A Two‐Year Follow‐Up of Geriatric Consults in the Emergency Department

Sinoff, Gary; Clarfield, A. Mark; Bergman, Howard; Beaudet, Marie P.

doi:10.1111/j.1532-5415.1998.tb03806.x

Cited by 43 publications

(35 citation statements)

References 26 publications

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“…It was observed that has the age increased, there was also an increase in the ratios of requesting consultations (17). In the study made by Sinoff et al, it was found that of all the consultations requested in the ED, 49.3% were requested for patients in the geriatric age group (18). The results found in this study were generally found to be in conformity with the other studies.…”

Section: Discussionsupporting

confidence: 81%

The Use of Quick Sofa (Qsofa) in Elderly Patients with Sepsis in the Intensive Care Unit

Geyik¹

2018

tjgeri

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Introduction:This study was prepared with the objective of determining the ratio of use of ambulances by the patients 65 years of age and older who applied to emergency department and the indicators for the use of ambulances.Materials and Method: This cross-sectional research study, enrolled patients at least 65 years of age or older, who applied to the emergency department in Izmir Dokuz Eylül University Hospital. Two measurement tools were prepared with the objective of gathering the study data. The first measuring tool was prepared with the objective of evaluating the indicators of ambulance use by the patients, whereas the second measuring tool was for the situations of using emergency department.Results: 555 patients were included in the study. Only 34.2% of these patients reported that they came to the emergency department with an ambulance. It was observed that patients living with their families, and those with medical emergencies, i.e. who did not experience a trauma or an accident, used ambulances less frequently for going to the emergency department (p<0.05). Among patients who came to the emergency department with private vehicles, 59.2% stated that they did not call an ambulance because they thought that it would be quicker to come with their own resources. On the other hand, among patients who came to the hospital with an ambulance, a ratio of 67.4% replied that they called the ambulance because of emergency. Conclusion:The results of this study suggest that public awareness about 112 ambulance systems should be increased, especially for elderly patients.Keywords: Geriatrics; Ambulance; Emergency Medical Services; Emergency Service, Hospital Giriş: Bu çalışma acil servise başvuran 65 yaş ve üzeri hastaların ambulans kullanım oranını ve ambulans kullanım belirleyicilerini saptamak amacıyla hazırlanmıştır.Gereç Yöntem: Kesitsel tipte planlanan bu araştırmanın evrenini, İzmir Dokuz Eylül Üniversitesi Hastanesi'nin acil servis birimine başvuran 65 yaş ve üstü hastalar oluşturmuştur. Çalışmanın verilerini toplamak amacı ile iki adet ölçme aracı hazırlanmıştır. Birinci ölçme aracı hastaların ambulans kullanım belirleyicilerini, ikinci ölçme aracı ise AS kullanım durumlarını değerlendirmek amacıyla hazırlanmıştır.Bulgular: Araştırmaya 555 hasta alınmıştır. Çalışmaya alınan hastaların %34.2'sinin acil servise ambulans ile geldiği bulunmuştur. Ambulans ile gelen hastalar ise, %67.4 oranında acil durum nedeni ile ambulansı aradıkları yanıtını vermiştir. Ailesi ile birlikte yaşayan ve nontravmatik hastaların, acil servise ulaşmak için daha az sıklıkta ambulans kullandığı görülmüştür (p<0.05). AS birimine özel araç ile gelen hastaların %59.2'lik kısmı, kendi olanaklarıyla gelmenin daha çabuk olacağını düşündükleri için ambulans aramadıklarını belirtmiştir.Sonuç: Bu çalışma özellikle yaşlı hastalarda 112 Ambulans sistemi hakkında halkın bilinçlendirilmesi gerektiğini ortaya koymaktadır.

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Section: Discussionsupporting

confidence: 81%

The Use of Quick Sofa (Qsofa) in Elderly Patients with Sepsis in the Intensive Care Unit

Geyik¹

2018

tjgeri

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“…37 When possible, previously validated survey instruments are preferable, 38 but for our objectives, no such instrument exists. Therefore, our survey instrument was developed by a detailed review of existing research focused on ED interventions to improve geriatric adult emergency care, 5,6,13,15,20,25,26,32,34,35,[39][40][41][42][43][44][45][46] as well as discussions with a multidisciplinary collaboration of representatives from SAEM, ACEP, the American Geriatrics Society, and the Emergency Nurses Association. This collaboration continues to develop geriatric ED infrastructure, personnel, protocol, and educational guidelines.…”

