A novel multidimensional geriatric screening tool in the ED: evaluation of feasibility and clinical relevance

Schoenenberger, Andreas W.; Bieri, Christine; Özgüler, Onur; Moser, André; Haberkern, Monika; Zimmermann, Heinz; Stuck, Andreas E.; Exadaktylos, Aristomenis K.

doi:10.1016/j.ajem.2014.03.024

Cited by 25 publications

(17 citation statements)

References 30 publications

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“…Thus, we cannot comment on the utility of hFABP in these and other challenging high-risk patients. 11,32–34 Sixth, our results apply to patients presenting to the ED early after symptom onset. The diagnostic value of hFABP may be better in primary care patients.…”

Section: Discussionmentioning

confidence: 75%

Incremental value of heart-type fatty acid-binding protein in suspected acute myocardial infarction early after symptom onset

Schoenenberger

Stallone

Walz

et al. 2015

European Heart Journal: Acute Cardiovascular Care

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Section: Discussionmentioning

confidence: 75%

Incremental value of heart-type fatty acid-binding protein in suspected acute myocardial infarction early after symptom onset

Schoenenberger

Stallone

Walz

et al. 2015

European Heart Journal: Acute Cardiovascular Care

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“…The evaluated screening rate is somewhat higher compared with other risk-stratification tools used in the ED setting [ 1 ]. One feasibility study evaluating the Emergency Geriatric Screening tool found a screening rate of 43% [ 18 ]. Asomaning et al.…”

Section: Discussionmentioning

confidence: 99%

Feasibility and acceptability of the ‘Acutely Presenting Older Patient’ screener in routine emergency department care

et al. 2020

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Background risk stratification tools for older patients in the emergency department (ED) have rarely been implemented successfully in routine care. Objective to evaluate the feasibility and acceptability of the ‘Acutely Presenting Older Patient’ (APOP) screener, which identifies older ED patients at the highest risk of adverse outcomes within 2 minutes at presentation. Design and setting 2-month prospective cohort study, after the implementation of the APOP screener in ED routine care in the Leiden University Medical Center. Subjects all consecutive ED patients aged ≥70 years. Methods feasibility of screening was assessed by measuring the screening rate and by identifying patient- and organisation-related determinants of screening completion. Acceptability was assessed by collecting experienced barriers of screening completion from triage-nurses. Results we included 953 patients with a median age of 77 (IQR 72–82) years, of which 560 (59%) patients were screened. Patients had a higher probability of being screened when they had a higher age (OR 1.03 (95%CI 1.01–1.06), P = 0.017). Patients had a lower probability of being screened when they were triaged very urgent (OR 0.55 (0.39–0.78), P = 0.001) or when the number of patients upon arrival was high (OR 0.63 (0.47–0.86), P = 0.003). Experienced barriers of screening completion were patient-related (‘patient was too sick’), organisation-related (‘ED was too busy’) and personnel-related (‘forgot to complete screening’). Conclusion with more than half of all older patients screened, feasibility and acceptability of screening in routine ED care is very promising. To further improve screening completion, solutions are needed for patients who present with high urgency and during ED rush hours.

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“…32,35,43,49,59 Seven studies were excluded because of insufficient data. [40][41][42]48,50,52,53 Five of these were abstracts. We attempted but were unsuccessful in getting more information from the authors; therefore, the studies were excluded.…”

Section: Study Selectionmentioning

confidence: 99%

Mobility assessments of geriatric emergency department patients: A systematic review

Eagles

Yadav

Perry

et al. 2017

CJEM

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A novel multidimensional geriatric screening tool in the ED: evaluation of feasibility and clinical relevance

Cited by 25 publications

References 30 publications

Incremental value of heart-type fatty acid-binding protein in suspected acute myocardial infarction early after symptom onset

Incremental value of heart-type fatty acid-binding protein in suspected acute myocardial infarction early after symptom onset

Feasibility and acceptability of the ‘Acutely Presenting Older Patient’ screener in routine emergency department care

Mobility assessments of geriatric emergency department patients: A systematic review

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