Skip to main content Accessibility help

We use cookies to distinguish you from other users and to provide you with a better experience on our websites. Close this message to accept cookies or find out how to manage your cookie settings.

Close cookie message
×
Hostname: page-component-78c5997874-m6dg7 Total loading time: 0 Render date: 2024-11-17T17:10:15.419Z Has data issue: false hasContentIssue false

Case 3 - The Geriatric Emergency Department

Published online by Cambridge University Press:  04 July 2017

By
Ula Hwang  and
Christopher R. Carpenter
Edited by
Jennifer L. Wiler ,
Jesse M. Pines  and
Michael J. Ward
Jennifer L. Wiler
Affiliation:
University of Colorado School of Medicine
Jesse M. Pines
Affiliation:
George Washington University, Washington DC
Michael J. Ward
Affiliation:
Vanderbilt University Medical Center, Tennessee
Get access

Summary

A summary is not available for this content so a preview has been provided. Please use the Get access link above for information on how to access this content.
Image of the first page of this content. For PDF version, please use the ‘Save PDF’ preceeding this image.'
Type
Chapter
Information
Value and Quality Innovations in Acute and Emergency Care , pp. 82 - 90
Publisher: Cambridge University Press
Print publication year: 2017

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Carpenter, CR, Platts-Mills, TF. Evolving prehospital, emergency department, and “inpatient” management models for geriatric emergencies. Clinical Geriatric Medicine. 2013;29(1):31–47.CrossRefGoogle ScholarPubMed
Hwang, U, Shah, MN, Han, JH, Carpenter, CR, Siu, AL, Adams, JG. Transforming emergency care for older adults. Health Affairs. 2013;32(12):2116–2121.CrossRefGoogle ScholarPubMed
Tang, N, Stein, J, Hsia, RY, Maselli, JH, Gonzales, R. Trends and characteristics of US emergency department visits, 1997–2007. JAMA. 2010;304:664–670.CrossRefGoogle ScholarPubMed
Strange, G, Chen, E. Use of emergency departments by elder pateints: a five-year follow-up study. Academic Emergency Medicine. 1998;5:1157–1162.CrossRefGoogle Scholar
Wofford, JL, Schwartz, E, Timerding, BL, Folmar, S, Ellis, SD, Messick, CH. Emergency department utilization by the elderly: analysis of the national hospital ambulatory medical care survey. Academic Journal of Emergency Medcicine. 1996;3(7):694–699.CrossRefGoogle ScholarPubMed
Hamdy, RC, Forrest, LJ, Moore, SW, Cancellaro, L. Use of emergency departments by the elderly in rural areas. South Medical Journal. 1997;90(6):616–620.CrossRefGoogle ScholarPubMed
Singal, B, Hedges, J, Rousseau, E, et al. Geriatric patient emergency visits part 1: comparison of visits by geriatric and younger patients. Annals of Emergency Medicine. 1992;21:802–807.CrossRefGoogle Scholar
Baum, SA, Rubenstein, LZ. Old people in the emergency room: age-related differences in emergency department use and care. Journal of American Geriatric Society. 1987;35(5):398–404.CrossRefGoogle ScholarPubMed
Magid, DJ, Masoudi, FA, Vinson, DR, et al. Older emergency department patients with acute myocardial infarction receive lower quality of care than younger patients. Annals of Emergency Medicine. 2005;46(1):14–21.CrossRefGoogle ScholarPubMed
Hwang, U, Belland, LK, Handel, DA, et al. Is all pain treated equally? A multicenter evaluation of acute pain care by age. The Journal of Pain. 2014 Dec;155(12):2568–74.CrossRefGoogle Scholar
Hwang, U, Platts-Mills, TF. Acute pain management in older adults in the emergency department. Clinical Geriatric Medicine. 2013;29(1):151–164.CrossRefGoogle ScholarPubMed
