ReviewNursing open2026
Best Evidence Summary for the Management of Frailty in Elderly Patients in Emergency Department-Integrative Review.
Review in Nursing open, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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.
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
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors.
Funding
Abstract
aimTo systematically search, evaluate and synthesize the most robust evidence regarding the management of frailty in elderly patients in the emergency department.
designThis study was conducted as an evidence summary, strictly adhering to the reporting standards for evidence summaries developed by the Center for Evidence-Based Nursing, Fudan University. DATA SOURCES: UpToDate, BMJ Best Practice, JBI, National Guideline Clearing-house, Guidelines International Network, Scottish Intercollegiate Guidelines Network, National Institute for Health and Care Excellence, Registered Nurses Association of Ontario, Yi Mai tong Guidelines Network, the Cochrane Library, PubMed, Web of Science, Embase, OVID, Sinomed, CNKI, Wan Fang database. The search was conducted from the inception of each database to June 2025. REVIEW
methodsEvidence was selected using predefined eligibility criteria, critically appraised with AGREE II, AMSTAR 2, and Joanna Briggs Institute tools as appropriate, and synthesized using the JBI evidence classification and recommendation system. Study selection, appraisal and evidence extraction were undertaken independently by trained reviewers, with disagreements resolved through discussion or third-reviewer adjudication.
resultsAfter rigorous screening and evaluation, 13 high-quality articles were identified, including 3 clinical guidelines, 1 randomized controlled trial (RCT), 2 clinical decision-making studies, 2 expert consensus documents, 2 cohort studies and 3 systematic reviews. Through collaborative in-depth deliberation, 34 evidence-based insights on emergency geriatric frailty management were extracted, synthesized, and categorized into 10 key themes.
conclusionHealthcare professionals in emergency departments should prioritize geriatric frailty and select the highest-quality evidence tailored to clinical realities. This approach will enhance the standardization and systematicity of geriatric frailty management in emergency settings. IMPACT: Our study provides a structured approach (i.e., a stratified frailty assessment and intervention pathway, and a nurse-led multidisciplinary emergency frailty management model) and novel practical management methods (including an integrated screening-assessment-intervention-discharge continuous care protocol and an age-friendly emergency environment optimization strategy) for managing geriatric frailty in emergency settings, and promotes nursing services tailored to older adults. Collectively, these contributions aim to address the challenges of managing geriatric frailty in emergency departments and enhance the effectiveness of nursing interventions. REPORTING
methodThis research followed the evidence summary reporting specifications of the Fudan University Center for Evidence-based Nursing.
trial registrationThe registration number is 'ES20257380'. FOR THE PROFESSIONAL FIELD AND PATIENT CARE IMPLICATIONS: The findings provide emergency nurses with actionable guidance for triage-based frailty screening, escalation to comprehensive assessment, medication reconciliation, mobility and nutrition support, caregiver engagement and structured discharge handover. PATIENT OR PUBLIC CONTRIBUTION: No patients or members of the public were involved because this study synthesized previously published evidence.
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What OpenQuestion holds
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.