Profiles of older patients in the emergency department: findings from the interRAI Multinational Emergency Department Study.
Cast your vote
You can rate an item by clicking the amount of stars they wish to award to this item.
When enough users have cast their vote on this item, the average rating will also be shown.
Your vote was cast
Thank you for your feedback
Thank you for your feedback
AuthorsGray, Leonard C
Peel, Nancye M
Costa, Andrew P
Dey, Aparajit B
Jonsson, Palmi V
Wellens, Nathalie I H
MetadataShow full item record
CitationAnn Emerg Med 2013, 62 (5):467-74
AbstractWe examine functional profiles and presence of geriatric syndromes among older patients attending 13 emergency departments (EDs) in 7 nations.
This was a prospective observational study of a convenience sample of patients, aged 75 years and older, recruited sequentially and mainly during normal working hours. Clinical observations were drawn from the interRAI Emergency Department Screener, with assessments performed by trained nurses.
A sample of 2,282 patients (range 98 to 549 patients across nations) was recruited. Before becoming unwell, 46% were dependent on others in one or more aspects of personal activities of daily living. This proportion increased to 67% at presentation to the ED. In the ED, 26% exhibited evidence of cognitive impairment, and 49% could not walk without supervision. Recent falls were common (37%). Overall, at least 48% had a geriatric syndrome before becoming unwell, increasing to 78% at presentation to the ED. This pattern was consistent across nations.
Functional problems and geriatric syndromes affect the majority of older patients attending the ED, which may have important implications for clinical protocols and design of EDs.
DescriptionTo access publisher's full text version of this article click on the hyperlink at the bottom of the page
RightsArchived with thanks to Annals of emergency medicine
- Geriatric syndromes predict postdischarge outcomes among older emergency department patients: findings from the interRAI Multinational Emergency Department Study.
- Authors: Costa AP, Hirdes JP, Heckman GA, Dey AB, Jonsson PV, Lakhan P, Ljunggren G, Singler K, Sjostrand F, Swoboda W, Wellens NI, Gray LC
- Issue date: 2014 Apr
- The predictive validity of the interRAI ED screener for predicting re-presentation within 28 days for older adults at a regional hospital emergency department.
- Authors: Taylor A, Broadbent M, Wallis M, Marsden E
- Issue date: 2019 Sep
- [Old people in the Emergency Department; Icelandic results from the InterRAI multinational ED study].
- Authors: Höskuldsdóttir GT, Geirsdóttir ÓG, Kristjánsdóttir ID, Jóhannesdóttir H, Benediktsdóttir B, Guđjónsdóttir B, Magnúsdóttir I, Rúnarsdóttir S, Jónsson PV
- Issue date: 2014 Jan
- Assessing Older Patients' Vulnerability in the Emergency Department: A Study of InterRAI ED Screener Accuracy.
- Authors: Michalski-Monnerat C, Carron PN, Nguyen S, Büla C, Mabire C
- Issue date: 2020 Sep 22
- Early indications that low mental quality of life scores in recently unwell older people predict downstream functional decline.
- Authors: Atlas A, Grimmer K, Kennedy K
- Issue date: 2015