Article
Geriatrics & Gerontology
Jacob D. Hill, Abigail M. Schmucker, Nina Siman, Keith S. Goldfeld, Allison M. Cuthel, Joshua Chodosh, Jean-Baptiste Bouillon-Minois, Corita R. Grudzen
Summary: Patients with dementia have a high short-term mortality rate when visiting the emergency department. Despite this, acute care, ED revisits, and inpatient stays remain the predominant modes of care delivery.
JOURNAL OF THE AMERICAN GERIATRICS SOCIETY
(2022)
Review
Anesthesiology
D. Gottesman, D. I. McIsaac
Summary: Frailty refers to a state where age- and disease-related deficits accumulate across multiple domains. Older people are the fastest-growing segment of the peri-operative population, with 25-50% of older surgical patients living with frailty. Prevalence of frailty before surgery is associated with increased rates of morbidity and mortality, as well as higher odds of delirium and loss of independence. Care for older adults with frailty undergoing emergency surgery should be individualized and evidence-based.
Article
Geriatrics & Gerontology
Cameron J. Gettel, Peter T. Serina, Ivie Uzamere, Kizzy Hernandez-Bigos, Arjun K. Venkatesh, Kristin L. Rising, Elizabeth M. Goldberg, Shelli L. Feder, Andrew B. Cohen, Ula Hwang
Summary: This study aims to assess the barriers experienced by older adults during the transition from the emergency department to community care. Through interviews with 25 participants, it was found that there were barriers such as incomplete information during the discharge process, difficulties in navigating follow-up outpatient care, new physical limitations and fears, as well as the impact of caregivers.
JOURNAL OF THE AMERICAN GERIATRICS SOCIETY
(2022)
Review
Public, Environmental & Occupational Health
Berangere Naude, Anne-Sophie Rigaud, Maribel Pino
Summary: Social isolation in geriatric institutions poses a threat to the well-being of older adults. Information and Communication Technologies (ICTs), specifically video calls, offer promising solutions to combat loneliness and social isolation. However, technical, human-related, ethical, and organizational barriers hinder the implementation of video calls in geriatric settings.
FRONTIERS IN PUBLIC HEALTH
(2022)
Review
Health Care Sciences & Services
Feby Savira, Adyya Gupta, Cecily Gilbert, Catherine E. Huggins, Colette Browning, Wendy Chapman, Terry Haines, Anna Peeters
Summary: There has been a rapid shift toward the adoption of virtual health care services in Australia. We conducted a scoping review to evaluate virtual care initiatives for older adults in Australia and identified the challenges and opportunities for wider adoption. The results showed that virtual care is a viable model to address a wide range of health conditions among older adults.
JOURNAL OF MEDICAL INTERNET RESEARCH
(2023)
Article
Medicine, General & Internal
Mary E. Walsh, Sinead Cronin, Fiona Boland, Mark H. Ebell, Tom Fahey, Emma Wallace
Summary: The study found that there was an increase in UTI/pyelonephritis SARs over time, while SARs for angina and CHF decreased. Geographic variation was moderate overall but high for dehydration and angina. Multivariable analysis showed lower urban population proportion, lower GP supply, and higher geriatrician supply were associated with higher SARs.
Review
Medicine, General & Internal
Deirdre E. O'Neill, Daniel E. Forman
Summary: Age is an independent risk factor for cardiovascular disease, with management needing to consider a range of age-related clinical challenges and provide personalized therapeutic approaches. Shared decision making is essential in weighing risks and benefits for older patients with cardiovascular disease, optimizing function and quality of life.
BMJ-BRITISH MEDICAL JOURNAL
(2021)
Editorial Material
Geriatrics & Gerontology
Dan Bailey, Toni Calasanti, Andrew Crowe, Claudio di Lorito, Patrick Hogan, Brian de Vries
Summary: International human rights movements have increased visibility and equality for LGBT+ communities. However, the health outcomes for LGBT+ people are still worse than their non-LGBT+ counterparts. This article focuses on the impact of societal structure and health and social care on the lives of older LGBT+ individuals, highlighting areas such as physical and mental health, end of life care, dementia, housing and care settings, and experiences of transgender individuals. The article discusses existing improvements made by LGBT+ communities and proposes a person-centered care approach to improve inclusivity. It also provides a framework for addressing service challenges and making health and social care services more prepared to meet the needs of older LGBT+ people.
