Evidence map›Paper›PMID 41692798›Full record

ArticleTrials2026

Development of a Core Outcome Set for research studies with older adults in the Emergency Department-CREAT-ED: A multi-stage study protocol.

K Mc Loughlin, J Salsberg, R Mc Namara, E Toomey, J Banerjee, M Cassarino, R Galvin, C O'Donnell, S Liu, K Dainty and 5 more

Abstract read
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In one paragraph

Article in Trials, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

15 authors.

K Mc LoughlinSchool of Allied Health, Faculty of Education and Health Sciences, Ageing Research Centre, Health Research Institute, University of Limerick, Limerick, Ireland. Kara.McLoughlin@ul.ie.ORCID http://orcid.org/0000-0001-9363-7243
J SalsbergSchool of Medicine & Health Research Institute, University of Limerick, Limerick, Ireland.
R Mc NamaraEmergency Department, St. Vincent's University Hospital, Dublin, Ireland.
E ToomeyCentre for Health Research Methodology, School of Nursing and Midwifery, University of Galway, Galway, Ireland.
J BanerjeeEmergency Department, University Hospitals of Leicester NHS Trust, Leicester, UK.
M CassarinoSchool of Applied Psychology, University College Cork, Cork, Ireland.
R GalvinSchool of Allied Health, Faculty of Education and Health Sciences, Ageing Research Centre, Health Research Institute, University of Limerick, Limerick, Ireland.
C O'DonnellSchool of Medicine, Faculty of Education and Health Sciences, University of Limerick, Limerick, Ireland.
S LiuDepartment of Emergency Medicine, Massachusetts General Hospital, Boston, USA.
K DaintyNorth York General Hospital, Toronto, Canada.
M O'ConnorSchool of Medicine, Faculty of Education and Health Sciences, University of Limerick, Limerick, Ireland.
D RyanSchool of Medicine, Faculty of Education and Health Sciences, University of Limerick, Limerick, Ireland.
P MeskellSchool of Allied Health, Faculty of Education and Health Sciences, Ageing Research Centre, Health Research Institute, University of Limerick, Limerick, Ireland.
D MeladyDepartment of Family and Community Medicine, Schwartz Reisman Emergency Medicine Institute, Toronto, ON, Canada.
K RobinsonSchool of Allied Health, Faculty of Education and Health Sciences, Ageing Research Centre, Health Research Institute, University of Limerick, Limerick, Ireland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundOlder adults represent a growing proportion of Emergency Department (ED) attendees and experience high rates of adverse outcomes post discharge from the ED such as functional decline, increased risk of institutionalisation and unplanned hospital readmissions. In response to these issues, there has been a proliferation of studies evaluating various interventions to mitigate these adverse outcomes. However, this expansion of research has been hampered by a lack of agreement on 'what to measure' in these studies and a lack of attention to the measurement of patient/ service user reported outcomes. To address these issues, we aim to develop a Core Outcome Set (COS) for intervention studies based, or initiated, in the ED with older adults.

methodsA five-stage approach will be undertaken to develop the COS in conjunction with a Public and Patient Involvement (PPI) panel of older adults and family carers. To generate a long list of outcomes, three stages will be undertaken. 1. A scoping review to identify commonly reported outcomes in intervention studies based/initiated in the ED, associated instruments and measurement timepoints. 2. A rapid qualitative evidence synthesis to identify outcomes of importance to older adults attending the ED. 3. Participatory research methods will be employed to identify outcomes of relevance to older adults and their families/ caregivers, health care Providers and research stakeholders. To achieve consensus on outcomes and associated instruments to include in the COS, a further two stages will be undertaken. 4. A Real-Time Delphi survey study and consensus meeting with key stakeholders to reach consensus on inclusion of outcomes in the COS. 5. A search for existing instruments to evaluate each outcome identified in stage 4 will be conducted. Identified instruments will be evaluated, and a consensus meeting will be held to select one outcome measure instrument for each outcome included in the COS. DISCUSSION: A COS for research with older adults in the ED will serve to enhance future clinical trials, systematic reviews and clinical guidelines by enhancing the availability of comparable data and by ensuring outcomes that matter to all stakeholders are represented.

trial registrationDevelopment of a Core Outcome Set for research studies with older adults in the Emergency Department-CREAT-ED (COMET) initiative 2749 COMET Initiative | Development of a Core Outcome Set for research studies with older adults in the Emergency Department-CREAT-ED.  https://www.comet-initiative.org/Studies/Details/2749 .

Indexed as

Emergency Service, HospitalEndpoint DeterminationAgedAge FactorsConsensusEmergency Room VisitsHumansResearch DesignStakeholder ParticipationTime FactorsTreatment OutcomeCore Outcome SetEmergency medicineOlder adultsOutcome Assessment (Health Care)Real-Time Delphi

Identifiers

PMID41692798
PMCPMC13011494

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

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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.