1
40
21
-
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
URL Address
<a href="http://doi.org/10.1067/mem.2000.110823" target="_blank" rel="noreferrer noopener">http://doi.org/10.1067/mem.2000.110823</a>
Pages
427–431
Issue
5
Volume
36
Dublin Core
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Title
A name given to the resource
The bronchodilator effect of intravenous glucagon in asthma exacerbation: a randomized, controlled trial.
Publisher
An entity responsible for making the resource available
Annals of emergency medicine
Date
A point or period of time associated with an event in the lifecycle of the resource
2000
2000-11
Subject
The topic of the resource
Adult; Asthma/complications/*drug therapy; Bronchodilator Agents/*administration & dosage; Double-Blind Method; Female; Glucagon/*administration & dosage; Humans; Injections; Intravenous; Male
Creator
An entity primarily responsible for making the resource
Wilber S T; Wilson J E; Blanda M; Gerson L W; Meerbaum S O; Janas G
Description
An account of the resource
STUDY OBJECTIVE: Glucagon is a rapid-acting smooth muscle relaxant with a short half-life. Previous studies suggested glucagon may have bronchodilator effects. We sought to determine whether intravenous glucagon produces clinically important immediate bronchodilation in emergency department patients with asthma exacerbation. METHODS: We conducted a randomized, double-blind, placebo-controlled study at 2 university-affiliated community teaching hospital EDs (annual census 90,000). ED patients 18 to 50 years old with asthma exacerbation and peak expiratory flow rate (PEFR) less than 350 L/min were eligible. Exclusion criteria were need for intubation, chronic obstructive pulmonary disease, diabetes mellitus, insulinoma, pheochromocytoma, pregnancy, lactation, or current oral steroid treatment. Patients were randomly assigned to receive glucagon 0.03 mg/kg or an equivalent volume of saline solution intravenously. At 10 minutes, PEFR was measured and all patients began standardized albuterol therapy. Successful bronchodilation was a PEFR increase of 60 L/min at 10 minutes. RESULTS: Success occurred in 2 (9.5%) of 21 glucagon-treated patients and 3 (12%) of 25 placebo-treated patients (95% confidence interval [CI] for difference of -2.5% [-20.4% to 15. 4%]). Mean PEFR improvement for glucagon was 2 L/min versus 9 L/min for placebo (95% CI for difference of -7 L/min [-36 L/min to 23 L/min]). CONCLUSION: Glucagon alone provided no clinically important immediate bronchodilation in ED patients with asthma exacerbation.
Identifier
An unambiguous reference to the resource within a given context
<a href="http://doi.org/10.1067/mem.2000.110823" target="_blank" rel="noreferrer noopener">10.1067/mem.2000.110823</a>
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Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
2000
Adult
Annals of emergency medicine
Asthma/complications/*drug therapy
Blanda M
Bronchodilator Agents/*administration & dosage
Department of Emergency Medicine
Double-Blind Method
Female
Gerson L W
Glucagon/*administration & dosage
Humans
Injections
Intravenous
Janas G
Male
Meerbaum S O
NEOMED College of Medicine
Wilber S T
Wilson J E
-
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
URL Address
<a href="http://doi.org/10.1111/j.1553-2712.2010.00773.x" target="_blank" rel="noreferrer noopener">http://doi.org/10.1111/j.1553-2712.2010.00773.x</a>
Pages
649–651
Issue
6
Volume
17
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Risk ratios and odds ratios for common events in cross-sectional and cohort studies.
Publisher
An entity responsible for making the resource available
Academic Emergency Medicine
Date
A point or period of time associated with an event in the lifecycle of the resource
2010
2010-06
Subject
The topic of the resource
Female; Pregnancy; Odds Ratio; Prospective Studies; Cross Sectional Studies; Descriptive Statistics; Logistic Regression; Models; Statistical; Pregnancy Trimester; Third; Relative Risk; Fibrin Fibrinogen Degradation Products – Analysis
Creator
An entity primarily responsible for making the resource
Wilber S T; Fu R
Identifier
An unambiguous reference to the resource within a given context
<a href="http://doi.org/10.1111/j.1553-2712.2010.00773.x" target="_blank" rel="noreferrer noopener">10.1111/j.1553-2712.2010.00773.x</a>
Rights
Information about rights held in and over the resource
Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
2010
Academic Emergency Medicine
Cross Sectional Studies
Descriptive Statistics
Female
Fibrin Fibrinogen Degradation Products – Analysis
Fu R
Logistic Regression
Models
Odds Ratio
Pregnancy
Pregnancy Trimester
Prospective Studies
Relative Risk
Statistical
Third
Wilber S T
-
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
URL Address
<a href="http://doi.org/10.1111/j.1553-2712.2008.00158.x" target="_blank" rel="noreferrer noopener">http://doi.org/10.1111/j.1553-2712.2008.00158.x</a>
Pages
613–616
Issue
7
Volume
15
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
The Six-item Screener to Detect Cognitive Impairment in Older Emergency Department Patients.
Publisher
An entity responsible for making the resource available
Academic Emergency Medicine
Date
A point or period of time associated with an event in the lifecycle of the resource
2008
2008-07
Subject
The topic of the resource
Female; Male; Aged; Sensitivity and Specificity; Prospective Studies; ROC Curve; Geriatric Assessment; Academic Medical Centers; Confidence Intervals; Psychological Tests; Human; Cross Sectional Studies; Emergency Service; Cognition Disorders – Diagnosis; Emergency Medicine – Equipment and Supplies
Creator
An entity primarily responsible for making the resource
Wilber S T; Carpenter CR; Hustey FM
Description
An account of the resource
BACKGROUND: Cognitive impairment due to delirium or dementia is common in older emergency department (ED) patients. To prevent errors, emergency physicians (EPs) should use brief, sensitive tests to evaluate older patient's mental status. Prior studies have shown that the Six-Item Screener (SIS) meets these criteria. OBJECTIVES: The goal was to verify the performance of the SIS in a large, multicenter sample of older ED patients. METHODS: A prospective, cross-sectional study was conducted in three urban academic medical center EDs. English-speaking ED patients \textgreater or = 65 years old were enrolled. Patients who received medications that could affect cognition, were too ill, were unable to cooperate, were previously enrolled, or refused to participate were excluded. Patients were administered either the SIS or the Mini-Mental State Examination (MMSE), followed by the other test 30 minutes later. An MMSE of 23 or less was the criterion standard for cognitive impairment; the SIS cutoff was 4 or less for cognitive impairment. Standard operator characteristics of diagnostic tests were calculated with 95% confidence intervals (CIs), and a receiver operating characteristic curve was plotted. RESULTS: The authors enrolled 352 subjects; 111 were cognitively impaired by MMSE (32%, 95% CI = 27% to 37%). The SIS was 63% sensitive (95% CI = 53% to 72%) and 81% specific (95% CI = 75% to 85%). The area under the receiver operating characteristic curve was 0.77 (95% CI = 0.72 to 0.83). CONCLUSIONS: The sensitivity of the SIS was lower than in prior studies. The reasons for this lower sensitivity are unclear. Further study is needed to clarify the ideal brief mental status test for ED use.
