Evidence map›Paper›PMID 37993796›Full record

ArticleBMC geriatrics2023

A consensus statement on minimum operational standards for geriatric emergency care in Belgium: a modified Delphi study.

Pieter Heeren, Farah Islam, Didier Desruelles, Johan Flamaing, Marc Sabbe, Koen Milisen, Belgian URGENT Delphi Group

Abstract readConsensus Statement
In one paragraph

Article in BMC geriatrics, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–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

2 citing papers in PubMed.

  1. Article
  2. Do guidelines improve geriatric emergency care?European geriatric medicine · 2024
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Pieter HeerenDepartment of Public Health and Primary Care, Academic Centre for Nursing and Midwifery, KU Leuven, Kapucijnenvoer 35/4, Leuven, 3000, Belgium.
Farah IslamDepartment of Public Health and Primary Care, Academic Centre for Nursing and Midwifery, KU Leuven, Kapucijnenvoer 35/4, Leuven, 3000, Belgium.
Didier DesruellesDepartment of Emergency Medicine, University Hospitals Leuven, Herestraat 49, 3000, Leuven, Belgium.
Johan FlamaingDepartment of Geriatric Medicine, University Hospitals Leuven, Herestraat 49, 3000, Leuven, Belgium.
Marc SabbeDepartment of Emergency Medicine, University Hospitals Leuven, Herestraat 49, 3000, Leuven, Belgium.
Koen MilisenDepartment of Public Health and Primary Care, Academic Centre for Nursing and Midwifery, KU Leuven, Kapucijnenvoer 35/4, Leuven, 3000, Belgium. koen.milisen@kuleuven.be.
Belgian URGENT Delphi Group

Funding

Fonds Wetenschappelijk Onderzoek 1133320NHorizon 2020 81265KU Leuven PDMT2/21/079
6 · The paper itself

Abstract

backgroundAs emergency department (ED) leaders started integrating geriatric emergency guidelines on a facultative basis, important variations have emerged between EDs in care for older patients. The aim of this study was to establish a consensus on minimum operational standards for Geriatric ED care in Belgium.

methodsA two-stage modified Delphi study was conducted. Twenty panellists were recruited from Dutch and French speaking regions in Belgium to join an interdisciplinary expert panel. In the first stage, an online survey was conducted to identify and define all possible elements of geriatric emergency care. In the second stage, an online survey and online expert panel meeting were organized consecutively to determine which elements should be recognized as minimum operational standards.

resultsBetween March 2020 and February 2021, the expert panel developed a broad consensus including ten statements focusing on the target population, specific goals, availability of geriatric practitioners and quality assurance. Additionally, the expert panel also determined which protocols, materials and accommodation criteria should be available in conventional EDs (39 standards) and in observational EDs (57 standards).

conclusionsThis study presents a consensus on minimum operational standards for geriatric emergency care in two ED types: the conventional ED and the observational ED. These findings may serve as a starting point towards broadly supported minimum standards of care stipulated by legislation in Belgium or other countries.

Indexed as

Emergency Medical ServicesAgedBelgiumDelphi TechniqueEmergency Service, HospitalEmergency TreatmentHumansEmergency departmentGeriatric emergency medicineObservation unitOlder adults

Identifiers

PMID37993796
PMCPMC10666396

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.