Browse Items · NEOMED Bibliography Database

The Accuracy of Interqual Criteria in Determining the Observation versus Inpatient Status in Older Adults with Syncope.

BACKGROUND: McKesson's InterQual criteria are widely used in hospitals to determine if patients should be classified as observation or inpatient status, but the accuracy of the criteria is unknown. OBJECTIVE: We sought to determine whether InterQual…

Frequency of Abnormal and Critical Lab Results in Older Patients Presenting to the Emergency Department with Syncope

Syncope is a common and costly chief complaint among patients presenting to the emergency department (ED), accounting for 740,000 ED visits annually with an estimated annual cost of $2.4 billion per year in the United States.1,2 Syncope presents a…

Risk Stratification of Older Adults Who Present to the Emergency Department With Syncope: The FAINT Score

STUDY OBJECTIVE: Older adults with syncope are commonly treated in the emergency department (ED). We seek to derive a novel risk-stratification tool to predict 30-day serious cardiac outcomes. METHODS: We performed a prospective, observational study…

Variation in diagnostic testing for older patients with syncope in the emergency department

Background Older adults presenting with syncope often undergo intensive diagnostic testing with unclear benefit. We determined the variation, frequency, yield, and costs of tests obtained to evaluate older persons with syncope.

Distinct subgroups of emergency department frequent users: A latent class analysis.

Background: Emergency department (ED) frequent users have high resource utilization and associated costs. Many interventions have been designed to reduce utilization, but few have proved effective. This may be because this group is more heterogeneous…

Tags: 2019, Birmingham Lauren E, Cheruvu Vinay K, Department of Emergency Medicine, ED frequent user, Emergency department, Frey Jennifer A, Health Care Costs, Health care utilization, June 2019 Update, Latent class analysis, NEOMED College of Medicine, Stiffler Kirk A, The American journal of emergency medicine, VanGeest Jonathan

Do High-sensitivity Troponin and Natriuretic Peptide Predict Death or Serious Cardiac Outcomes After Syncope?

OBJECTIVES: An estimated 1.2 million annual emergency department (ED) visits for syncope/near syncope occur in the United States. Cardiac biomarkers are frequently obtained during the ED evaluation, but the prognostic value of index high-sensitivity…

Clinical Benefit of Hospitalization for Older Adults With Unexplained Syncope: A Propensity-Matched Analysis

STUDY OBJECTIVE: Many adults with syncope are hospitalized solely for observation and testing. We seek to determine whether hospitalization versus outpatient management for older adults with unexplained syncope is associated with a reduction in…

Recurrent syncope is not an independent risk predictor for future syncopal events or adverse outcomes

Almost 20% of patients with syncope will experience another event. It is unknown whether recurrent syncope is a marker for a higher or lower risk etiology of syncope. The goal of this study is to determine whether older adults with recurrent syncope…

Comparison of 30-Day Serious Adverse Clinical Events for Elderly Patients Presenting to the Emergency Department With Near-Syncope Versus Syncope.

STUDY OBJECTIVE: Controversy remains in regard to the risk of adverse events for patients presenting with syncope compared with near-syncope. The purpose of our study is to describe the difference in outcomes between these groups in a large…

Characterization of Older Emergency Department Patients Admitted to Psychiatric Units.

BACKGROUND: Many older patients presenting to emergency departments (EDs) with psychiatric complaints require admission to geropsychiatric units (GPUs). The medical evaluation needed prior to this is not understood. Our goal was to understand ED…

Tags: 2015, Chen Oriana, Department of Emergency Medicine, Emergency Medicine, Frey Jennifer A, Geriatric, Journal of clinical medicine research, Kohli Erol, NEOMED College of Medicine, Psychiatry, screening, Stiffler Kirk A

Predictors of Clinically Significant Echocardiography Findings in Older Adults with Syncope: A Secondary Analysis.

BACKGROUND: Syncope is a common reason for visiting the emergency department (ED) and is associated with significant healthcare resource utilization. OBJECTIVE: To develop a risk-stratification tool for clinically significant findings on…

Emergency department use and barriers to wellness: a survey of emergency department frequent users.

BACKGROUND: There is no common understanding of how needs of emergency department (ED) frequent users differ from other patients. This study sought to examine how to best serve this population. Examinations of why ED frequent users present to the ED,…

Outcomes of Patients With Syncope and Suspected Dementia.

OBJECTIVES: Syncope and near-syncope are common in patients with dementia and a leading cause of emergency department (ED) evaluation and subsequent hospitalization. The objective of this study was to describe the clinical trajectory and short-term…

Tags: 2018, 80 and over, Academic emergency medicine : official journal of the Society for Academic Emergency Medicine, Adler David H, Aged, Bastani Aveh, Baugh Christopher W, Caterino Jeffrey M, Clark Carol L, Dementia – Diagnosis – In Old Age, Dementia – Risk Factors, Dementia – Therapy, Department of Emergency Medicine, Diercks Deborah B, Emergency, Gibson Tommy A, Holden Timothy R, Hollander Judd E, Human, Iatrogenic Disease, Inpatients, interviews, Length of Stay, Malveau Susan E, Middle Age, NEOMED College of Medicine, Nicks Bret A, Nishijima Daniel K, Office Visits, Outcome Assessment, Outcomes (Health Care), Patient Assessment, Patient Discharge, Physicians, Prospective Studies, Shah Manish N, Stiffler Kirk A, Storrow Alan B, Sun Benjamin C, Surveys, Syncope – Diagnosis, Syncope – In Old Age, Syncope – Mortality, Weiss Robert E, Wilber Scott T, Yagapen Annick N

Health promotion and disease prevention in the emergency department.

This article provides an overview of health promotion and disease and injury prevention concepts. It provides an emergency medicine perspective and reviews approaches that can be used in the emergency department. It discusses examples of innovative…

Tags: *Emergency Medical Services, 2006, Cause of Death/trends, Department of Emergency Medicine, Emergency medicine clinics of North America, Emergency Service, Gerson Lowell W, Health Behavior, Health Promotion/*methods, Hospital/*organization & administration/statistics & numerical data, Humans, NEOMED College of Medicine, Preventive Health Services/*organization & administration, Stiffler Kirk A

Recurrent syncope is not an independent risk predictor for future syncopal events or adverse outcomes.

Almost 20% of patients with syncope will experience another event. It is unknown whether recurrent syncope is a marker for a higher or lower risk etiology of syncope. The goal of this study is to determine whether older adults with recurrent syncope…

Frailty defined by the SHARE Frailty Instrument and adverse outcomes after an ED visit.

Weakness and fatigue in older ED patients in the United States.

BACKGROUND: The objectives of this study are to estimate the prevalence of weakness and fatigue visits in older emergency department (ED) patients, to compare demographics and resource use in these patients with those without these complaints, and to…

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