Identifier
An unambiguous reference to the resource within a given context
<a href="http://doi.org/10.1111/j.1553-2712.2008.00158.x" target="_blank" rel="noreferrer noopener">10.1111/j.1553-2712.2008.00158.x</a>
Rights
Information about rights held in and over the resource
Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
2008
Academic Emergency Medicine
Academic Medical Centers
Aged
Carpenter CR
Cognition Disorders – Diagnosis
Confidence Intervals
Cross Sectional Studies
Emergency Medicine – Equipment and Supplies
Emergency Service
Female
Geriatric Assessment
Human
Hustey FM
Male
Prospective Studies
Psychological Tests
ROC Curve
Sensitivity and Specificity
Wilber S T
-
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
URL Address
<a href="http://doi.org/10.1016/j.emc.2006.01.011" target="_blank" rel="noreferrer noopener">http://doi.org/10.1016/j.emc.2006.01.011</a>
Pages
299–vi
Issue
2
Volume
24
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Altered mental status in older emergency department patients.
Publisher
An entity responsible for making the resource available
Emergency medicine clinics of North America
Date
A point or period of time associated with an event in the lifecycle of the resource
2006
2006-05
Subject
The topic of the resource
Aged; United States; Psychological Tests; Emergency Service – Trends – United States; Mental Disorders – Diagnosis; Mental Disorders – Epidemiology – United States
Creator
An entity primarily responsible for making the resource
Wilber S T
Description
An account of the resource
This article reviews the significance of altered mental status in older emergency department patients. Specific diagnoses are discussed, including delirium, stupor and coma, and dementia, with a focus on delirium. Finally, an approach to all older patients is suggested that should result in increased clinician comfort with older patients, improved ability to communicate with other physicians, increased quality of care, and improved patient and family satisfaction. Copyright © 2006 by Elsevier Inc.
Identifier
An unambiguous reference to the resource within a given context
<a href="http://doi.org/10.1016/j.emc.2006.01.011" target="_blank" rel="noreferrer noopener">10.1016/j.emc.2006.01.011</a>
Rights
Information about rights held in and over the resource
Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
2006
Aged
Emergency medicine clinics of North America
Emergency Service – Trends – United States
Mental Disorders – Diagnosis
Mental Disorders – Epidemiology – United States
Psychological Tests
United States
Wilber S T
-
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
URL Address
<a href="http://doi.org/10.1197/j.aem.2006.01.006" target="_blank" rel="noreferrer noopener">http://doi.org/10.1197/j.aem.2006.01.006</a>
Pages
680–682
Issue
6
Volume
13
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Does functional decline prompt emergency department visits and admission in older patients?
Publisher
An entity responsible for making the resource available
Academic Emergency Medicine
Date
A point or period of time associated with an event in the lifecycle of the resource
2006
2006-06
Subject
The topic of the resource
Female; Male; Ohio; Aged; Prospective Studies; Hospitals; Activities of Daily Living; Confidence Intervals; Human; Convenience Sample; Questionnaires; Cross Sectional Studies; Descriptive Statistics; Funding Source; Data Analysis Software; Surveys; Coefficient Alpha; Clinical Assessment Tools; Emergency Service; Community; Geriatric Functional Assessment; 80 and Over; Emergency Care – In Old Age; Functional Status – In Old Age; Health Resource Utilization – In Old Age; Patient Admission – In Old Age
Creator
An entity primarily responsible for making the resource
Wilber S T; Blanda M; Gerson L W
Description
An account of the resource
BACKGROUND: Older patients may visit the emergency department (ED) when their illness affects their function. OBJECTIVES: To quantify the function of older ED patients, to assess whether functional decline (FD) had occurred, and to determine whether function contributes to the ED visit and hospital admission. METHODS: The authors performed an institutional review board-approved, prospective, cross-sectional study in a community teaching hospital ED. Eligible patients were older than 74 years of age, with an illness at least 48 hours old. Patients from a nursing facility and those without a proxy who were unable or unwilling to complete the questions were excluded. The Older Americans Resources and Services Questionnaire, which tests seven instrumental activities of daily living (IADL) and seven physical ADLs (PADL), was used. Data are presented as means or proportions with 95% confidence intervals (95% CI), and comparisons as 95% CI for the difference between proportions. RESULTS: The authors enrolled 90 patients (mean age, 81.6 yr [SD +/- 4.9], 40% male). Dependence in at least one IADL was reported by 68% (95% CI = 57% to 77%), and in at least one PADL by 61% (95% CI = 50% to 71%). Functional decline was reported by 74% (95% CI = 64% to 83%). Two thirds of those with IADL decline and three quarters of those with PADL decline said that this contributed to their ED visit. Seventy-seven percent with, and 63% without, IADL decline were admitted (14% difference, 95% CI = -6.1% to 33%). Seventy-nine percent with and 61% without PADL decline were admitted (18% difference, 95% CI = -1.4% to 38%). CONCLUSIONS: Functional decline is common in older ED patients and contributes to ED visits in older patients; its role in admission is unclear.
Identifier
An unambiguous reference to the resource within a given context
<a href="http://doi.org/10.1197/j.aem.2006.01.006" target="_blank" rel="noreferrer noopener">10.1197/j.aem.2006.01.006</a>
Rights
Information about rights held in and over the resource
Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
2006
80 and over
Academic Emergency Medicine
Activities of Daily Living
Aged
Blanda M
Clinical Assessment Tools
Coefficient Alpha
Community
Confidence Intervals
Convenience Sample
Cross Sectional Studies
Data Analysis Software
Department of Emergency Medicine
Descriptive Statistics
Emergency Care – In Old Age
Emergency Service
Female
Functional Status – In Old Age
Funding Source
Geriatric Functional Assessment
Gerson L W
Health Resource Utilization – In Old Age
Hospitals
Human
Male
NEOMED College of Medicine
Ohio
Patient Admission – In Old Age
Prospective Studies
Questionnaires
Surveys
Wilber S T
-
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
URL Address
<a href="http://doi.org/10.1197/j.aem.2006.09.050" target="_blank" rel="noreferrer noopener">http://doi.org/10.1197/j.aem.2006.09.050</a>
Pages
1345–1351
Issue
12
Volume
13
Dublin Core
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Title
A name given to the resource
Geriatric emergency medicine and the 2006 Institute of Medicine reports from the Committee on the Future of Emergency Care in the U.S. Health System.
