205 M, median age 82 years, IQR 77-87) were retrospectively examined. The primary study endpoint was transferral from URGe to regular wards. Baseline covariates included demographics, comprehensive geriatric assessment, acute illnesses, comorbidities, vital signs and routine laboratory tests.
resultsDespite elevated burden of multimorbidity (median number of chronic diseases 4, IQR 2-5) and frailty (median Rockwood Clinical Frailty Scale score 4, IQR 3-6), only 137 patients (30.3%) required transferral from URGe to regular wards. The main factors positively associated with this outcome were Rockwood score, fever, cancer and red cell distribution width (P < 0.05 on multivariate logistic regression model). The rate of complications (mortality, delirium, and falls) during URGe stay was low (0.5%, 7% and 2%, respectively). Overall duration of hospital stay was lower than that of a group of historical controls matched by age, sex, main diagnosis, multimorbidity and frailty.
conclusionsThe URGe model of acute geriatric care is feasible, safe and has the potential of reducing unnecessary hospitalizations of older patients.
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