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Emergency department interventions for older adults / investigators: Jaime M. Hughes [and 16 others] ; prepared for Department of Veterans Affairs, Veterans Health Administration, Quality Enhancement Research Initiative, Health Services Research & Development Service ; prepared by Evidence-based Synthesis Program (ESP) Center, Durham VA Healthcare System.
Connect to full text Available online
View online- Format:
- Book
- Government document
- Author/Creator:
- Hughes, Jaime M., author.
- Series:
- Evidence-based synthesis program (Series)
- Evidence-based synthesis program
- Language:
- English
- Subjects (All):
- Hospitals--Emergency services--United States.
- Hospitals.
- Older people--Medical care--United States.
- Older people.
- Hospitals--Emergency services.
- Outcome assessment (Medical care).
- Emergency Service, Hospital.
- Aged.
- Comparative Effectiveness Research.
- Emergency Treatment.
- Health Services for the Aged.
- Treatment Outcome.
- United States.
- emergency rooms.
- elderly.
- Older people--Medical care.
- Medical Subjects:
- Emergency Service, Hospital.
- Aged.
- Comparative Effectiveness Research.
- Emergency Treatment.
- Health Services for the Aged.
- Treatment Outcome.
- United States.
- Genre:
- tables (documents)
- Tables (Data)
- Physical Description:
- 1 online resource (v, 88 pages) : color illustrations.
- Place of Publication:
- Washington DC : Department of Veterans Affairs, Veterans Health Administration, Quality Enhancement Research Initiative, Health Services Research & Development Service, June 2018.
- Summary:
- Older adults, particularly those 75 years of age and older, visit the emergency department (ED) with nearly twice the frequency of their younger counterparts. Within VA, older Veterans account for 40 percent of 2.4 million annual ED visits. This figure will continue to rise as the number of older Veterans is expected to increase significantly over the next decade. Older adults presenting to the ED can experience challenges that make care more difficult, such as multiple morbidities, polypharmacy, atypical symptoms, functional disabilities, impaired cognition, and reduced social support. To address these challenges, a range of interventions designed to improve clinical outcomes and decrease healthcare utilization in older adult ED users have been evaluated in prior studies. These include care delivery, case management, and transitional care or discharge planning. Systems-level attention to these challenges is also evident through the 2014 publication of the Geriatric Emergency Department Guidelines (hereafter referred to as the 2014 Geriatric ED Guidelines). These collaborative guidelines provide a template for staffing, equipment, education, policies and procedures, follow-up care, and performance-improvement measures, but do not include evidence-based recommendations on specific ED interventions. Our review aims to fill gaps in the literature by synthesizing evidence about ED interventions for clinical outcomes such as functional status and quality of life and utilization outcomes including hospital admission and ED readmission. Additionally, our review carefully classifies individual intervention components and uses rigorous analytic techniques to compare the effectiveness of selected interventions on outcomes of interest.
- Notes:
- "June 2018."
- Includes bibliographical references.
- Description based on online resource; title from PDF cover (VA, viewed December 3, 2020).
- OCLC:
- 1105304486
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