Publisher
An entity responsible for making the resource available
Academic Emergency Medicine
Date
A point or period of time associated with an event in the lifecycle of the resource
2006
2006-12
Subject
The topic of the resource
Aged; United States; Outpatients; Emergency Medicine; Health Services Needs and Demand; Health Policy; Nursing Homes; Disaster Planning; Inpatients; Drugs; Health Care Delivery; Institute of Medicine (U.S.); Subacute Care; Prehospital Care; 80 and Over; Emergency Care – Trends – In Old Age; Emergency Service – Trends; Health Services for the Aged – Trends
Creator
An entity primarily responsible for making the resource
Wilber S T; Gerson L W; Terrell KM; Carpenter CR; Shah MN; Heard K; Hwang U
Description
An account of the resource
Three recently published Institute of Medicine reports, Hospital-Based Emergency Care: At the Breaking Point, Emergency Medical Services: At the Crossroads, and Emergency Care for Children: Growing Pains, examined the current state of emergency care in the United States. They concluded that the emergency medicine system as a whole is overburdened, underfunded, and highly fragmented. These reports did not specifically discuss the effect the aging population has on emergency care now and in the future and did not discuss special needs of older patients. This report focuses on the emergency care of older patients, with the intent to provide information that will help shape discussions on this issue.
Identifier
An unambiguous reference to the resource within a given context
<a href="http://doi.org/10.1197/j.aem.2006.09.050" target="_blank" rel="noreferrer noopener">10.1197/j.aem.2006.09.050</a>
Rights
Information about rights held in and over the resource
Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
2006
80 and over
Academic Emergency Medicine
Aged
Carpenter CR
Disaster Planning
Drugs
Emergency Care – Trends – In Old Age
Emergency Medicine
Emergency Service – Trends
Gerson L W
Health Care Delivery
Health Policy
Health Services for the Aged – Trends
Health Services Needs and Demand
Heard K
Hwang U
Inpatients
Institute of Medicine (U.S.)
Nursing Homes
Outpatients
prehospital care
Shah MN
Subacute Care
Terrell KM
United States
Wilber S T
-
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
URL Address
<a href="http://doi.org/10.1016/j.ajem.2005.02.035" target="_blank" rel="noreferrer noopener">http://doi.org/10.1016/j.ajem.2005.02.035</a>
Pages
295–298
Issue
3
Volume
23
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Home modification to prevent falls by older ED patients.
Publisher
An entity responsible for making the resource available
American Journal of Emergency Medicine
Date
A point or period of time associated with an event in the lifecycle of the resource
2005
2005-05
Subject
The topic of the resource
Female; Male; Aged; Prospective Studies; Confidence Intervals; Human; Chi Square Test; Funding Source; Data Analysis Software; Logistic Regression; T-Tests; Emergency Service; Accidents; Consumer Health Information; Home Environment; Home Safety; Pamphlets; 80 and Over; Accidental Falls – Prevention and Control; Home – Prevention and Control
Creator
An entity primarily responsible for making the resource
Gerson L W; Camargo CA Jr; Wilber S T
Description
An account of the resource
This trial was conducted at 11 EDs to test the effectiveness of distributing fall prevention information to patients 65 years or older. Intervention patients were given 2 brochures and received a reminder call 2 weeks later. All patients were called at 1 month and asked if they made home safety modifications. Three hundred ninety-seven patients were enrolled (118 control, 279 intervention). Seventy-six percent had complete follow up interviews. Nine percent of control and 8% of intervention patients reported a home modification (95% confidence interval on difference, -8.1% to 5.5%). Patients who fell in the prior year had a 2.0 increased odds (95% confidence interval, 0.8-4.6) of making a home modification. The similar home modification rates in the 2 study groups suggest that even minimum discussion (eg, the informed consent procedure) may increase patients' fall prevention activities. The stronger association in patients who fell suggests that a targeted program may have added benefit. Copyright © 2005 by Elsevier Science (USA).
Identifier
An unambiguous reference to the resource within a given context
<a href="http://doi.org/10.1016/j.ajem.2005.02.035" target="_blank" rel="noreferrer noopener">10.1016/j.ajem.2005.02.035</a>
Rights
Information about rights held in and over the resource
Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
2005
80 and over
Accidental Falls – Prevention and Control
Accidents
Aged
American Journal of Emergency Medicine
Camargo CA Jr
Chi Square Test
Confidence Intervals
Consumer Health Information
Data Analysis Software
Emergency Service
Female
Funding Source
Gerson L W
Home – Prevention and Control
Home Environment
Home Safety
Human
Logistic Regression
Male
Pamphlets
Prospective Studies
T-Tests
Wilber S T
-
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
URL Address
<a href="http://doi.org/10.1111/j.1553-2712.2005.tb00846.x" target="_blank" rel="noreferrer noopener">http://doi.org/10.1111/j.1553-2712.2005.tb00846.x</a>
Pages
119–123
Issue
2
Volume
12
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Reclining chairs reduce pain from gurneys in older emergency department patients: a randomized controlled trial.
