Evidence map›Paper›PMID 39113469›Full record

ArticleAge and ageing2024

AEGIS-AcutE Geriatric Intervention Study: pilot study of frontline acute geriatric assessment to improve quality of care in emergency department.

Kaisa J Karjalainen, Hannele Tuori, Marika Salminen, Juha Peltonen, Sirpa Rantanen, Paula Viikari, Matti Viitanen, Maria S Nuotio, Laura Viikari

Abstract read
In one paragraph

Article in Age and ageing, 2024. 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. 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

9 authors.

Kaisa J KarjalainenDepartment of Geriatric Medicine, Faculty of Medicine/Clinical Medicine, University of Turku and Turku University Hospital, The wellbeing services county of Southwest Finland, Turku, Finland.ORCID 0000-0003-2993-5750
Hannele TuoriDepartment of Geriatric Medicine, Faculty of Medicine/Clinical Medicine, University of Turku and Turku University Hospital, The wellbeing services county of Southwest Finland, Turku, Finland.
Marika SalminenDepartment of Geriatric Medicine, Faculty of Medicine/Clinical Medicine, University of Turku and Turku University Hospital, The wellbeing services county of Southwest Finland, Turku, Finland.
Juha PeltonenTyks Acute/Turku University Hospital, The wellbeing services county of Southwest Finland, Turku, Finland.
Sirpa RantanenTyks Acute/Turku University Hospital, The wellbeing services county of Southwest Finland, Turku, Finland.
Paula ViikariDepartment of Geriatric Medicine, Faculty of Medicine/Clinical Medicine, University of Turku and Turku University Hospital, The wellbeing services county of Southwest Finland, Turku, Finland.
Matti ViitanenDepartment of Geriatric Medicine, Faculty of Medicine/Clinical Medicine, University of Turku and Turku University Hospital, The wellbeing services county of Southwest Finland, Turku, Finland.
Maria S NuotioDepartment of Geriatric Medicine, Faculty of Medicine/Clinical Medicine, University of Turku and Turku University Hospital, The wellbeing services county of Southwest Finland, Turku, Finland.
Laura ViikariDepartment of Geriatric Medicine, Faculty of Medicine/Clinical Medicine, University of Turku and Turku University Hospital, The wellbeing services county of Southwest Finland, Turku, Finland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionDue to the increasing number of older patients in emergency departments (EDs) with frailty, cognitive impairment and multimorbidity, there is a need for geriatric expertise in EDs.

methodsThis retrospective study is of older patients visiting Turku University Hospital ED between 2 January and 31 December 2022. Patients aged 75 years of older were screened for frailty using Triage Risk Screening Tool (TRST) and Clinical Frailty Scale (CFS). Nonacute, frail patients (CFS ≥4) suitable for Targeted Geriatric Assessment (TGA) (n = 1096) were scanned for the risk of delirium, cognitive impairment, change in functional status, falls, malnutrition and depression. A comprehensive patient record was made with recommendations for future care.

resultsTRST was completed in 70% of the ED visits, and two-thirds of those were considered high-risk. Among the patients assessed by the geriatric team (TGA), nonspecific complaint (38%) and falls (35%) were the main reasons for ED admission. Cognitive impairment was present in over 60% and orthostatic hypotension in 40% of the patients. The 72-hour revisit rate for TGA-patients was 2.3%. For the real-life control group, the 72-hour revisit rate was 4.6% (P = .001). Thirty-day revisit rates were 10% and 16%, respectively (P < .001). The need for rehabilitation, cognitive evaluation and intensifying home care were the main recommendations for future care.

conclusionsTGA approach provides structured and accurate information on older patients' background. This may lead to more precise diagnostics, a thorough consideration of hospital intake and a secure discharge from the ED. Ensuring continuity of care may help to reduce readmissions to EDs.

Indexed as

Emergency Service, HospitalGeriatric AssessmentAccidental FallsAgedAged, 80 and overCognitive DysfunctionFemaleFrail ElderlyFrailtyHumansMalePilot ProjectsQuality ImprovementRetrospective StudiesRisk AssessmentRisk Factorsemergency departmentfrailtygeriatric emergency medicinegeriatrician-led teamolder peopletargeted geriatric assessment

Identifiers

PMID39113469
PMCPMC11306315

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.