SynthesisBMC health services research2024
Strategies to improve care for older adults who present to the emergency department: a systematic review.
Synthesis in BMC health services research, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 16 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
16 citing papers in PubMed, 1 synthesis or guideline pooled it, 22 citations in OpenAlex.
- Emergency department revisits and hospital readmissions following a fall-related emergency department presentation in older adults: a systematic review and meta-analysis.Age and ageing · 2026Pooled it
- Geriatric team support in the emergency department-a randomised trial investigating the effects on hospital admission and community care in older adults (GerED-21).Age and ageing · 2026Trial
- Walking Aids and Locomotion Training in the Emergency Department: A Randomized Clinical Trial.JAMA network open · 2025Trial
- Daily, weekly, and monthly dynamics of crowding in emergency department of university clinical centre Serbia: a one-year analysis of NEDOCS score.International journal of emergency medicine · 2026Article
- Caring for older adults in the Emergency Department: a Delphi-based national consensus by the Academy of Emergency Medicine and Care and the Italian Society of Gerontology and Geriatrics.European geriatric medicine · 2026Article
- Older adults with advanced chronic illness and emergency department care: the hermeneutic stories of Bill, Edie and Nicole.BMC geriatrics · 2026Article
- [Geriatric care assistance in emergency departments: position paper of DGIIN, DGINA, and DGG].Medizinische Klinik, Intensivmedizin und Notfallmedizin · 2026Review
- How a geriatrician-led emergency department model works in practice: a realist evaluation.Age and ageing · 2026Article
- Evaluating implementation of a geriatrician-led emergency department model of care: a qualitative study using the consolidated framework for implementation research.European geriatric medicine · 2026Article
- Evaluating age-friendly emergency care quality in Iranian hospitals.BMC emergency medicine · 2026Article
- Article
- The emergency department quality improvement program improves the prognosis of patients with stroke in Taiwan: A nationwide cohort study.Scientific reports · 2025Article
- Understanding the psychosocial well-being of people older than 65 years during emergency department admissions: A qualitative analysis of patients' accounts of their experiences.Australasian journal on ageing · 2025Article
- The PRO-AGE Tool and Its Association With Post Discharge Outcomes in Older Adults Admitted From the Emergency Department.Journal of the American Geriatrics Society · 2025Observational
- Ensuring comprehensive access to care for frail and complex patients, but not just through the ED.CJEM · 2024Article
- Early Emergency Visits After Laparoscopic Hysterectomy: Risk Factors and Prevention.JSLS : Journal of the Society of Laparoendoscopic SurgeonsArticle
Corrections and comments
- Erratum issued
Authors and funding
16 authors at 3 institutions in 4 countries.
Funding
Abstract
backgroundThe aim of this systematic review was to examine the relationship between strategies to improve care delivery for older adults in ED and evaluation measures of patient outcomes, patient experience, staff experience, and system performance.
methodsA systematic review of English language studies published since inception to December 2022, available from CINAHL, Embase, Medline, and Scopus was conducted. Studies were reviewed by pairs of independent reviewers and included if they met the following criteria: participant mean age of ≥ 65 years; ED setting or directly influenced provision of care in the ED; reported on improvement interventions and strategies; reported patient outcomes, patient experience, staff experience, or system performance. The methodological quality of the studies was assessed by pairs of independent reviewers using The Joanna Briggs Institute critical appraisal tools. Data were synthesised using a hermeneutic approach.
resultsSeventy-six studies were included in the review, incorporating strategies for comprehensive assessment and multi-faceted care (n = 32), targeted care such as management of falls risk, functional decline, or pain management (n = 27), medication safety (n = 5), and trauma care (n = 12). We found a misalignment between comprehensive care delivered in ED for older adults and ED performance measures oriented to rapid assessment and referral. Eight (10.4%) studies reported patient experience and five (6.5%) reported staff experience.
conclusionIt is crucial that future strategies to improve care delivery in ED align the needs of older adults with the purpose of the ED system to ensure sustainable improvement effort and critical functioning of the ED as an interdependent component of the health system. Staff and patient input at the design stage may advance prioritisation of higher-impact interventions aligned with the pace of change and illuminate experience measures. More consistent reporting of interventions would inform important contextual factors and allow for replication.
Indexed as
Identifiers
What OpenQuestion holds
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.