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Development of a Unified Geriatric Emergency Department Database, 2022.
Darya M Herscovici1, Krislyn M Boggs1, Maeve Swanton1
1Department of Emergency Medicine, Massachusetts General Hospital, Boston, MA.
Annals of Emergency Medicine
|September 20, 2025
Summary
The number of Geriatric Emergency Departments (GEDs) in the US has grown, with a notable increase in nonteaching hospitals. Further expansion into nonurban areas is encouraged.
Area of Science:
- Geriatric Emergency Medicine
- Healthcare Quality Improvement
- Health Services Research
Background:
- Geriatric Emergency Departments (GEDs) are crucial for improving emergency care for older adults.
- Recent initiatives focus on supporting the recognition and growth of GEDs nationwide.
- Understanding the distribution and trends of GEDs is essential for strategic development.
Purpose of the Study:
- To create a unified database of Geriatric Emergency Departments (GEDs) in the United States.
- To analyze the distribution and growth patterns of GEDs from 2017 to 2022.
- To inform future expansion efforts for geriatric emergency care programs.
Main Methods:
- Identified US emergency departments (EDs) in the Geriatric ED Collaborative (GEDC) or Geriatric ED Accreditation (GEDA) programs by December 31, 2022.
- Included hospitals recognized by Age Friendly Health Systems (AFHS) for comprehensive analysis.
- Compiled data into the 2022 National ED Inventory-US database, noting recognition years.
Main Results:
- 324 GEDs (5.8%) and 526 potential GEDs (pGEDs, 9.4%) were identified among 5,622 nonfederal EDs in 2022.
- GEDs and pGEDs were disproportionately located in urban areas.
- A significant rise in pGEDs within nonteaching hospitals was observed from 2017-2019 to 2020-2022.
Conclusions:
- The Geriatric Emergency Department Collaborative (GEDC) and Geriatric ED Accreditation (GEDA) programs are recommended for inclusion in a unified national GED database.
- There has been a notable increase in potential GEDs within nonteaching hospitals since 2017.
- Expansion of ED-based geriatric programs into nonurban community EDs is encouraged.
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