Publisher
An entity responsible for making the resource available
Academic Emergency Medicine
Date
A point or period of time associated with an event in the lifecycle of the resource
2005
2005-02
Subject
The topic of the resource
Ohio; Aged; Sensitivity and Specificity; Prospective Studies; Pain Measurement; Patient Satisfaction; Outpatients; Hospitals; Self Report; Confidence Intervals; Human; Descriptive Statistics; Funding Source; Scales; Data Analysis Software; Surveys; Coefficient Alpha; Summated Rating Scaling; Emergency Service; Community; Treatment Outcomes; Emergency Patients; Beds and Mattresses; Interior Design and Furnishings; Patient Positioning; Single-Blind Studies; 80 and Over; Pain – Prevention and Control – In Old Age
Creator
An entity primarily responsible for making the resource
Wilber S T; Burger B; Gerson L W; Blanda M
Description
An account of the resource
OBJECTIVES: Pain related to the gurney is a frequent complaint of older emergency department (ED) patients. The authors hypothesized that these patients may have less pain and higher satisfaction if allowed to sit in a reclining hospital chair. METHODS: A single-blind, randomized controlled trial was performed. Patients 65 years old or older who were able to sit upright, transfer, and engage in normal conversation were eligible. Severely ill or cognitively impaired patients were excluded. Patients were randomized to either remain on the gurney or transfer to the chair after initial evaluation. Patients reported pain at arrival (t0), at one hour (t1), and at two hours (t2) using a 0-10 pain scale, and satisfaction at study completion on a 0-10 scale. The primary outcome was a decrease in pain between t0 and t1 or no pain at both t0 and t1. This outcome was analyzed using a 95% confidence interval for the difference between proportions; exclusion of zero was considered significant. RESULTS: Sixty-six patients in each group were enrolled. There was no difference in demographics between groups, but the chair patients were more likely to have pain at t0 than the gurney patients. More chair patients than gurney patients had a successful primary outcome (97% vs. 76%, 21% difference, 95% CI=10% to 32%). The mean satisfaction score was higher in the chair group than in the gurney group (8.1 vs. 6.0, 2.1 difference, 95% CI=1.4% to 2.8%). CONCLUSIONS: The simple modification of allowing older ED patients to sit in reclining chairs resulted in less pain and higher satisfaction.
Identifier
An unambiguous reference to the resource within a given context
<a href="http://doi.org/10.1111/j.1553-2712.2005.tb00846.x" target="_blank" rel="noreferrer noopener">10.1111/j.1553-2712.2005.tb00846.x</a>
Rights
Information about rights held in and over the resource
Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
2005
80 and over
Academic Emergency Medicine
Aged
Beds and Mattresses
Blanda M
Burger B
Coefficient Alpha
Community
Confidence Intervals
Data Analysis Software
Department of Emergency Medicine
Descriptive Statistics
Emergency Patients
Emergency Service
Funding Source
Gerson L W
Hospitals
Human
Interior Design and Furnishings
NEOMED College of Medicine
Ohio
Outpatients
Pain – Prevention and Control – In Old Age
Pain Measurement
PATIENT positioning
Patient Satisfaction
Prospective Studies
Scales
Self Report
Sensitivity and Specificity
Single-Blind Studies
Summated Rating Scaling
Surveys
Treatment Outcomes
Wilber S T
-
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
URL Address
<a href="http://doi.org/10.1111/j.1553-2712.2003.tb01999.x" target="_blank" rel="noreferrer noopener">http://doi.org/10.1111/j.1553-2712.2003.tb01999.x</a>
Pages
251–260
Issue
3
Volume
10
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
A research agenda for geriatric emergency medicine.
Publisher
An entity responsible for making the resource available
Academic Emergency Medicine
Date
A point or period of time associated with an event in the lifecycle of the resource
2003
2003-03
Subject
The topic of the resource
Aged; Physicians; Health Services Research; Emergency Medicine; Geriatric Assessment; Emergency Service; Research Priorities; Health Resource Utilization; Prehospital Care; Trauma – Therapy – In Old Age; Emergency Care – In Old Age; Emergency – Education
Creator
An entity primarily responsible for making the resource
Wilber S T; Gerson L W
Description
An account of the resource
OBJECTIVES: The Research Agenda Setting Process (RASP), part of the American Geriatric Society's (AGS's) project 'Increasing Geriatric Expertise in Surgical and Related Medical Specialties,' was designed to define a research agenda for the geriatrics aspects of participating specialties. This paper presents a summary of the research agenda for emergency medicine. METHODS: The RASP was developed by the AGS in conjunction with experts from the participating specialty organizations. A 'content expert' (CE) for each specialty developed a Medline search strategy in conjunction with RAND Health librarians. The CE reviewed the search to identify papers that were germane to research in the emergency care of older patients. The CE and a senior writing group member drafted a paper that synthesized the current literature and suggested areas for further research. A panel consisting of AGS members and emergency physicians with geriatrics expertise reviewed this paper. The research agenda was further refined at a two-day retreat. Two senior geriatricians reviewed the resulting paper. RESULTS: The Medline search for emergency medicine resulted in a list of 3,348 articles; 299 articles were pertinent and reviewed. The search for trauma resulted in a list of 1,838 articles; 133 were reviewed. Research agenda items were defined for multiple topics within geriatric emergency medicine and trauma. CONCLUSION: A research agenda for geriatric emergency medicine has been developed, using a combination of review of current literature and expert opinion.
Identifier
An unambiguous reference to the resource within a given context
<a href="http://doi.org/10.1111/j.1553-2712.2003.tb01999.x" target="_blank" rel="noreferrer noopener">10.1111/j.1553-2712.2003.tb01999.x</a>
Rights
Information about rights held in and over the resource
Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
2003
Academic Emergency Medicine
Aged
Emergency – Education
Emergency Care – In Old Age
Emergency Medicine
Emergency Service
Geriatric Assessment
Gerson L W
Health Resource Utilization
Health Services Research
Physicians
prehospital care
Research Priorities
Trauma – Therapy – In Old Age
Wilber S T
-
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
URL Address
<a href="http://doi.org/10.1016/j.annemergmed.2018.12.005" target="_blank" rel="noreferrer noopener">http://doi.org/10.1016/j.annemergmed.2018.12.005</a>
Pages
500–510
Issue
5
Volume
73
ISSN
0196-0644
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Dublin Core
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Title
A name given to the resource
Prevalence of Pulmonary Embolism Among Emergency Department Patients With Syncope: A Multicenter Prospective Cohort Study
Publisher
An entity responsible for making the resource available
Annals of Emergency Medicine
Date
A point or period of time associated with an event in the lifecycle of the resource
2019
2019-05
Subject
The topic of the resource
Emergency Medicine; guidelines; diagnostic-tests; yield; risk-stratification; short-term
Creator
An entity primarily responsible for making the resource
Thiruganasambandamoorthy V; Sivilotti M L A; Rowe B H; McRae A D; Mukarram M; Malveau S; Yagapen A N; Sun B C; Nemnom M J; Huang L; Taljaard M; Gaudet S; Kim S M; Adler D H; Bastani A; Baugh C W; Caterino J M; Clark C L; Diercks D B; Hollander J E; Nicks B A; Nishijima D K; Shah M N; Stiffler K A; Wilber S T; Storrow A B; North Amer Syncope Consortium
Description
An account of the resource
Study objective: The prevalence of pulmonary embolism among patients with syncope is understudied. In accordance with a recent study with an exceptionally high pulmonary embolism prevalence, some advocate evaluating all syncope patients for pulmonary embolism, including those with another clear cause for their syncope. We seek to evaluate the pulmonary embolism prevalence among emergency department (ED) patients with syncope. Methods: We combined data from 2 large prospective studies enrolling adults with syncope from 17 EDs in Canada and the United States. Each study collected the results of pulmonary embolism-related investigations (ie, D-dimer, ventilation-perfusion scan, or computed tomography [CT] pulmonary angiography) and 30-day adjudicated outcomes: pulmonary embolism or nonpulmonary embolism outcome (arrhythmia, myocardial infarction, serious hemorrhage, and death). Results: Of the 9,374 patients enrolled, 9,091 (97.0%; median age 66 years, 51.9% women) with 30-day follow-up were analyzed: 547 (6.0%) were evaluated for pulmonary embolism (278 [3.1%] had D-dimer, 39 [0.4%] had ventilation-perfusion scan, and 347 [3.8%] had CT pulmonary angiography). Overall, 874 patients (9.6%) experienced 30-day serious outcomes: 818 patients (9.0%) with nonpulmonary embolism serious outcomes and 56 (prevalence 0.6%; 95% confidence interval 0.5% to 0.8%) with pulmonary embolism (including 8 [0.2%] out of 3521 patients diagnosed during the index hospitalization and 7 [0.1%] diagnosed after the index visit). Eighty-six patients (0.9%) died, and 4 deaths (0.04%) were related to pulmonary embolism. Only 11 patients (0.1%) with a nonpulmonary embolism serious condition had a concomitant pulmonary embolism. Conclusion: The prevalence of pulmonary embolism is very low among ED patients with syncope, including those hospitalized after syncope. Although an underlying pulmonary embolism may cause syncope, clinicians should be cautious about indiscriminate investigations for pulmonary embolism.
