ArticleThe western journal of emergency medicine2022
A Qualitative Study of "What Matters" to Older Adults in the Emergency Department.
Article in The western journal of emergency medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 1 of them a synthesis that pooled 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.
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
22 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Patient-reported outcome measure use among older adults after emergency department care: A systematic review.Academic emergency medicine : official journal of the Society for Academic Emergency Medicine · 2024Pooled it
- Effects of a Geriatric Emergency Department Multidisciplinary Intervention on Functional Status and Quality of Life: A Pre/Post Cohort Study.Academic emergency medicine : official journal of the Society for Academic Emergency Medicine · 2026Trial
- Integrating Patient and Caregiver Voices Into the CGA-5Ms Framework: A Missing Piece in Japan's Geriatric Care Model.Geriatrics & gerontology international · 2026Article
- Older adults with advanced chronic illness and emergency department care: the hermeneutic stories of Bill, Edie and Nicole.BMC geriatrics · 2026Article
- Article
- What Matters Most to People Living With Dementia and Their Care Partners During Emergency Department Visits.Journal of the American Geriatrics Society · 2026Article
- A Qualitative Study of Health Priorities of People With Dementia and Care Partners in Emergency Department and Hospital Care in a Public Safety-Net Setting.Journal of the American Geriatrics Society · 2025Article
- Assessing what matters most in older emergency department patients.Age and ageing · 2025Observational
- What Helps or Hinders Annual Wellness Visits for Detection and Management of Cognitive Impairment Among Older Adults? A Scoping Review Guided by the Consolidated Framework for Implementation Research.Nursing reports (Pavia, Italy) · 2025Review
- Older Adults' Experiences of Emergency Department Admission Decisions: A Qualitative Study in a Public Safety Net Hospital.Journal of general internal medicine · 2025Article
- Older Adults' Experiences and Expectations of Doctor-Patient Interactions During Early Hospital Care.Health expectations : an international journal of public participation in health care and health policy · 2025Article
- The Age-Friendly Learning Healthcare System: Replicating electronic health record based documentation metrics for 4Ms care.Journal of the American Geriatrics Society · 2025Article
- "What Matters" in the Emergency Department: A Prospective Analysis of Older Adults' Concerns and Desired Outcomes.Medical care · 2024Observational
- The patient-reported outcome measure for older people living with frailty receiving acute care (PROM-OPAC): field-testing and validation.Journal of patient-reported outcomes · 2024Article
- Enhancing healthcare access for an older population: The age-friendly emergency department.Journal of the American College of Emergency Physicians open · 2024Review
- Emergency department communication with diverse caregivers and persons living with dementia: A qualitative study.Journal of the American Geriatrics Society · 2024Article
- Facilitators and Barriers to Implementing the 4Ms Framework of Age-Friendly Health Systems: A Scoping Review.Nursing reports (Pavia, Italy) · 2024Article
- Usability of the 4Ms Worksheet in the Emergency Department for Older Patients: A Qualitative Study.The western journal of emergency medicine · 2024Article
- Measuring health-related quality of life of older people with frailty receiving acute care: feasibility and psychometric performance of the EuroQol EQ-5D.BMC emergency medicine · 2023Article
- Emergency Department-to-Community Transitions of Care: Best Practices for the Older Adult Population.Clinics in geriatric medicine · 2023Review
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
7 authors.
Funding
Abstract
introductionThe "4Ms" model - What Matters, Medication, Mentation, and Mobility - is increasingly gaining attention in age-friendly health systems, yet a feasible approach to identifying what matters to older adults in the emergency department (ED) is lacking. Adapting the "What Matters" questions to the ED setting, we sought to describe the concerns and desired outcomes of both older adult patients seeking ED care and their treating clinicians.
methodsWe conducted 46 dyadic semi-structured interviews of cognitively intact older adults and their treating clinicians. We used the "What Matters" conversation guide to explore patients' 1) concerns and 2) desired outcomes. We then asked analogous questions to each patient's treating clinician regarding the patient's priorities. Interviews were professionally transcribed and coded using an inductive approach of thematic analysis to identify emergent themes.
resultsInterviews with older adults lasted a mean of three minutes, with a range of 1-8 minutes. Regarding patients' concerns, five themes emerged from older adults: 1) concern through a family member or outpatient clinician recommendation; 2) no concern, with a high degree of trust in the healthcare system; 3) concerns regarding symptom cause identification; 4) concerns regarding symptom resolution; and 5) concerns regarding preservation of their current status. Regarding desired outcomes, five priority themes emerged among older adults: 1) obtaining a diagnosis; 2) returning to their home environment; 3) reducing or resolving symptoms; 4) maintaining self-care and independence; and 5) gaining reassurance. Responding to what they believed mattered most to older adult patients, ED clinicians believed that older adults were concerned primarily about symptom cause identification and resolution and primarily desired a return to the home environment and symptom reduction.
conclusionThis work identifies concerns and desired outcomes of both older adult patients seeking ED care and their treating clinicians as well as the feasibility of incorporating the "What Matters" questions within ED clinical practice.
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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.