Evidence map›Paper›PMID 40229528›Full record

ArticleInternal and emergency medicine2025

Association between time to geriatric ward admission and change in functional status in older adults after an emergency department visit: a prospective cohort study.

Héloïse Bannelier, Lorène Zerah, Pierre Catoire, Justine Phagouapé, Salomé Guyot, Yonathan Freund, Alix Minaud, Jacques Boddaert, Vincent Dauny, Anne-Laure Philippon

Abstract read
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In one paragraph

Article in Internal and emergency medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Observational
  2. Article
  3. Beyond Triage: Cognitive Profiles and ED-To-Inpatient Costs and Resource Pathways in Older Adults.Academic emergency medicine : official journal of the Society for Academic Emergency Medicine · 2026
    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

10 authors.

Héloïse BannelierEmergency Department, Pitié Salpêtrière Hospital, 83 Boulevard de L'Hôpital, 75013, Paris, France. heloise.bannelier@aphp.fr.ORCID 0009-0000-6443-9248
Lorène ZerahSorbonne Université, IMProving Emergency Care FHU, Paris, France.
Pierre CatoireEmergency Department, Pitié Salpêtrière Hospital, 83 Boulevard de L'Hôpital, 75013, Paris, France.
Justine PhagouapéEmergency Department, Pitié Salpêtrière Hospital, 83 Boulevard de L'Hôpital, 75013, Paris, France.
Salomé GuyotEmergency Department, Pitié Salpêtrière Hospital, 83 Boulevard de L'Hôpital, 75013, Paris, France.
Yonathan FreundEmergency Department, Pitié Salpêtrière Hospital, 83 Boulevard de L'Hôpital, 75013, Paris, France.
Alix MinaudSorbonne Université, IMProving Emergency Care FHU, Paris, France.
Jacques BoddaertSorbonne Université, IMProving Emergency Care FHU, Paris, France.
Vincent DaunyDepartment of Geriatric Medicine, Pitié Salpêtrière Hospital, 83 Boulevard de L'Hôpital, 75013, Paris, France.
Anne-Laure PhilipponEmergency Department, Pitié Salpêtrière Hospital, 83 Boulevard de L'Hôpital, 75013, Paris, France.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The impact of total time from emergency department (ED) admission to geriatric ward admission in older patients remains unknown. The objective of the study was to assess the association between time to geriatric ward admission on 6-month mortality and functional decline in older adults. A prospective, single-center cohort study was conducted including patients 75 years or older admitted to an acute-care geriatric unit following an ED visit in 2023 with a 6-month follow-up. Functional decline was defined as a decrease of at least 1 point in the Activities of Daily Living (ADL) scale between admission and 6 months. The primary end point was a composite of 6-month mortality and functional decline. Association between quartiles of time to geriatric ward admission and the primary end point was analyzed using multivariable logistic regression. Among the 360 included patients (median age 86, median time to geriatric ward admission 32.2 h), 198 (55%) experienced the composite outcome (31% death and 24% functional decline): 42%, 47%, 60%, and 71% in the first to last quartile, respectively. Compared to the first quartile, there was an independent association between time to geriatric ward admission and the primary outcome with an adjusted odds ratios of 1.4 (95% CI 0.8-2.7), 2.3 (95% CI 1.2-4.3), and 3.4 (95% CI 1.8-6.6) for the second, third, and fourth quartiles, respectively. Prolonged time to geriatric ward admission following ED consultation is associated with a higher risk of 6-month mortality and functional decline in older adults.Trial registration 2023-A02753-42 (CPP Sud-Est V approval).

Indexed as

Emergency Service, HospitalFunctional StatusGeriatricsPatient AdmissionActivities of Daily LivingAgedAged, 80 and overCohort StudiesEmergency Room VisitsFemaleGeriatric AssessmentHumansLogistic ModelsMaleProspective StudiesTime FactorsActivities of daily livingEmergency medicineFrailtyFunctional declineGeriatricsMortality

Identifiers

What OpenQuestion holds

Textmetadata
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.