Identifier
An unambiguous reference to the resource within a given context
<a href="http://doi.org/10.1016/j.annemergmed.2018.12.005" target="_blank" rel="noreferrer noopener">10.1016/j.annemergmed.2018.12.005</a>
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Information about rights held in and over the resource
Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
2019
Adler D H
Annals of emergency medicine
Bastani A
Baugh C W
Caterino J M
Clark C L
Department of Emergency Medicine
diagnostic-tests
Diercks D B
Emergency Medicine
Gaudet S
guidelines
Hollander J E
Huang L
June 2019 Update
Kim S M
Malveau S
McRae A D
Mukarram M
Nemnom M J
NEOMED College of Medicine
Nicks B A
Nishijima D K
North Amer Syncope Consortium
risk-stratification
Rowe B H
Shah M N
short-term
Sivilotti M L A
Stiffler K A
Storrow A B
Sun B C
Taljaard M
Thiruganasambandamoorthy V
Wilber S T
Yagapen A N
Yield
-
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
URL Address
<a href="http://doi.org/10.1016/j.jemermed.2012.11.047" target="_blank" rel="noreferrer noopener">http://doi.org/10.1016/j.jemermed.2012.11.047</a>
Rights
Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
Pages
291-297
Issue
2
Volume
45
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Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
FRAILTY ASSESSMENT IN THE EMERGENCY DEPARTMENT
Publisher
An entity responsible for making the resource available
Journal of Emergency Medicine
Date
A point or period of time associated with an event in the lifecycle of the resource
2013
2013-08
Subject
The topic of the resource
disability; Emergency Medicine; fractures; functional decline; gait speed; geriatrics; identification; indexes; intervention; mortality; muscle weakness; older-adults; prediction; risk-stratification tool
Creator
An entity primarily responsible for making the resource
Stiffler K A; Finley A; Midha S; Wilber S T
Description
An account of the resource
Background: Frailty (defined as weakness, slowness, weight loss, exhaustion, and physical inactivity) is characterized by increased vulnerability to stressors. Frail older patients are at increased risk of Emergency Department (ED) visits, hospitalization, disability, and death. Objectives: Our aims were to determine the prevalence of frailty (and assess the feasibility of measuring frailty) in older ED patients. We also assessed the correlation of self-reported speed and weakness to measured values and the association between frailty and function. Methods: We performed a study of discharged ED patients aged >= 65 years. We used Fried's frailty definition and a validated activities-of-daily-living (ADL) scale. We measured self-reported and objective weakness and slowness. Data were reported as means and proportions with 95% confidence interval (CI); associations were measured using 95% CI for the differences. Ninety patients provided a 95% CI of +/- 10%. Results: The mean age of the 90 patients was 76 +/- 6.4 SD years; 51% were male. Mean assessment time was 7.4 min (95% CI 6.9-7.9). Twenty percent of patients were frail (18/90, 95% CI 12-30%). Self-report was 18% sensitive and 90% specific for objective weakness; self-report was 42% sensitive and 86% specific for objective slowness. Frail and weak patients were more likely dependent in one or more ADLs (26% difference, 95% CI 1-51% and 20% difference, 95% CI 1-41%, respectively). Conclusions: Frailty is common in discharged older ED patients. Self-reported weakness and slowness are poor predictors of their objective counterparts. Frailty was associated with ADL dependence. These two domains may be reliable markers for elderly ED patients at high risk for adverse outcomes. (C) 2013 Elsevier Inc.
