ArticleCJEM2025
Examining the geriatric-friendliness of emergency departments in the Canadian province with the oldest population.
Article in CJEM, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
What it found
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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
1 citing paper in PubMed.
- Same Patients, Different Health Care Systems-Revisited. Geriatric Care Models in the U.S., Canada, and Europe.Journal of the American Geriatrics Society · 2026Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
7 authors.
Funding
Abstract
objectivesThe number of older adults presenting to emergency departments (EDs) is rising. The care of older adults in the ED is challenged by atypical disease presentations and multimorbidity, among other factors. The geriatric ED guidelines-first developed in the United States in 2014-were developed to help EDs improve the care of older adults. However, little is known about Canadian EDs adherence to or implementation of these guidelines and geriatric-friendly ED principles. Our study aimed to describe the geriatric-friendliness of EDs and identify barriers to implementation in Newfoundland and Labrador, the Canadian province with the oldest population.
methodsA cross-sectional study was performed at EDs across Newfoundland and Labrador. We recruited ED site representatives through social media, email listservs, and word of mouth. ED site representatives were healthcare professionals familiar with the care of older adults in the ED. A 28-item questionnaire and a semi-structured interview via telephone were conducted. Proportions and percentages are reported for categorical data. Interview data were grouped into themes based on common patterns in participant responses.
resultsTwenty-three EDs participated in the study. ED site representatives were physicians (n = 13), nurses (n = 5), and advanced care paramedics (n = 2). One site identified a physician with a focused education in geriatric emergency medicine. No sites had a nurse with a focused education in geriatric emergency medicine. Only one site tracked process and outcome measures. Most sites had wheelchair-accessible toilets and food and drink available. Barriers to making EDs more geriatric-friendly were identified and included challenges related to resources, infrastructure, education and training, the provision of adequate care, awareness of geriatric-friendly ED principles, and ability to implement change.
conclusionThis study demonstrates a lack of geriatric-friendly EDs in Newfoundland and Labrador. Barriers to implementation were widespread and similar between participating ED sites.
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Registered trials
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