Hastings, SN, Smith, VA, Weinberger, M, Oddone, EZ, Olsen, MK, Schmader, KE. Health services use of older veterans treated and released from Veterans Affairs medical center emergency departments. Journal of the American Geriatric Society. 2013;61(9):1515–1521.CrossRefGoogle ScholarPubMed
Hastings, SN, Oddone, EZ, Fillenbaum, G, Sloane, RJ, Schmader, KE. Frequency and predictors of adverse health outcomes in older Medicare beneficiaries discharged from the emergency department. Journal of Medical Care. 2008;46(8):771–777.CrossRefGoogle ScholarPubMed
McCusker, J, Cardin, S, Bellevance, F, Belzile, E. Return to the emergency department among elders: patterns and predictors. Academic Emergency Medicine. 2000;7(3):249–259.CrossRefGoogle Scholar
Grunier, A, Silver, MJ, Rochon, PA. Emergency department use by older adults: a literature review on trends, appropriateness, and consequences of unmet health care needs. Medical Care Research and Review. 2011;68(2):131–155.CrossRefGoogle Scholar
Schnitker, L, Martin-Khan, M, Beattie, E, Gray, L. Negative health outcomes and adverse events in older people attending emergency departments: a systematic review. Australasian Emergency Nursing Journal. 2011;14:141–162.CrossRefGoogle Scholar
Han, JH, Zimmerman, EE, Cutler, N, et al. Delirium in older emergency department patients: recognition, risk factors, and psychomotor subtypes. Academic Emergency Medicine. 2009;16(3):193–200.CrossRefGoogle ScholarPubMed
Tirrell, G, Sri-On, J, Lipsitz, LA, Camargo, CA, Kabrhel, C, Liu, SW. Evaluation of older adult patients with falls in the emergency department: discordance with national guidelines. Academic Emergency Medicine. 2015;22(4):461–467.CrossRefGoogle ScholarPubMed
Hwang, U, Morrison, RS. The geriatric emergency department. Journal of the American Geriatrics Society. 2007;55(11):1873–1876.CrossRefGoogle ScholarPubMed
Hogan, TM, Olade, TO, Carpenter, CR. A profile of acute care in an aging America: snowball sample identification and characterization of United States geriatric emergency departments in 2013. Academic Emergency Medicine. 2014 21(3):337–346.CrossRefGoogle Scholar
Hogan, TM, Losman, ED, Carpenter, CR, et al. Development of geriatric competencies for emergency medicine residents using an expert consensus process. Academic Emergency Medicine 2010;17(3):316–324.CrossRefGoogle ScholarPubMed
Carpenter, CR, Hwang, U, Rosenberg, M. New guidelines enhance care standards for elderly patients in the ED. ACEP Now. 2014;33:14–16, 28.Google Scholar
Centers for Medicare and Medicaid Innovation. Health Care Innovation Award project profiles. 2012. Available at http://innovation.cms.gov/Files/x/HCIA-Project-Profiles.pdf, http://innovation.cms.gov/initiatives/Health-Care-Innovation-Awards/New-York.html. Accessed August 18, 2014.Google Scholar
Hwang, U, Rosenberg, MS, Dresden, SM. Geriatrics emergency department: The GEDI WISE Program. In Malone, M, Capezuti, E, Palmer, RM, eds., Geriatrics Models of Care: Bringing “Best Practice” to an Aging America. 2015:201–209.CrossRefGoogle Scholar
Rosenberg, M, Carpenter, CR, Bromley, M, et al. Geriatric emergency department guidelines. Annals of Emergency Medicine. 2014;63(5):e7–e25.Google Scholar
Hamilton, C, Ronda, L, Hwang, U, et al. The evolving role of geriatric emergency department social work in the era of health care reform. Social Work Health Care. 2015;54(9):849–868.CrossRefGoogle ScholarPubMed
Chin, MH, Jin, L, Karrison, TG, et al. Older patients’ health-related quality of life around an episode of emergency illness. Annals of Emergency Medicine. 1999;34(5):595–603.CrossRefGoogle ScholarPubMed
Creditor, MD. Hazards of hospitalization of the elderly. Annals of Internal Medicine. 1993;118:219–223.CrossRefGoogle ScholarPubMed