Identifier
An unambiguous reference to the resource within a given context
<a href="http://doi.org/10.1016/j.jemermed.2012.11.047" target="_blank" rel="noreferrer noopener">10.1016/j.jemermed.2012.11.047</a>
Format
The file format, physical medium, or dimensions of the resource
Journal Article
2013
disability
Emergency Medicine
Finley A
Fractures
functional decline
gait speed
Geriatrics
identification
indexes
Intervention
Journal Article
Journal of Emergency Medicine
Midha S
Mortality
Muscle Weakness
older-adults
prediction
risk-stratification tool
Stiffler K A
Wilber S T
-
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
URL Address
<a href="http://doi.org/10.1016/j.jemermed.2014.05.002" target="_blank" rel="noreferrer noopener">http://doi.org/10.1016/j.jemermed.2014.05.002</a>
Rights
Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
Pages
211-216
Issue
2
Volume
49
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Dublin Core
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Title
A name given to the resource
HALLWAY PATIENTS REDUCE OVERALL EMERGENCY DEPARTMENT SATISFACTION
Publisher
An entity responsible for making the resource available
Journal of Emergency Medicine
Date
A point or period of time associated with an event in the lifecycle of the resource
2015
2015-08
Subject
The topic of the resource
crowding; ED administration; Emergency Medicine; hallways; satisfaction
Creator
An entity primarily responsible for making the resource
Stiffler K A; Wilber S T
Description
An account of the resource
Background: Patient satisfaction impacts emergency medicine in multiple ways, including patient-physician rapport, patient compliance with medical recommendations, and individual physician and hospital reimbursement issues. Objective: The objective of this study was to assess the differences, if any, in satisfaction scores among patients treated in regular treatment rooms vs. those treated in hallway treatment areas. Methods: A cross-sectional survey study of conveniently sampled participants from both regular treatment rooms and hallway treatment areas in an urban, adult community teaching emergency department (ED) was performed confidentially, measuring overall satisfaction, as well as satisfaction with regard to treatment location only, medical care only, and their willingness to return to or recommend the ED in the future based on their experience. Each of these four outcomes was measured on a 100-mm visual analog scale. Results: Overall satisfaction scores were 8 mm lower for those patients treated in hallway treatment areas, and there was a 20-mm difference with regard to location only. After controlling for apparent baseline differences between the groups, a 7.6-mm difference for overall satisfaction remained. Conclusions: Despite differences between patients placed in regular treatment rooms vs. hallway treatment areas, overall satisfaction levels are lower for those patients treated in hallway treatment areas. This difference is likely attributable primarily to their hallway location, and stakeholders should therefore take appropriate steps to address such discrepancies. (C) 2015 Elsevier Inc.
Identifier
An unambiguous reference to the resource within a given context
<a href="http://doi.org/10.1016/j.jemermed.2014.05.002" target="_blank" rel="noreferrer noopener">10.1016/j.jemermed.2014.05.002</a>
Format
The file format, physical medium, or dimensions of the resource
Journal Article
2015
Crowding
ED administration
Emergency Medicine
hallways
Journal Article
Journal of Emergency Medicine
satisfaction
Stiffler K A
Wilber S T
-
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
URL Address
<a href="http://doi.org/10.1016/j.ajem.2006.07.010" target="_blank" rel="noreferrer noopener">http://doi.org/10.1016/j.ajem.2006.07.010</a>
Rights
Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
Pages
331-334
Issue
3
Volume
25
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Dublin Core
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Title
A name given to the resource
The use of ultrasound to identify pertinent landmarks for lumbar puncture
Publisher
An entity responsible for making the resource available
American Journal of Emergency Medicine
Date
A point or period of time associated with an event in the lifecycle of the resource
2007
2007-03
Subject
The topic of the resource
Emergency Medicine
Creator
An entity primarily responsible for making the resource
Stiffler K A; Jwayyed S; Wilber S T; Robinson A
Description
An account of the resource
Objective: This study was conducted to assess the ultrasound's (US's) ability to identify pertinent landmarks for lumbar puncture (LP) in patients of various body mass indices (BMIs) and establish spatial relationships of pertinent LP landmarks across BMIs. Methods: In this institutional review board-approved cross-sectional study, we calculated the BMIs of eligible patients and then categorized them as normal (BMI <= 24.9), overweight (BMI 24.9-30), or obese (BMI 30). We recorded the difficulty in palpating traditional LP landmarks. Identification and measurement of the spatial relationships of the sacrum; spinous processes of lumbar vertebrae L3, L4, and L5; ligamentum flavum; and the spinal canal by US was attempted. Results: Successful identification of pertinent structures (L4-L5 spinous processes and the spinal canal) occurred in 100% of patients with normal BMI, 95% of those who were overweight, and 74% of those who were obese (P =.011). Difficulty in palpating landmarks was noted in 5% of patients with normal BMI, 33% of those who were overweight, and 68% of those who were obese (P <.0001). In subjects with difficult-to-palpate landmarks, US identified pertinent structures in 16 of 21 (76%; 95% confidence interval. 53-92). The average distance from skin to ligamentum flavum was 44 mm in those with normal BMI, 51 mm in those who were overweight, and 64 mm in those who were obese (P <.00001); measurements between spinous processes did not vary by BMI. Overall, there was a moderate correlation (0.62) between BMI and the distance from skin to ligamentum flavum. Conclusion: The usefulness of US in identifying structures for LP is inversely related to BMI. Even with this limitation. US is still able to identify obese patients' pertinent landmarks almost 75% of the time. In addition, US may be helpful in identifying pertinent structures for LP in those patients with difficult-to-palpate landmarks. In patients who were obese with structures not palpable by hand or identifiable by US. other modalities should be considered. (C) 2007 Elsevier Inc. All rights reserved.
Identifier
An unambiguous reference to the resource within a given context
<a href="http://doi.org/10.1016/j.ajem.2006.07.010" target="_blank" rel="noreferrer noopener">10.1016/j.ajem.2006.07.010</a>
Format
The file format, physical medium, or dimensions of the resource
Journal Article
2007
American Journal of Emergency Medicine
Emergency Medicine
Journal Article
Jwayyed S
Robinson A
Stiffler K A
Wilber S T
-
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
URL Address
<a href="http://doi.org/10.1016/j.emc.2016.04.012" target="_blank" rel="noreferrer noopener">http://doi.org/10.1016/j.emc.2016.04.012</a>
Rights
Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
Pages
649-+
Issue
3
Volume
34
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Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Altered Mental Status and Delirium
Publisher
An entity responsible for making the resource available
Emergency Medicine Clinics of North America
Date
A point or period of time associated with an event in the lifecycle of the resource
2016
2016-08
Subject
The topic of the resource
adults; Altered mental status; cognitive impairment; confusion assessment method; delirium; Dementia; Elderly; elderly-patients; Emergency Medicine; Emergency Medicine; emergency-department patients; haloperidol; intensive-care-unit; Length of Stay; Medical decision-making capacity; scale; screening tools
Creator
An entity primarily responsible for making the resource
Wilber S T; Ondrejka J E
Description
An account of the resource
Older patients who present to the emergency department frequently have acute or chronic alterations of their mental status, including their level of consciousness and cognition. Recognizing both acute and chronic changes in cognition are important for emergency physicians. Delirium is an acute change in attention, awareness, and cognition. Numerous life threatening conditions can cause delirium; therefore, prompt recognition and treatment are critical. The authors discuss an organized approach that can lead to a prompt diagnosis within the time constraints of the emergency department.
