The impact of geriatricians in the emergency department: A prospective observational study

IF 1.4 4区医学 Q4 GERIATRICS & GERONTOLOGY

Australasian Journal on Ageing Pub Date : 2025-03-24 DOI:10.1111/ajag.13405

Anvesh Jackson, Reza Pazhang, Rosa C. Gualano, Helen Psihogios, Rachel Rosler, Sumitha Bhaskaran

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引用次数: 0

Abstract

Objectives

The primary aim of this study was to evaluate the impacts of an emergency department (ED)-embedded geriatric service in redirecting older adults from an acute inpatient hospital admission through a targeted assessment by a geriatrician in ED (GED). Secondary aims were to describe the utilisation of local community health and outpatient services to successfully redirect older patients from an acute hospital admission and determine the re-attendance rates of patients to ED within 28 days after initial presentation.

Methods

This was a prospective observational study performed in two stages due to COVID-19-related interruption. All referrals by ED physicians related to older adults with geriatric syndromes were reviewed by GED. Of these patients, those with a planned disposition for an inpatient admission were included in the primary and secondary analysis of this study.

Results

A total of 273 patients were seen by GED. More than half of older adults (n = 147) planned for inpatient admission were directly discharged from ED. The failure rate, defined by older adults re-presenting to ED within 28 days with the same initial complaint and needing hospital admission, totalled 4%. Comorbid frailty, cognitive impairment and polypharmacy were common.

Conclusion

Evaluation of older adults presenting to ED by a geriatrician facilitates safe hospital admission prevention.

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老年病学医生对急诊科的影响：前瞻性观察研究

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来源期刊

Australasian Journal on Ageing 医学-老年医学

CiteScore

3.10

自引率

6.20%

发文量

114

审稿时长

>12 weeks

期刊介绍： Australasian Journal on Ageing is a peer reviewed journal, which publishes original work in any area of gerontology and geriatric medicine. It welcomes international submissions, particularly from authors in the Asia Pacific region.