Article
Public, Environmental & Occupational Health
Arthur Kleinman, Hongtu Chen, Sue E. Levkoff, Ann Forsyth, David E. Bloom, Winnie Yip, Tarun Khanna, Conor J. Walsh, David Perry, Ellen W. Seely, Anne S. Kleinman, Yan Zhang, Yuan Wang, Jun Jing, Tianshu Pan, Ning An, Zhenggang Bai, Jiexiu Wang, Qing Liu, Fawwaz Habbal
Summary: Population aging is a key demographic reality of our time, leading to an increased need for care for older adults with chronic conditions or frailty. Integrating global population aging and technology development through a social technology approach presents both challenges and opportunities for innovation. This approach involves multidisciplinary collaboration, ethical standards, social justice initiatives, and efforts to promote social integration and global benefit. Evaluation and refinement processes are necessary to ensure the relevance and effectiveness of social technology in different local contexts.
FRONTIERS IN PUBLIC HEALTH
(2021)
Article
Medicine, General & Internal
Audai A. Hayajneh, Mohammad Rababa, Esraa A. Al-Nusour, Eman S. Alsatari
Summary: The study analyzed data from 300 older adult ACS patients and found a high prevalence of depression at 65.7%. Key predictors of depression included age, frailty, troponin, and HBA1C.
INTERNATIONAL JOURNAL OF CLINICAL PRACTICE
(2021)
Editorial Material
Health Care Sciences & Services
Terry Fulmer, David B. Reuben, John Auerbach, Donna Marie Fick, Colleen Galambos, Kimberly S. Johnson
Summary: By 2030, the United States will have more people over the age of 65 than under the age of 5. To improve care and quality of life for all older Americans, priorities should include creating a prepared workforce, strengthening public health, addressing disparities, developing new care approaches, allocating resources for patient-centered care and outcomes, and restructuring long-term services and support.
Review
Ethics
Andrea Martani, Antonina Brunner, Tenzin Wangmo
Summary: The article discusses the impact of an aging society on care structures and the ethical issues of balancing formal and informal care. By studying literature on intergenerational familial relationships, insights are provided for policymaking and addressing ethical concerns of excessive reliance on informal caregiving.
Article
Environmental Sciences
Katherine Chiu-Man Leung, Chun-Hung Chu
Summary: There is a global increase in the older population, resulting in poorer dental conditions due to worsened physical conditions and cumulative damage from past dental diseases. Many older adults suffer from dental caries and periodontal disease without regular dental care. Oral conditions and systemic problems are interrelated, with chronic medical issues and polypharmacy being common among older adults. Preventive measures and replacement of missing teeth are crucial, as well as addressing the higher risk of oral cancer in older adults. Dentists should equip themselves with knowledge and skills in geriatric dentistry to provide necessary care for the elderly.
INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH
(2023)
Article
Medicine, General & Internal
Paul Stolee, Jacobi Elliott, Anik M. C. Giguere, Sara Mallinson, Kenneth Rockwood, Joanie Sims Gould, Ross Baker, Veronique Boscart, Catherine Burns, Kerry Byrne, Judith Carson, Richard J. Cook, Andrew P. Costa, Justine Giosa, Kelly Grindrod, Mohammad Hajizadeh, Heather M. Hanson, Stephanie Hastings, George Heckman, Jayna Holroyd-Leduc, Wanrudee Isaranuwatchai, Ayse Kuspinar, Samantha Meyer, Josephine McMurray, Phyllis Puchyr, Peter Puchyr, Olga Theou, Holly Witteman
Summary: This study aims to implement enhanced primary healthcare approaches for older patients in Canada, including risk screening, patient engagement, shared decision making, and care coordination. Through a multi-phase mixed methods study involving questionnaires, interviews, and tailored interventions, the care model will be evaluated to optimize care for older adults based on patient and provider experience, quality of life, qualitative interviews, and economic evaluation.
