Observational studyAcademic emergency medicine : official journal of the Society for Academic Emergency Medicine2024
Geriatric screening in the emergency department increases consultations to geriatric medicine and physical and occupational therapy: A pre/post cohort study.
Observational study in Academic emergency medicine : official journal of the Society for Academic Emergency Medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
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Who cites it
7 citing papers in PubMed.
- 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
- Reimbursement and Costs of a Geriatric Nurse Practitioner in a High-Volume Emergency Department.Journal of the American Geriatrics Society · 2026Article
- Association of Geriatric Emergency Department Care With Hospitalization and Mortality in Older Adults.Journal of the American Geriatrics Society · 2026Article
- Physical and Occupational Therapist Evaluations for Fall Prevention in the Emergency Department: A Geriatric ED Guidelines 2.0 Systematic Review.Academic emergency medicine : official journal of the Society for Academic Emergency Medicine · 2026Article
- Enhancing emergency department triage for older patients: a prospective study on the integration of the identification of seniors at risk.BMC emergency medicine · 2025Observational
- Patterns of referral to interprofessional services among frail older adults presenting to emergency departments in Canada.Journal of the American Geriatrics Society · 2025Article
- Geriatric screening in the emergency department increases consultations to geriatric medicine and physical and occupational therapy: A pre/post cohort study.Academic emergency medicine : official journal of the Society for Academic Emergency Medicine · 2024Observational
Corrections and comments
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Authors and funding
5 authors.
Funding
Abstract
backgroundThe Geriatric Emergency Department (ED) Guidelines recommend screening older patients for need for evaluation by geriatric medicine, physical therapy (PT), and occupational therapy (OT), but explicit evidence that geriatric screening changes care compared to physician gestalt is lacking. We assessed changes in multidisciplinary consultation after implementation of standardized geriatric screening in the ED.
methodsRetrospective single-site observational cohort of older adult ED patients from 2019 to 2023 with three time periods: (1) preimplementation, (2) implementation of geriatric screening, and (3) postimplementation. Geriatric, PT, and OT consultations/referrals were available during all time periods. Descriptive analysis was stratified by disposition: discharged, observation and discharged, observation and hospital admission, and hospital admission. The independent variable was completion of three geriatric screening tools by ED nurses. The dependent variable was consultation and/or referral to geriatrics, PT, and OT. Secondary outcomes were disposition, ED revisits, and 30-day rehospitalizations.
resultsThere were 57,775 qualifying ED visits of patients age ≥ 65 years during the time periods: implementation increased geriatric screening from 0.5% to 63.2%; postimplementation, discharge patients who received screening had more consultations/referrals to geriatrics (1.5% vs. 0.4%), PT (7.9% vs. 1.9%), and OT (6.5% vs. 1.2%) compared to unscreened patients. Patients observed and then discharged had more consultations/referrals to geriatrics (15.1% vs. 11.3%), PT (74.1% vs. 64.5%), and OT (65.7% vs. 56.5%). Admitted patients had no change in consultation rates. Geriatric screening was not associated with a change in 7-day ED revisits for discharged patients but was associated with decreased revisits for patients discharged from observation (11.6% vs. 42.9%, p < 0.001).
conclusionGeriatric screening was associated with increased consultations/referrals to geriatrics, PT, and OT in the ED and ED observation unit. This suggests that geriatric screening changes ED care for older adults.
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