Evidence map›Paper›PMID 40770643›Full record

Trial reportAcademic emergency medicine : official journal of the Society for Academic Emergency Medicine2026

Effects of a Geriatric Emergency Department Multidisciplinary Intervention on Functional Status and Quality of Life: A Pre/Post Cohort Study.

Lauren T Southerland, Julie A Stephens, Katherine M Hunold, Christopher R Carpenter, Lorraine C Mion, Lucas Krupinski, Carson R Reider, Jeffrey M Caterino

Registry-linked trialAbstract readClinical Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in Academic emergency medicine : official journal of the Society for Academic Emergency Medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04068311 (Implementation of Multidisciplinary Assessments for Geriatric Patients in an Emergency Department Observation Unit), which is not on this map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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.

NCT04068311 nacompletednot on this map

Implementation of Multidisciplinary Assessments for Geriatric Patients in an Emergency Department Observation Unit

TypeinterventionalSponsorOhio State UniversityRan2019 to 2023Enrolled373ConditionsFall Patients, Delirium, Quality of Life, Functional StatusArmsGeriatric Screening tools
3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. 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 · 2026
    Trial
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

8 authors.

Lauren T SoutherlandDepartment of Emergency Medicine, The Ohio State University Wexner Medical Center, Columbus, Ohio, USA.ORCID 0000-0002-3561-8332
Julie A StephensCenter for Biostatistics, The Ohio State University College of Medicine, Columbus, Ohio, USA.
Katherine M HunoldDepartment of Emergency Medicine, The Ohio State University Wexner Medical Center, Columbus, Ohio, USA.ORCID 0000-0001-8938-0596
Christopher R CarpenterDepartment of Emergency Medicine, Mayo Clinic, Rochester, Minnesota, USA.ORCID 0000-0002-2603-7157
Lorraine C MionCollege of Nursing, The Ohio State University, Columbus, Ohio, USA.
Lucas KrupinskiDepartment of Emergency Medicine, The Ohio State University Wexner Medical Center, Columbus, Ohio, USA.
Carson R ReiderDepartment of Emergency Medicine, The Ohio State University Wexner Medical Center, Columbus, Ohio, USA.
Jeffrey M CaterinoDepartment of Emergency Medicine, The Ohio State University Wexner Medical Center, Columbus, Ohio, USA.

Funding

The OSU Center for Clinical and Translational Science: Advancing Today's Discoveries to Improve HealthUL1TR002733 · NCATS · OHIO STATE UNIVERSITY · PI RINGEL, MATTHEW D · 2018 to 2022
$28.9M
Establishing and Implementing Pneumonia Diagnosis in ED Older Adults: A Mixed Methods ApproachK76AG074941 · NIA · OHIO STATE UNIVERSITY · PI Katherine Hunold Buck · 2022 to 2026
$1.2M
Implementation of Multidisciplinary Assessments for Geriatric Patients in an ED Observation Unit (IMAGE)K23AG061284 · NIA · OHIO STATE UNIVERSITY · PI SOUTHERLAND, LAUREN T. · 2019 to 2023
$832k
NCATS NIH HHS UL1 TR002733NCATS NIH HHS UL1TR002733NIA NIH HHS K23 AG061284NIA NIH HHS K76 AG074941NIH HHS NIA K23AG061284NIH HHS NIAK76 AG074941
6 · The paper itself

Abstract

backgroundGeriatric screening and multidisciplinary assessment of older adults in the Emergency Department (ED) decrease hospitalizations and ED revisits. The impact on patient-reported outcomes of health-related quality of life (HRQoL) and functional status is not known.

methodsA hybrid type II implementation/effectiveness prospective cohort study was conducted in an academic ED. The intervention bundle was geriatric screening for delirium, fall risk, and transition of care needs, and multidisciplinary assessment. All older adults (≥ 65 years) placed in the ED observation unit were eligible. HRQoL and functional status were obtained at the ED visit, 30, and 90 days, and were compared between the pre- and post-intervention implementation cohorts. Secondary outcomes included ED revisits, falls, mortality, and intervention adoption measures.

resultsFrom 2019 to 2023, 368 adults participated in the study: Most were community-dwelling (97%) and had multiple comorbidities. The pre (n = 138) and post (n = 230) cohorts did not differ in baseline functional status or HRQoL. The rate of geriatric screening improved from 12.3% in the pre-implementation cohort to 91.3% in the post-implementation cohort (p < 0.01). Multispecialty consultation also increased (68.1%-91.3%, p < 0.01). The proportion who had a post-ED visit decline in functional status did not differ between cohorts. Physical HRQoL declined similarly in both cohorts (-0.73 vs. -0.33, p = 0.61) at 90 days. Mental HRQoL improved in both cohorts; improvement was greater in the pre-cohort (2.35 vs. 0.32, p = 0.02). ED revisits and re-hospitalizations were unchanged (30 days: 23.0% vs. 17.2%, p = 0.18, and 90 days: 37.8% vs. 34.8%, p = 0.57). The intervention decreased falls at 30 and 90 days (30 days: 9.7% vs. 3.2%, p = 0.04; 90 days: 22.1% vs. 7.9%, p < 0.01).

conclusionsGeriatric screening in the ED increased identification of geriatric syndromes and multidisciplinary consultation. The intervention was associated with decreased falls but did not affect HRQoL or reduce functional decline post ED visit.

trial registrationclinicaltrials.gov: NCT04068311.

Indexed as

Emergency Service, HospitalFunctional StatusGeriatric AssessmentQuality of LifeAccidental FallsAgedAged, 80 and overCohort StudiesFemaleHumansMaleProspective Studiesemergency departmentfunctional statushealth related quality of lifemultidisciplinary consultationolder adults

Identifiers

PMID40770643
PMCPMC12828100

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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.