Journal ArticleDOI
The elderly in the emergency department: a critical review of problems and solutions
Fabio Salvi,Valeria Morichi,Annalisa Grilli,Raffaella Giorgi,G. De Tommaso,Paolo Dessì-Fulgheri +5 more
TLDR
The epidemiological load and problems faced when confronted with elder ED patients are analyzed, and Triage, clinical assessment and discharge are identified as critical moments during an emergency care process, and interesting and useful instruments are proposed as possible solutions.Abstract:
The elderly are an ever increasing population in overcrowded emergency departments (EDs) in many countries. They have multiple health problems and consume more time and resources than younger patients. They are more frequently admitted and experience adverse outcomes after they are discharged from the ED. These frail patients could require specific skills, instruments and organisational models of emergency care in order to look after their complex needs. As such, several approaches have been tried and tested to improve emergency care for them. This article analyses the epidemiological load and problems faced when confronted with elder ED patients. We critically review organisational models, clinical approaches and methodologies in order to reduce ED physicians’ difficulties and to improve quality of care and outcomes for elder patients. Triage, clinical assessment and discharge are identified as critical moments during an emergency care process, and interesting and useful instruments are proposed as possible solutions.read more
Citations
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Journal ArticleDOI
Older patients in the emergency department: a review
TL;DR: The most common conditions encountered in older patients, including delirium, dementia, falls, and polypharmacy, are reviewed, and a strategy based on the targeting of high-risk patients is proposed and examples of simple and efficient tools that are appropriate for ED use are provided.
Journal ArticleDOI
Risk factors and screening instruments to predict adverse outcomes for undifferentiated older emergency department patients: a systematic review and meta-analysis.
Chris Carpenter,Erica Shelton,Susan Fowler,Brian Suffoletto,Timothy F. Platts-Mills,Richard E. Rothman,Teresita M. Hogan +6 more
TL;DR: Risk stratification of geriatric adults following ED care is limited by the lack of pragmatic, accurate, and reliable instruments and Clinicians, educators, and policy-makers should not use these instruments as valid predictors of post-ED adverse outcomes.
Journal ArticleDOI
Emergency department use by older adults: a literature review on trends, appropriateness, and consequences of unmet health care needs.
TL;DR: The literature on ED use by older adults within the context of evaluating their need for emergency care and the extent to which access to primary and supportive care services affect use is reviewed.
Journal ArticleDOI
At Risk of Undertriage? Testing the Performance and Accuracy of the Emergency Severity Index in Older Emergency Department Patients
Florian F. Grossmann,Thomas Zumbrunn,Anna Frauchiger,Karen Delport,Roland Bingisser,Christian H. Nickel +5 more
TL;DR: The results suggest that the Emergency Severity Index is reliable and valid for triage of older patients and at risk for undertriage.
Journal ArticleDOI
Emergency Department Visits by Nursing Home Residents in the United States
TL;DR: To characterize emergency department (ED) use by nursing home residents in the United States, EMTs are referred to as "emergency departments" rather than "gyms" as in the past.
References
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