ArticleEuropean geriatric medicine2023
What is the impact of a pre-hospital geriatrician led telephone 'Silver Triage' for older people living with frailty?
Article in European geriatric medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
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.
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Who cites it
6 citing papers in PubMed, 8 citations in OpenAlex.
- Geriatrician telephone support for emergency medical dispatchers: safe alternatives for older patients at high risk of short-term emergency department visits.European geriatric medicine · 2026Article
- Implementation of a territorial geriatric hotline in Southwestern France: a monocentric observational study to improve access to geriatric expertise.BMC geriatrics · 2026Observational
- Feasibility of portable telemedicine devices for ambulance-based prehospital triage: a comparative simulation study.Scandinavian journal of trauma, resuscitation and emergency medicine · 2026Article
- A national perspective of ambulance clinicians' perceptions, experiences and decision-making processes when assessing older adults with a head injury: a mixed-methods study.British paramedic journal · 2024Article
- Head injury in older adults presenting to the ambulance service: who do we convey to the emergency department, and what clinical variables are associated with an intracranial bleed? A retrospective case-control study.Scandinavian journal of trauma, resuscitation and emergency medicine · 2023Observational
- Could pre-hospital geriatrician triage be an useful intervention to prevent emergency hospital attendances for frail older patients?European geriatric medicine · 2023Article
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Authors and funding
5 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeMost older people are conveyed to hospital via ambulance, therefore presenting a focus to reduce hospitalisation. North Central London has introduced 'Silver Triage', a pre-hospital telephone support scheme where geriatricians support the London Ambulance Service with clinical decision-making.
methodsData from the first 14 months was analysed descriptively.
resultsThere have been 452 Silver Triage cases (November 2021 to January 2023). 80% resulted in a decision to not convey. The mode clinical frailty scale (CFS) was 6. CFS did not influence conveyance rates. Prior to triage, paramedics thought hospitalisation was not required in 44% of cases (n = 72/165). All paramedics surveyed (n = 176) would use the service again. Most (66%, n = 108/164) felt they learnt something and 16% (n = 27/164) reported it changed their decision-making process.
conclusionSilver Triage has the potential to improve the care of older people by preventing unnecessary hospitalisation and has been well received by paramedics.
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Registered trials
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