Identifier
An unambiguous reference to the resource within a given context
<a href="http://doi.org/10.1016/j.emc.2016.04.012" target="_blank" rel="noreferrer noopener">10.1016/j.emc.2016.04.012</a>
Format
The file format, physical medium, or dimensions of the resource
Journal Article
2016
adults
Altered mental status
cognitive impairment
confusion assessment method
delirium
dementia
Elderly
elderly-patients
Emergency Medicine
Emergency medicine clinics of North America
emergency-department patients
haloperidol
intensive-care-unit
Journal Article
Length of Stay
Medical decision-making capacity
Ondrejka J E
scale
screening tools
Wilber S T
-
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
URL Address
<a href="http://doi.org/10.1197/j.aem.2007.01.014" target="_blank" rel="noreferrer noopener">http://doi.org/10.1197/j.aem.2007.01.014</a>
Rights
Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
Pages
567-568
Issue
6
Volume
14
Search for Full-text
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Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Commentary: Thoughtful practice and the older emergency department patient
Publisher
An entity responsible for making the resource available
Academic Emergency Medicine
Date
A point or period of time associated with an event in the lifecycle of the resource
2007
2007-06
Subject
The topic of the resource
Emergency Medicine; medicine
Creator
An entity primarily responsible for making the resource
Wilber S T
Identifier
An unambiguous reference to the resource within a given context
<a href="http://doi.org/10.1197/j.aem.2007.01.014" target="_blank" rel="noreferrer noopener">10.1197/j.aem.2007.01.014</a>
Format
The file format, physical medium, or dimensions of the resource
Journal Article
2007
Academic Emergency Medicine
Emergency Medicine
Journal Article
Medicine
Wilber S T
-
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
URL Address
<a href="http://doi.org/10.1111/j.1553-2712.2005.tb00915.x" target="_blank" rel="noreferrer noopener">http://doi.org/10.1111/j.1553-2712.2005.tb00915.x</a>
Rights
Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
Pages
612-616
Issue
7
Volume
12
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Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
An evaluation of two screening tools for cognitive impairment in older emergency department patients
Publisher
An entity responsible for making the resource available
Academic Emergency Medicine
Date
A point or period of time associated with an event in the lifecycle of the resource
2005
2005-07
Subject
The topic of the resource
cognitive impairment; delirium; elderly emergency; Emergency department; Emergency Medicine; Examination; mental status; Mini-Cog; Mini-Mental State; prevalence; Six-Item Screener
Creator
An entity primarily responsible for making the resource
Wilber S T; Lofgren S D; Mager T G; Blanda M; Gerson L W
Description
An account of the resource
Objectives: Screening for cognitive impairment in older emergency department (ED) patients is recommended to ensure quality care. The Mini-Mental State Examination (MMSE) may be too long for routine ED use. Briefer alternatives include the Six-Item Screener (SIS) and the Mini-Cog. The objective of this study was to describe the test characteristics of the SIS and the Mini-Cog compared with the MMSE when administered to older ED patients. Methods: This institutional review board-approved, prospective, randomized study was performed in a university-affiliated teaching hospital ED. Eligible patients were 65 years and older and able to communicate in English. Patients who were unable or unwilling to perform testing, who were medically unstable, or who received medications affecting their mental status were excluded. Patients were randomized to receive the SIS or the Mini-Cog by the treating emergency physician. Investigators administered the MMSE 30 minutes later. An SIS score of <= 4, the Mini-Cog's scoring algorithm, and an MMSE score of <= 23 defined cognitive impairment. Results: A total of 149 of 188 approached patients were enrolled; 74 received the SIS and 75 the Mini-Cog. Fifty-five percent were female, the average age was 75 years, and 23% had an MMSE score of <= 23. The SIS had a sensitivity of 94% (95% confidence interval [CI] = 73% to 100%) and a specificity of 86% (95% CI = 74% to 94%). The Mini-Cog had a sensitivity of 75% (95% CI = 48% to 93%) and a specificity of 85% (95% CI = 73% to 93%). Conclusions: The SIS, using a cutoff of <= 4 as impaired, is a promising test for ED use. It is short, easy to administer, and unobtrusive, allowing it to be easily incorporated into the initial assessment of older ED patients.
Identifier
An unambiguous reference to the resource within a given context
<a href="http://doi.org/10.1111/j.1553-2712.2005.tb00915.x" target="_blank" rel="noreferrer noopener">10.1111/j.1553-2712.2005.tb00915.x</a>
Format
The file format, physical medium, or dimensions of the resource
Journal Article
2005
Academic Emergency Medicine
Blanda M
cognitive impairment
delirium
elderly emergency
Emergency department
Emergency Medicine
examination
Gerson L W
Journal Article
Lofgren S D
Mager T G
Mental Status
Mini-Cog
Mini-Mental State
Prevalence
Six-Item Screener
Wilber S T
-
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
URL Address
<a href="http://doi.org/10.1111/j.1553-2712.2008.00158.x" target="_blank" rel="noreferrer noopener">http://doi.org/10.1111/j.1553-2712.2008.00158.x</a>
Rights
Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
Pages
613-616
Issue
7
Volume
15
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Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
The six-item screeinier to detect cognitive impairment in older emergency department patients
Publisher
An entity responsible for making the resource available
Academic Emergency Medicine
Date
A point or period of time associated with an event in the lifecycle of the resource
2008
2008-07
Subject
The topic of the resource
care; cognitive impairment; delirium; diagnostic testing; elderly emergency; Emergency Medicine; geriatrics; mental status; Mini-Mental State; prevalence
Creator
An entity primarily responsible for making the resource
Wilber S T; Carpenter C R; Hustey F M
Description
An account of the resource
Background: Cognitive impairment due to delirium or dementia is common in older emergency department (ED) patients. To prevent errors, emergency physicians (EPs) should use brief, sensitive tests to evaluate older patient's mental status. Prior studies have shown that the Six-Item Screener (SIS) meets these criteria. Objectives: The goal was to verify the performance of the SIS in a large, multicenter sample of older ED patients. Methods: A prospective, cross-sectional study was conducted in three urban academic medical center EDs. English-speaking ED patients :65 years old were enrolled. Patients who received medications that could affect cognition, were too ill, were unable to cooperate, were previously enrolled, or refused to participate were excluded. Patients were administered either the SIS or the Mini-Mental State Examination (MMSE), followed by the other test 31) minutes later. An MMSE of 23 or less was the criterion standard for cognitive impairment; the SIS cutoff was 4 or less for cognitive impairment. Standard operator characteristics of diagnostic tests were calculated with 95% confidence intervals (CIs), and a receiver operating characteristic curve was plotted. Results: The authors enrolled 352 subjects; III were cognitively impaired by MMSE (32%, 95% CI = 27% to 37%). The SIS was 63% sensitive (95% CI = 53% to 72%) and 81% specific (95% CI = 75% to 85%). The area under the receiver operating characteristic curve was 0.77 (95% CI = 0.72 to 0.83). Conclusions: The sensitivity of the SIS was lower than in prior studies. The reasons for this lower sensitivity are unclear. Further study is needed to clarify the ideal brief mental status test for ED use.