Aldeen, AZ, Courtney, MC, Lindquist, LA, Dresden, SM, Gravenor, SJ. Geriatric emergency department innovations: preliminary data for the geriatric nurse liaison model. Journal of the American Geriatrics Society. 2014;62(9):1781–1785.CrossRefGoogle ScholarPubMed
McCusker, J, Bellavance, F, Cardin, S, Belzile, E, Verdon, J. Prediction of hospital utilization among elderly patients during the 6 months after an emergency department visit. Annals of Emergency Medicine. 2000;36(5):438–445.Google ScholarPubMed
Carpenter, CR, Shelton, E, Fowler, S, et al. Risk factors and screening instruments to predict adverse outcomes for undifferentiated older emergency department patients: a systematic review and meta-analysis. Academic Emergency Medicine. 2015;22(1):1–21.CrossRefGoogle ScholarPubMed
Qato, DM, Alexander, GC, Conti, RM, Johnson, M, Schumm, P, Lindau, ST. Use of prescription and over-the-counter medications and dietary supplements among older adults in the United States. JAMA. 2008;300(24):2867–2878.Google ScholarPubMed
Cooper, JA, Cadogan, CA, Patterson, SM, et al. Interventions to improve the appropriate use of polypharmacy in older people: a Cochrane systematic review. BMJ Open. 2015;5(12):e009235.CrossRefGoogle ScholarPubMed
American Geriatrics Society 2015 Beers Criteria Update Expert Panel. American Geriatrics Society 2015 updated Beers Criteria for potentially inappropriate medication use in older adults. Journal of the American Geriatrics Society. 2015;63(11):2227–2246.CrossRefGoogle Scholar
Budnitz, DS, Lovegrove, MC, Shehab, N, Richards, CL. Emergency hospitalizations for adverse drug events in older Americans. New England Journal of Medicine. 2011;365(21):2002–2012.CrossRefGoogle ScholarPubMed
Centers for Diease Control and Prevention (CDC). The timed up and go (TUG) test. Stopping Elderly Accidents Deaths and Injuries. Available at www.cdc.gov/steadi/pdf/tug_test-a.pdf. Accessed March 7, 2016.Google Scholar
Inouye, SK, Van Dyke, C, Alessi, C, Balkin, S, Siegal, A, Horowitz, R. Clarifying confusion: the confusion assessment method. A new method for detection of delirium. Annals of Internal Medicine.1991;15:941–948.Google Scholar
Carpenter, CR, Biese, K, Hogan, TM, Hwang, U, Malone, M, Melady, D. Geriatric ED boot camp offers collaborative onsite educational outreach pilot. ACEP Now. 2014; 14–16, 28.Google Scholar
Carpenter, CR, Gerson, L. Geriatric emergency medicine. In: LoCicero J, Rosenthal RA, Katic M, Pompei P, eds., A Supplement to New Frontiers in Geriatrics Research: An Agenda for Surgical and Related Medical Specialties. The American Geriatrics Society, 2008:45–71.Google Scholar
Mion, LC, Palmer, RM, Meldon, SW, et al. Case finding and referral model for emergency department elders: a randomized clinical trial. Annals of Emergency Medicine. 2003;41(1):57–68.CrossRefGoogle ScholarPubMed
McCusker, J, Verdon, J, Tousignant, P, de Courval, LP, Dendukuri, N, Belzile, E. Rapid emergency department intervention for older people reduces risk of functional declinde: results of a multicenter randomized trial. Journal of the American Geriatrics Society. 2001;49(10):1272–1281.CrossRefGoogle ScholarPubMed

Save book to Kindle

To save this book to your Kindle, first ensure [email protected] is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about saving to your Kindle.

Note you can select to save to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be saved to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.

Find out more about the Kindle Personal Document Service.

Available formats
×

Save book to Dropbox

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Dropbox.

Available formats
×

Save book to Google Drive

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Google Drive.

Available formats
×