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Published on: January 11, 2020
[Comprehensive geriatric assessment in the emergency department: some usefull screening tools]
C E Graf1, T Chevalley, F P Sarasin
1Département de médecine interne, rehabilitation et gériatrie, HUG, 1211 Geneve 14. christophe.graf@hcuge.ch
Emergency department visits for older adults are rising. Quick screening tools for geriatric syndromes, like cognitive decline, can improve care and reduce adverse outcomes in the emergency department (ED).
Area of Science:
- Geriatrics
- Emergency Medicine
- Clinical Assessment
Context:
- Emergency department (ED) admissions for patients aged 75 and older are increasing.
- Older patients present with atypical symptoms and face higher risks of adverse outcomes, including readmission, functional decline, institutionalization, and mortality.
- Effective management of older adults in the ED requires early identification of geriatric syndromes.
Purpose:
- To review validated screening tools for geriatric syndromes applicable in the emergency department setting.
- To identify tools that are quick, easy to use, and highly sensitive for detecting geriatric issues in older ED patients.
Summary:
- This review examines emergency department-validated screening tools for geriatric syndromes.
- Focus is on tools suitable for rapid implementation to aid in managing older patients.
- The goal is to improve patient outcomes by identifying conditions like cognitive decline early.
Impact:
- Facilitates earlier detection of geriatric syndromes in the emergency department.
- Aids clinicians in selecting appropriate, validated screening tools for older patients.
- Potential to reduce adverse outcomes such as functional decline and institutionalization in the elderly population.
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