Identifier
An unambiguous reference to the resource within a given context
<a href="http://doi.org/10.1111/j.1553-2712.2008.00158.x" target="_blank" rel="noreferrer noopener">10.1111/j.1553-2712.2008.00158.x</a>
Format
The file format, physical medium, or dimensions of the resource
Journal Article
2008
Academic Emergency Medicine
care
Carpenter C R
cognitive impairment
delirium
diagnostic testing
elderly emergency
Emergency Medicine
Geriatrics
Hustey F M
Journal Article
Mental Status
Mini-Mental State
Prevalence
Wilber S T
-
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
URL Address
n/a
Rights
Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
Pages
85-85
Volume
58
Search for Full-text
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Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Simplifying the Assessment of Activities of Daily Living in Older ED Patients: An Exploratory Factor Analysis
Publisher
An entity responsible for making the resource available
Journal of the American Geriatrics Society
Date
A point or period of time associated with an event in the lifecycle of the resource
2010
2010-04
Subject
The topic of the resource
Geriatrics & Gerontology
Creator
An entity primarily responsible for making the resource
Wilber S T; Stefanov D; Gerson L W; Blanda M
Identifier
An unambiguous reference to the resource within a given context
n/a
Format
The file format, physical medium, or dimensions of the resource
Journal Article
2010
Blanda M
Geriatrics & Gerontology
Gerson L W
Journal Article
Journal of the American Geriatrics Society
Stefanov D
Wilber S T
-
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
URL Address
<a href="http://doi.org/10.1016/j.annemergmed.2008.06.402" target="_blank" rel="noreferrer noopener">http://doi.org/10.1016/j.annemergmed.2008.06.402</a>
Rights
Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
Pages
S156-S156
Issue
4
Volume
52
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Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Emergency Physician Geriatric Education: An Update of the 1992 Geriatric Task Force Survey. Has Anything Changed?
Publisher
An entity responsible for making the resource available
Annals of Emergency Medicine
Date
A point or period of time associated with an event in the lifecycle of the resource
2008
2008-10
Subject
The topic of the resource
Emergency Medicine
Creator
An entity primarily responsible for making the resource
Carpenter C R; Lewis L M; Caterino J M; Wilber S T; Scheatzle M D; Fiorello A B
Identifier
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<a href="http://doi.org/10.1016/j.annemergmed.2008.06.402" target="_blank" rel="noreferrer noopener">10.1016/j.annemergmed.2008.06.402</a>
Format
The file format, physical medium, or dimensions of the resource
Journal Article or Conference Abstract Publication
2008
Annals of emergency medicine
Carpenter C R
Caterino J M
Emergency Medicine
Fiorello A B
Journal Article or Conference Abstract Publication
Lewis L M
Scheatzle M D
Wilber S T
-
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
URL Address
<a href="http://doi.org/10.1016/j.annemergmed.2007.06.287" target="_blank" rel="noreferrer noopener">http://doi.org/10.1016/j.annemergmed.2007.06.287</a>
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Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
Pages
S94-S94
Issue
3
Volume
50
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Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
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Use Of Adres Screening Tool In An Ed Population Of Older Drivers
Publisher
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Annals of Emergency Medicine
Date
A point or period of time associated with an event in the lifecycle of the resource
2007
2007-09
Subject
The topic of the resource
Emergency Medicine
Creator
An entity primarily responsible for making the resource
Fender T; Wilber S T; Stiffer K A; Skruck J; Blanda M
Identifier
An unambiguous reference to the resource within a given context
<a href="http://doi.org/10.1016/j.annemergmed.2007.06.287" target="_blank" rel="noreferrer noopener">10.1016/j.annemergmed.2007.06.287</a>
Format
The file format, physical medium, or dimensions of the resource
Journal Article or Conference Abstract Publication
2007
Annals of emergency medicine
Blanda M
Emergency Medicine
Fender T
Skruck J
Stiffer K A
Wilber S T
-
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
URL Address
<a href="http://doi.org/10.1016/j.cger.2012.09.005" target="_blank" rel="noreferrer noopener">http://doi.org/10.1016/j.cger.2012.09.005</a>
Rights
Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
Pages
101-+
Issue
1
Volume
29
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Title
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Altered Mental Status In Older Patients In The Emergency Department
Publisher
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Clinics in Geriatric Medicine
Date
A point or period of time associated with an event in the lifecycle of the resource
2013
2013-02
Subject
The topic of the resource
agitation-sedation scale; cognitive impairment; Coma; confusion assessment method; critically-ill; Delirium; diagnosis; elderly; Emergency department; epidemiology; Geriatrics & Gerontology; glasgow coma scale; hospitalized-patients; intensive-care unit; length-of-stay; management; multicomponent geriatric intervention; patients; risk-factors; Stupor
Creator
An entity primarily responsible for making the resource
Han J H; Wilber S T
Description
An account of the resource
Altered mental status is a common chief compliant among older patients in the emergency department (ED). Acute changes in mental status are more concerning and are usually secondary to delirium, stupor, and coma. Although stupor and coma are easily identifiable, the clinical presentation of delirium can be subtle and is often missed without actively screening for it. For patients with acute changes in mental status the ED evaluation should focus on searching for the underlying etiology. Infection is one of the most common precipitants of delirium, but multiple causes may exist concurrently.
Identifier
An unambiguous reference to the resource within a given context
<a href="http://doi.org/10.1016/j.cger.2012.09.005" target="_blank" rel="noreferrer noopener">10.1016/j.cger.2012.09.005</a>
Format
The file format, physical medium, or dimensions of the resource
Journal Article or Conference Abstract Publication
2013
agitation-sedation scale
Clinics in geriatric medicine
cognitive impairment
coma
confusion assessment method
critically-ill
delirium
Diagnosis
Elderly
Emergency department
Epidemiology
Geriatrics & Gerontology
Glasgow Coma Scale
Han J H
hospitalized-patients
intensive-care unit
Journal Article or Conference Abstract Publication
length-of-stay
Management
multicomponent geriatric intervention
Patients
risk-factors
Stupor
Wilber S T