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.

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…

Research Priorities for High-quality Geriatric Emergency Care: Medication Management, Screening, and Prevention and Functional Assessment.

Characteristics of Prehospital ST-segment Elevation Myocardial Infarctions.

Introduction. Despite attention directed at treatment times of ST-segment elevation myocardial infarctions (STEMIs), little is known about the types of STEMIs presenting to the emergency department (ED). Objective. The purpose of this study was to…

Optimal Older Adult Emergency Care: Introducing Multidisciplinary Geriatric Emergency Department Guidelines From the American College of Emergency Physicians, American Geriatrics Society, Emergency Nurses Association, and Society for Academic...

Optimal Older Adult Emergency Care: Introducing Multidisciplinary Geriatric Emergency Department Guidelines from the American College of Emergency Physicians, American Geriatrics Society, Emergency Nurses Association, and Society for Academic...

In the United States and around the world, effective, efficient, and reliable strategies to provide emergency care to aging adults is challenging crowded emergency departments ( EDs) and strained healthcare systems. In response, geriatric emergency…

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…

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.

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…

Does functional decline prompt emergency department visits and admission in older patients?

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…

An evaluation of two screening tools for cognitive impairment in older emergency department patients.

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…

Reclining chairs reduce pain from gurneys in older emergency department patients: a randomized controlled trial.

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.…

Tags: *Emergency Service, *Wheelchairs, 2005, Academic emergency medicine : official journal of the Society for Academic Emergency Medicine, Aged, Blanda Michelle, Burger Barbara, Department of Emergency Medicine, Female, Gerson Lowell W, Hospital, Humans, Male, NEOMED College of Medicine, Pain Measurement, Pain/*prevention & control, Patient Satisfaction, Prospective Studies, Wilber Scott T

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,…

Short-term functional decline and service use in older emergency department patients with blunt injuries.

BACKGROUND: Injuries are a common reason for emergency department (ED) visits by older patients. Although injuries in older patients can be serious, 75% of these patients are discharged home after their ED visit. These patients may be at risk for…

Tags: *Activities of Daily Living, 2010, 80 and over, Academic emergency medicine : official journal of the Society for Academic Emergency Medicine, Academic Medical Centers, Activities of Daily Living, Aged, Allen Kyle R, Blanda Michelle, Bone/physiopathology/therapy, Clinical Assessment Tools, Comorbidity, Confidence Intervals, Department of Emergency Medicine, Descriptive Statistics, Emergency Care – In Old Age, Emergency Patients – In Old Age, Emergency Service, Family, Female, Fisher's Exact Test, Fractures, Functional Status – In Old Age, Geriatric Assessment, Geriatric Functional Assessment, Gerson Lowell W, Health Resource Utilization – In Old Age, Hospital/*statistics & numerical data, Hospitals, Human, Humans, Logistic Models, Logistic Regression, Longitudinal Studies, Male, Mental Status Schedule, NEOMED College of Medicine, Nonpenetrating – In Old Age, Nonpenetrating/*physiopathology/*therapy, OARS Multidimensional Functional Assessment Questionnaire, Odds Ratio, Ohio, Outcome Assessment, Outpatients, P-Value, Predictive Value of Tests, Prospective Studies, Questionnaires, Record Review, ROC Curve, Scales, Summated Rating Scaling, Surveys and Questionnaires, T-Tests, Teaching, Treatment Outcome, Treatment Outcomes, Wilber Scott T, Wounds

A research agenda for geriatric emergency medicine.

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…

Tags: *Emergency Service, *Geriatric Assessment, *Health Services Research, 2003, Academic emergency medicine : official journal of the Society for Academic Emergency Medicine, Aged, Cardiopulmonary Resuscitation, Emergency Medicine/education, Geriatrics/education, Gerson Lowell W, Hospital, Humans, Outcome Assessment (Health Care), Wilber Scott T, Wounds and Injuries/therapy

Assessment of emergency medicine residents' computer knowledge and computer skills: time for an upgrade?