Review
Health Care Sciences & Services
Hilde Marie Hunsbedt Fjellsa, Anne Marie Lunde Husebo, Marianne Storm
Summary: This study mapped the research literature on eHealth-enabled care coordination (CC) for older adults living at home. The results showed promising outcomes of using eHealth in coordinating care for older adults, including improved mental and physical health and reduced rehospitalization and hospital admission rates. To ensure successful use of eHealth in CC, customized eHealth-enabled health care services, including individualized education and support, are recommended.
JOURNAL OF MEDICAL INTERNET RESEARCH
(2022)
Review
Emergency Medicine
Lucas Oliveira J. e Silva, Danya Khoujah, James G. Naples, Jonathan A. Edlow, Danielle J. Gerberi, Christopher R. Carpenter, Fernanda Bellolio
Summary: This umbrella review summarizes the evidence of corticosteroids use for the treatment of vestibular neuritis (VN). The findings suggest that corticosteroids may improve complete caloric recovery in patients with VN, but the impact on clinical improvement is uncertain. Corticosteroids may also lead to minor adverse effects. Therefore, the evidence for the use of corticosteroids in the emergency department for the treatment of VN is limited.
ACADEMIC EMERGENCY MEDICINE
(2023)
Article
Emergency Medicine
Nicholas M. Mohr, Uche Okoro, Karisa K. Harland, Brian M. Fuller, Kalyn Campbell, Morgan B. Swanson, Cole Wymore, Brett Faine, Anne Zepeski, Edith A. Parker, Luke Mack, Amanda Bell, Katie DeJong, Keith Mueller, Elizabeth Chrischilles, Christopher R. Carpenter, Kelli Wallace, Michael P. Jones, Marcia M. Ward
Summary: The study aimed to determine if provider-to-provider tele-emergency department (tele-ED) care is associated with better outcomes for patients in rural emergency departments (EDs). The study used medical records of sepsis patients from rural hospitals in a tele-ED network. The results showed that tele-ED care did not significantly improve 28-day hospital-free days, inhospital mortality, or guideline adherence compared to standard care. However, in a subgroup of patients treated by advanced practice providers, tele-ED was associated with lower mortality rates.
ANNALS OF EMERGENCY MEDICINE
(2023)
Editorial Material
Emergency Medicine
Christopher R. Carpenter, David M. Morrill, Etta Sundberg, Karen Tartt, Suneel Upadhye
ACADEMIC EMERGENCY MEDICINE
(2023)
Article
Critical Care Medicine
Brian M. Fuller, Nicholas M. Mohr, Enyo Ablordeppey, Olivia Roman, Dylan Mittauer, Yan Yan, Marin H. Kollef, Christopher R. Carpenter, Brian W. Roberts
Summary: Mechanically ventilated emergency department (ED) patients experience high morbidity and mortality. In a prior trial, ED-based lung-protective ventilation was associated with improved care delivery and outcomes. This study aims to assess the practice change and clinical outcomes associated with ED lung-protective ventilation.
CRITICAL CARE MEDICINE
(2023)
Letter
Geriatrics & Gerontology
Anita N. Chary, Beatrice Torres, Elise Brickhouse, Ilianna Santangelo, Kyler M. Godwin, Aanand D. Naik, Christopher R. Carpenter, Shan W. Liu, Maura Kennedy
JOURNAL OF THE AMERICAN GERIATRICS SOCIETY
(2023)
Article
Geriatrics & Gerontology
Soren Kabell Nissen, Marco Rueegg, Christopher R. Carpenter, Tobias Kaeppeli, Jeanette-Marie Busch, Anders Fournaise, Thomas Dreher-Hummel, Roland Bingisser, Mikkel Brabrand, Christian H. Nickel
Summary: Combining frailty and aggregated vital signs accurately predicts 30-day mortality for older people presenting at the Emergency Department. It demonstrates the clinical interaction between frailty and illness severity. The frailty adjusted Prognosis in ED tool (FaP-ED) provides an operational tool for the concept of geriatric urgency in the Emergency Department.
