Abstract
Geriatric Emergency Medicine is an important frontier for study and innovation by
emergency practitioners. The rapid growth of this patient population combined with
complex medical and social needs has prompted research ranging from which tests and
screening tools are most effective for geriatric evaluation to how we can safely manage
pain in the elderly or address goals of care in the Emergency Department. This review
summarizes emergency medicine articles focused on the older patient population published
in 2019, which the authors consider critical to the practice of geriatric emergency
medicine.
Keywords
To read this article in full you will need to make a payment
One-time access price info
- For academic or personal research use, select 'Academic and Personal'
- For corporate R&D use, select 'Corporate R&D Professionals'
Subscribe:
Subscribe to The American Journal of Emergency MedicineAlready a print subscriber? Claim online access
Already an online subscriber? Sign in
Register: Create an account
Institutional Access: Sign in to ScienceDirect
References
- Health, United States, 2014: with special feature on adults aged 55-64.
- Increasing rates of emergency department visits for elderly patients in the United States, 1993 to 2003.Ann Emerg Med. 2008; 51: 769-774https://doi.org/10.1016/j.annemergmed.2007.09.011
- Medical adverse events in elderly hospitalized patients: a prospective study.Clinics (Sao Paulo). 2012; 67: 1247-1252https://doi.org/10.6061/clinics/2012(11)04
- Older US emergency department patients are less likely to receive pain medication than younger patients: results from a national survey.Ann Emerg Med. 2012; 60: 199-206https://doi.org/10.1016/j.annemergmed.2011.09.014
- Updated AGS beers criteria® for potentially inappropriate medication use in older adults.J Am Geriatr Soc. 2019; 67: 674-694https://doi.org/10.1111/jgs.15767
- Intravenous subdissociative-dose ketamine versus morphine for analgesia in the emergency department: a randomized controlled trial.Ann Emerg Med. 2015; 66 (Sep. e1): 222-229
- Evaluating age in the field triage of injured persons.Ann Emerg Med. 2012; 60: 335-345https://doi.org/10.1016/j.annemergmed.2012.04.006
- Trauma triage decision tree – 2019 update.([on-line]. Available from)https://www.ems.ohio.gov/links/Trauma_Triage_Decision_Tree_2019_Update-Final.pdfDate accessed: January 28, 2020
- Geriatric-specific triage criteria are more sensitive than standard adult criteria in identifying need for trauma center care in injured older adults.Ann Emerg Med. 2015; 65: 92-100.e3https://doi.org/10.1016/j.annemergmed.2014.04.019
- Effect of geriatric-specific trauma triage criteria on outcomes in injured older adults: a statewide retrospective cohort study.J Am Geriatr Soc. 2016; 64 (Oct): 1944-1951https://doi.org/10.1111/jgs.14376
- Identifying elder abuse in the emergency department: toward a multidisciplinary team-based approach.Ann Emerg Med. 2016; 68 (Sep): 378-382https://doi.org/10.1016/j.annemergmed.2016.01.037
- Towards the development of a screening tool to enhance the detection of elder abuse and neglect by emergency medical technicians (EMTs): a qualitative study.BMC Emerg Med. 2016; 16 (Jun1): 19https://doi.org/10.1186/s12873-016-0084-3
- Delirium in elderly people.Lancet. 2014 Mar 8; 383: 911-922https://doi.org/10.1016/S0140-6736(13)60688-1
- Unrecognized incident delirium in older emergency department patients.J Emerg Med. 2019; 57 (Oct): 535-542https://doi.org/10.1016/j.jemermed.2019.05.024
- Older patients' understanding of emergency department discharge information and its relationship with adverse outcomes.J Patient Saf. 2011; 7 (Mar): 19-25https://doi.org/10.1097/PTS.0b013e31820c7678
- Assessing the impact of nurse post-discharge telephone calls on 30-day hospital readmission rates.J Gen Intern Med. 2014; 29: 1519-1525https://doi.org/10.1007/s11606-014-2954-2
- Detection of older people at increased risk of adverse health outcomes after an emergency visit: the ISAR screening tool.J Am Geriatr Soc. 1999; 47 (Oct): 1229-1237
- Telephone follow-up for older adults discharged to home from the emergency department: a pragmatic randomized controlled trial.J Am Geriatr Soc. 2018; 66: 452-458https://doi.org/10.1111/jgs.15142
- Rehospitalizations among patients in the Medicare fee-for-service program.N Engl J Med. 2009; 360: 1418-1428https://doi.org/10.1056/NEJMsa0803563
- Older people in the emergency department: a literature review.Int J Older People Nurs. 2015; 10: 284-305https://doi.org/10.1111/opn.12090
- Clinical frailty scale in an acute medicine unit: a simple tool that predicts length of stay.Can Geriatr J. 2016; 19 (Jun 29): 34-39https://doi.org/10.5770/cgj.19.196
- Frailty screening in the community using the FRAIL scale.J Am Med Dir Assoc. 2015; 16 (May 1): 412-419https://doi.org/10.1016/j.jamda.2015.01.087
- Anthropometric standardization reference manual.Human Kinetics Books, Champaign, IL1992
- Frailty predicts some but not all adverse outcomes in older adults discharged from the emergency department.J Am Geriatr Soc. 2008; 56 (Sep): 1651-1657https://doi.org/10.1111/j.1532-5415.2008.01840.x
- Older adults in the emergency department with frailty.Clin Geriatr Med. 2018; 34 (Aug): 369-386https://doi.org/10.1016/j.cger.2018.04.003
- Cardiovascular health study collaborative research group. Frailty in older adults: evidence for a phenotype.J Gerontol A Biol Sci Med Sci. 2001; 56 (Mar): M146-M156
- A four-item scale based on gait for the immediate global assessment of acutely ill medical patients – one look is more than 1000 words.Eur Geriatr Med. 2014; 5: 92-96https://doi.org/10.1016/j.eurger.2013.11.011
- The effect of education in hospice and palliative care on emergency medicine residents' knowledge and referral patterns.J Palliat Med. 2012; 15 (May): 510-515https://doi.org/10.1089/jpm.2011.0381
- Hospital-associated functional decline: the role of hospitalization processes beyond individual risk factors.J Am Geriatr Soc. 2015; 63 (Jan): 55-62https://doi.org/10.1111/jgs.13193
Article Info
Publication History
Published online: May 17, 2020
Accepted:
May 10,
2020
Received in revised form:
May 8,
2020
Received:
March 10,
2020
Identification
Copyright
© 2020 Elsevier Inc. All rights reserved.