Section: Survey Content and Administrationmentioning

confidence: 99%

A Profile of Acute Care in an Aging America: Snowball Sample Identification and Characterization of United States Geriatric Emergency Departments in 2013

Hogan

Olade

Carpenter

2014

Academic Emergency Medicine

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Background: The aging of America poses a challenge to emergency departments (EDs). Studies show that elderly patients have poor outcomes despite increased testing, prolonged periods of observation, and higher admission rates. In response, emergency medicine (EM) leaders have implemented strategies for improved ED elder care, enhancing expertise, equipment, policies, and protocols. One example is the development of geriatric EDs gaining in popularity nationwide. To the authors' knowledge, this is the first research to systematically identify and qualitatively characterize the existence, locations, and features of geriatric EDs across the United States.

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“…Comprehensive geriatrics assessments (CGAs) in the ED have previously been described at other sites. [5][6][7] …”

mentioning

confidence: 99%

Geriatric Emergency Department Innovations: Preliminary Data for the Geriatric Nurse Liaison Model

Aldeen

Courtney

Lindquist

et al. 2014

J American Geriatrics Society

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for the GEDI-WISE InvestigatorsOlder adults account for a large and growing segment of the emergency department (ED) population. They are often admitted to the hospital for nonurgent conditions such as dementia, impaired functional status, and gait instability. The aims of this geriatric ED innovations (GEDI) project were to develop GEDI nurse liaisons by training ED nurses in geriatric assessment and care coordination skills, describe characteristics of patients that these GEDI nurse liaisons see, and measure the admission rate of these patients. Four ED nurses participated in the GEDI training program, which consisted of 82 hours of clinical rotations in geriatrics and palliative medicine, 82 hours of didactics, and a pilot phase for refinement of the GEDI consultation process. Individuals were eligible for GEDI consultation if they had an Identification of Seniors At Risk (ISAR) score greater than 2 or at ED clinician request. GEDI consultation was available Monday through Friday from 9:00 a.m. to 8:00 p.m. An extensive database was set up to collect clinical outcomes data for all older adults in the ED before and after GEDI implementation. The liaisons underwent training from January through March 2013. From April through August 2013, 408 GEDI consultations were performed in 7,213 total older adults in the ED (5.7%, 95% confidence interval (CI) = 5.2-6.2%), 2,124 of whom were eligible for GEDI consultation (19.2%, 95% CI = 17.6-20.9%); 34.6% (95% CI = 30.1-39.3%) received social work consultation, 43.9% (95% CI = 39.1-48.7) received pharmacy consultation, and more than 90% received telephone follow-up. The admission rate for GEDI patients was 44.9% (95% CI = 40.1-49.7), compared with 60.0% (95% CI = 58.8-61.2) non-GEDI. ED nurses undergoing a 3-month training program can develop geriatric-specific assessment skills. Implementation of these skills in the ED may be associated with fewer admissions of older adults. 1 The number of older adults who visit an ED has doubled in the last decade and continues to grow rapidly. Older adults presenting to EDs are highly likely to be admitted to the hospital, much more so than their younger counterparts.1 Prevention of hospital admission saves older adults from frequently encountered adverse events, including delirium, functional status impairment, cognitive loss, and nursing home admission. [2][3][4] It is unknown how many older adults are hospitalized for reasons other than acute medical illness, such as functional decline, polypharmacy, progressive dementia, caregiver stress, and unstable living situation. These nonurgent conditions are rarely addressed during a typical ED visit because of lack of resources, patient volume, and the need for rapid turnover of care spaces. 5 The predominant management strategy of emergency physicians at the Feinberg School of Medicine to handle these important but not imminently life-threatening geriatric problems is to recommend hospital admission.The main goal of the Geriatric Emergency Department Innovations through Workforce, Inform...

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A Two‐Year Follow‐Up of Geriatric Consults in the Emergency Department

Cited by 43 publications

References 26 publications

The Use of Quick Sofa (Qsofa) in Elderly Patients with Sepsis in the Intensive Care Unit

The Use of Quick Sofa (Qsofa) in Elderly Patients with Sepsis in the Intensive Care Unit

A Profile of Acute Care in an Aging America: Snowball Sample Identification and Characterization of United States Geriatric Emergency Departments in 2013

Geriatric Emergency Department Innovations: Preliminary Data for the Geriatric Nurse Liaison Model

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