JOURNAL OF THE AMERICAN GERIATRICS SOCIETY
(2023)
Review
Emergency Medicine
Danya Khoujah, James G. Naples, Lucas Oliveira J. e Silva, Jonathan A. Edlow, Danielle J. Gerberi, Christopher R. Carpenter, Fernanda Bellolio
Summary: The Epley maneuver is effective in treating posterior canal benign paroxysmal positional vertigo (BPPV), leading to higher resolution of vertigo and conversion to negative Dix-Hallpike test. Further studies are needed to investigate its implementation and education of clinicians in the emergency department.
ACADEMIC EMERGENCY MEDICINE
(2023)
Editorial Material
Medicine, General & Internal
Shan W. Liu, Christopher R. Carpenter
ANNALS OF INTERNAL MEDICINE
(2023)
Article
Health Care Sciences & Services
Beth Fields, Nicole Werner, Manish N. Shah, Scott Hetzel, Blair P. Golden, Andrea Gilmore-Bykovskyi, Dorothy Farrar Edwards
Summary: This study aims to adapt and test the Care Partner Hospital Assessment Tool (CHAT) to better prepare care partners of hospitalized people living with dementia for their caregiving responsibilities after hospital discharge. The study consists of two phases, formative research and a pilot randomized controlled trial, with an estimated completion time of 60 months. The results will provide guidance for clinicians on identifying and preparing care partners for hospitalized people living with dementia.
JMIR RESEARCH PROTOCOLS
(2023)
Article
Health Care Sciences & Services
Daniel J. Hekman, Amy L. Cochran, Apoorva P. Maru, Hanna J. Barton, Manish N. Shah, Douglas Wiegmann, Maureen A. Smith, Frank Liao, Brian W. Patterson
Summary: This research aims to evaluate the effectiveness of an automated screening and referral intervention, providing insights into the use of machine learning and artificial intelligence in medical decision-making. By implementing interventions for high-risk patients, the study assesses referral completion rates and future fall risks. Current results show that some patients have scheduled appointments at the clinic after the implementation of the intervention.
JMIR RESEARCH PROTOCOLS
(2023)
Article
Emergency Medicine
Lauren T. Southerland, Peg Gulker, Jenifer Van Fossen, Lorri Rine-Haghiri, Jeffrey M. Caterino, Lorraine C. Mion, Christopher R. Carpenter, Michael S. Cardone, Michael Hill, Katherine M. Hunold
Summary: This study implemented a geriatric screening program in the emergency department using the Consolidated Framework for Implementation Research (CFIR). The implementation strategies improved the screening rates, but were hindered by the COVID-19 pandemic. Barriers to implementation included ED culture, implementation climate, staff turnover, and low self-efficacy. Adjusting feedback to a team/unit level and conducting on-shift education improved implementation.
ACADEMIC EMERGENCY MEDICINE
(2023)
Letter
Emergency Medicine
David Newman-Toker, Fernanda Bellolio
ACADEMIC EMERGENCY MEDICINE
(2023)
Article
Geriatrics & Gerontology
Adrian D. Haimovich, Manish N. Shah, Lauren T. Southerland, Ula Hwang, Brian W. Patterson
Summary: The concept of automated risk stratification and screening using EHR data offers a potential solution to identifying high-risk populations of older adults in geriatric emergency care. Research progress and operational deployment of automated screening vary by use case, with some already deployed in falls screening while others are still undergoing algorithmic validation for cognitive impairment and end-of-life care.
JOURNAL OF THE AMERICAN GERIATRICS SOCIETY
(2023)
Editorial Material
Geriatrics & Gerontology
Manish N. Shah, Ula Hwang
JOURNAL OF THE AMERICAN GERIATRICS SOCIETY
(2023)
Article
Geriatrics & Gerontology
Elizabeth M. Goldberg, Scott M. Dresden, Christopher R. Carpenter
Summary: Reducing adverse drug events among older adults in emergency department settings requires a multidisciplinary approach, including transdisciplinary training and leveraging electronic health records to provide personalized feedback. Although current research does not consistently demonstrate a reduction in prescribing inappropriate medications, it lays the foundation for collaboration between emergency medicine healthcare teams, geriatricians, pharmacists, and health informatics to advance safer medication prescribing during acute care episodes.
JOURNAL OF THE AMERICAN GERIATRICS SOCIETY
(2023)
