AIM: To determine the efficacy of geriatric assessment and intervention in an emergency department observation unit (EDOU). METHODS: This was a single-centre, before/after prospective study. The control group received the usual EDOU care. Intervention group received geriatric assessment and intervention before discharge. Patients were followed up at 3, 6, 9 and 12 months. End-points included falls and functional scores obtained via telephone, and unscheduled ED re-attendance and hospitalisation obtained through electronic records. RESULTS:The study population included 172 control and 315 intervention group patients. A total of 71.7% of patients in the intervention group had hidden needs that required intervention. The intervention group had significantly less ED re-attendance (adjusted incidence rate ratio (IRR) 0.59, 95% confidence interval (CI) 0.48-0.71) and hospitalisation rates (adjusted IRR 0.64, 95% CI 0.51-0.79) at 12 months. CONCLUSION:Older patients admitted to an EDOU are an at-risk group and benefit from geriatric assessment before discharge.
RCT Entities:
AIM: To determine the efficacy of geriatric assessment and intervention in an emergency department observation unit (EDOU). METHODS: This was a single-centre, before/after prospective study. The control group received the usual EDOU care. Intervention group received geriatric assessment and intervention before discharge. Patients were followed up at 3, 6, 9 and 12 months. End-points included falls and functional scores obtained via telephone, and unscheduled ED re-attendance and hospitalisation obtained through electronic records. RESULTS: The study population included 172 control and 315 intervention group patients. A total of 71.7% of patients in the intervention group had hidden needs that required intervention. The intervention group had significantly less ED re-attendance (adjusted incidence rate ratio (IRR) 0.59, 95% confidence interval (CI) 0.48-0.71) and hospitalisation rates (adjusted IRR 0.64, 95% CI 0.51-0.79) at 12 months. CONCLUSION: Older patients admitted to an EDOU are an at-risk group and benefit from geriatric assessment before discharge.
Authors: Lauren T Southerland; Katherine M Hunold; Christopher R Carpenter; Jeffrey M Caterino; Lorraine C Mion Journal: Am J Emerg Med Date: 2018-12-13 Impact factor: 2.469
Authors: Lauren T Southerland; Alexander X Lo; Kevin Biese; Glenn Arendts; Jay Banerjee; Ula Hwang; Scott Dresden; Vivian Argento; Maura Kennedy; Christina L Shenvi; Christopher R Carpenter Journal: Ann Emerg Med Date: 2019-11-13 Impact factor: 5.721
Authors: Lauren T Southerland; Anthony J Vargas; Lalitha Nagaraj; Tanya R Gure; Jeffery M Caterino Journal: Acad Emerg Med Date: 2017-11-24 Impact factor: 3.451
Authors: Mieke Deschodt; Els Devriendt; Marc Sabbe; Daniel Knockaert; Peter Deboutte; Steven Boonen; Johan Flamaing; Koen Milisen Journal: BMC Geriatr Date: 2015-04-26 Impact factor: 3.921
Authors: Wee Shiong Lim; Sweet Fun Wong; Ian Leong; Philip Choo; Weng Sun Pang Journal: Int J Environ Res Public Health Date: 2017-11-24 Impact factor: 3.390