ArticleJournal of the American Geriatrics Society2024
Automating risk stratification for geriatric syndromes in the emergency department.
Article in Journal of the American Geriatrics Society, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.
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Who cites it
20 citing papers in PubMed.
- Improving End-of-Life Screening in the Emergency Department With Collaborative Artificial Intelligence.Annals of emergency medicine · 2026Article
- Integrated Risk Stratification Using Comorbidity Burden, Frailty, and Systemic Inflammation to Predict 30-Day Mortality in Older Emergency Department Patients: A Prospective Cohort Study.Journal of clinical medicine · 2026Article
- Development of a Predictive Model for Identifying High-Risk Older Adults for Geriatric Emergency Department Screening.Journal of the American College of Emergency Physicians open · 2026Article
- Article
- Tailored interventions to prevent functional decline after a Sentinel Fall presenting to the Emergency Department (iSeFallED) - protocol for a pragmatic mixed-methods implementation study.BMC geriatrics · 2026Article
- Factors associated with the phenomenon of overcrowding in the emergency department: a retrospective cohort study.BMC emergency medicine · 2026Article
- Rapid clinical identification of vulnerable older adults in acute and emergency care: narrative review of short geriatric screening tools.Frontiers in medicine · 2026Review
- The surprise question: predictive accuracy in an unselected emergency department population - a prospective study in nurses and physicians.Annals of medicine · 2025Article
- Development and Health System Deployment of an Electronic Health Record-Integrated Chatbot Intervention for Connecting Fall Risk Screening to Community Resources After Emergency Department Visits: Implementation Study.JMIR formative research · 2025Article
- Artificial intelligence-based approaches for advance care planning: a scoping review.BMC palliative care · 2025Article
- NOTICE-ED: Nurse or Technician Insights Into Cognitive Evaluations in the Emergency Department.Journal of the American Geriatrics Society · 2025Article
- Engineering Safe Care Journeys: Designing a Patient Safety Passport.Journal of patient safety · 2025Article
- Physical activity six months after a severe fall - moderating factors in older individuals.BMC geriatrics · 2025Article
- Around the EQUATOR With Clin-STAR: AI-Based Randomized Controlled Trial Challenges and Opportunities in Aging Research.Journal of the American Geriatrics Society · 2025Article
- Team-based, Multidisciplinary Care in the Emergency Department.Emergency medicine clinics of North America · 2025Review
- Novel algorithms & blood-based biomarkers: Dementia detection and care transitions for persons living with dementia in the emergency department.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2025Review
- Enhancing healthcare access for an older population: The age-friendly emergency department.Journal of the American College of Emergency Physicians open · 2024Review
- Risk of falls is associated with 30-day mortality among older adults in the emergency department.The American journal of emergency medicine · 2024Observational
- A machine learning approach to evaluate the impact of virtual balance/cognitive training on fall risk in older women.Frontiers in computational neuroscience · 2024Article
- Recruiting patients for falls prevention in the emergency department - worth the challenge.BMC geriatrics · 2023Observational
Corrections and comments
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Authors and funding
5 authors.
Funding
Abstract
backgroundGeriatric emergency department (GED) guidelines endorse screening older patients for geriatric syndromes in the ED, but there have been significant barriers to widespread implementation. The majority of screening programs require engagement of a clinician, nurse, or social worker, adding to already significant workloads at a time of record-breaking ED patient volumes, staff shortages, and hospital boarding crises. Automated, electronic health record (EHR)-embedded risk stratification approaches may be an alternate solution for extending the reach of the GED mission by directing human actions to a smaller subset of higher risk patients.
methodsWe define the concept of automated risk stratification and screening using existing EHR data. We discuss progress made in three potential use cases in the ED: falls, cognitive impairment, and end-of-life and palliative care, emphasizing the importance of linking automated screening with systems of healthcare delivery.
resultsResearch progress and operational deployment vary by use case, ranging from deployed solutions in falls screening to algorithmic validation in cognitive impairment and end-of-life care.
conclusionsAutomated risk stratification offers a potential solution to one of the most pressing problems in geriatric emergency care: identifying high-risk populations of older adults most appropriate for specific GED care. Future work is needed to realize the promise of improved care with less provider burden by creating tools suitable for widespread deployment as well as best practices for their implementation and governance.
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