OBJECTIVE: To describe emergency medicine residents' (EMRs') personal computer (PC) use and educational needs and to compare their perceived and actual PC skills. METHODS: This was a prospective, cross-sectional study. Subjects were all EMRs at seven…

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

Altered mental status in older emergency department patients.

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…

Tags: 2006, Aged, Emergency medicine clinics of North America, Emergency Service, Hospital/*statistics & numerical data, Humans, Incidence, Mental Disorders/diagnosis/*epidemiology, Mental Status Schedule, United States/epidemiology, Wilber Scott T

Optimal older adult emergency care: Introducing multidisciplinary geriatric emergency department guidelines from the American College of Emergency Physicians, American Geriatrics Society, Emergency Nurses Association, and Society for Academic Emergency Medicine.

Tags: *Practice Guidelines as Topic, 2014, Aged, AMERICAN College of Emergency Physicians, AMERICAN Geriatrics Society, Annals of emergency medicine, Bromley Marilyn, Carpenter Christopher R, Caterino Jeffrey M, Chun Audrey, ELDER care, Emergency Medical Services, EMERGENCY medical services – Standards, Emergency Medicine, Emergency Medicine – Standards, Emergency Medicine/*standards, EMERGENCY Nurses Association, Emergency Service, Emergency Service – Standards, Geriatrics, Geriatrics – Standards, Geriatrics/*standards, Gerson Lowell W, Greenspan Jason, HEALTH care teams, Hospital/standards, Humans, Hwang Ula, Interdisciplinary Communication, Interprofessional Relations, John David P, Lyons William L, Medical, Medical Organizations, MEDICAL protocols, Mortensen Betty, OLD age, Patients, Platts-Mills Timothy F, Practice Guidelines, Quality Assurance, Ragsdale Luna, Rosenberg Mark, Societies, SOCIETY for Academic Emergency Medicine (U.S.), United States, Wilber Scott T

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.

Noncontrast abdomen/pelvis computed tomographic scan in the evaluation of older adults.

Evaluation of ED patient and visitor understanding of living wills and do-not-resuscitate orders.

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…

Predictors of epinephrine autoinjector needle length inadequacy.

BACKGROUND: Self-administered epinephrine is the primary out-of-hospital treatment of anaphylaxis. Intramuscular injection of epinephrine results in higher peak plasma concentration than subcutaneous injection. With the prevalence of obesity,…

Tags: *Needles, 2013, Adolescence, Adolescent, Adult, Anaphylaxis – Drug Therapy, Anaphylaxis/*drug therapy, Bhalla Mary Colleen, Body Mass Index, Cross Sectional Studies, Cross-Sectional Studies, Department of Emergency Medicine, Epinephrine – Administration and Dosage, Epinephrine/*administration & dosage, Equipment Design, Equipment Failure, Female, Frey Jennifer A, Gable Brad D, Human, Humans, Injections, Intramuscular – Equipment and Supplies, Intramuscular/instrumentation, Male, Middle Age, Middle Aged, Needles, NEOMED College of Medicine, Prospective Studies, Quadriceps Muscle/*anatomy & histology/diagnostic imaging, Quadriceps Muscles – Anatomy and Histology, Quadriceps Muscles – Ultrasonography, Reichenbach Matthew R, Sex Factors, Sympathomimetics – Administration and Dosage, Sympathomimetics/*administration & dosage, The American journal of emergency medicine, Ultrasonography, Wilber Scott T, Young Adult

Home modification to prevent falls by older ED patients.

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…

Tags: 2005, Accidental Falls/*prevention & control, Accidents, Aged, Camargo Carlos A Jr, Female, Gerson Lowell W, Home/*prevention & control, Humans, Male, Prospective Studies, Safety, The American journal of emergency medicine, Wilber Scott T

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