Providing care for older adults in the Emergency Department: expert clinical recommendations from the European Task Force on Geriatric Emergency Medicine.

Acute care Emergency Medicine Frailty Geriatric Emergency Medicine Geriatrics Guidelines

Journal

European geriatric medicine
ISSN: 1878-7649
Titre abrégé: Eur Geriatr Med
Pays: Switzerland
ID NLM: 101533694

Informations de publication

Date de publication:
04 2022
Historique:
received: 18 09 2021
accepted: 20 10 2021
pubmed: 6 11 2021
medline: 22 4 2022
entrez: 5 11 2021
Statut: ppublish

Résumé

Despite the rapidly expanding knowledge in the field of Geriatric Emergency Medicine in Europe, widespread implementation of change is still lacking. Many opportunities in everyday clinical care are missed to improve care for this susceptible and growing patient group. The aim was to develop expert clinical recommendations on Geriatric Emergency Medicine to be disseminated across Europe. A group of multi-disciplinary experts in the field of Geriatric Emergency Medicine in Europe was assembled. Using a modified Delphi procedure, a prioritized list of topics related to Geriatric Emergency Medicine was created. Next, a multi-disciplinary group of nurses, geriatricians and emergency physicians performed a review of recent guidelines and literature to create recommendations. These recommendations were voted upon by a group of experts and placed on visually attractive posters. The expert group identified the following eight subject areas to develop expert recommendations on: Comprehensive Geriatric Assessment in the Emergency Department (ED), age/frailty adjusted risk stratification, delirium and cognitive impairment, medication reviews in the ED for older adults, family involvement, ED environment, silver trauma, end of life care in the acute setting. Eight posters with expert clinical recommendations on the most important topics in Geriatric Emergency Medicine are now available through https://posters.geriemeurope.eu/ . Expert clinical recommendations for Geriatric Emergency Medicine may help to improve care for older patients in the Emergency Department and are ready for dissemination across Europe.

Identifiants

pubmed: 34738224
doi: 10.1007/s41999-021-00578-1
pii: 10.1007/s41999-021-00578-1
pmc: PMC8568564
doi:

Types de publication

Journal Article Practice Guideline Review Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

309-317

Informations de copyright

© 2021. The Author(s), under exclusive licence to European Geriatric Medicine Society.

Références

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Auteurs

J A Lucke (JA)

Department of Emergency Medicine, Spaarne Gasthuis, Haarlem, The Netherlands. jlucke@spaarnegasthuis.nl.

S P Mooijaart (SP)

Department of Internal Medicine, Section on Gerontology and Geriatrics, Leiden University Medical Center, Leiden, The Netherlands.

P Heeren (P)

Department of Public Health and Primary Care, Academic Centre for Nursing and Midwifery, KU Leuven, Leuven, Belgium.
Department of Geriatric Medicine, University Hospitals Leuven, Leuven, Belgium.
Research Foundation Flanders, Brussels, Belgium.

K Singler (K)

Department of Geriatrics, Klinikum Nürnberg, Paracelsus Private, Medical University, Nuremberg, Germany.
Institute for Biomedicine of Ageing, Friedrich-Alexander-University, Erlangen-Nuremberg, Erlangen, Germany.

R McNamara (R)

Department of Emergency Medicine, St. Vincent's University Hospital, Dublin, Ireland.

T Gilbert (T)

Department of Geriatric Medicine, Lyon-Sud University Hospital, Lyon, France.

C H Nickel (CH)

Emergency Medicine, University Hospital Basel, Basel, Switzerland.

S Castejon (S)

Department of Geriatrics and Palliative Care, Consorci Sanitari de Terrassa, Terrassa, Barcelona, Spain.

A Mitchell (A)

Department of Emergency Medicine, Sligo University Hospital, Sligo, Ireland.

V Mezera (V)

Geriatric Center, Pardubice Hospital, Pardubice, Czech Republic.

L Van der Linden (L)

Pharmacy Department, University Hospitals Leuven, Leuven, Belgium.
Department of Pharmaceutical and Pharmacological Sciences, KU Leuven, Leuven, Belgium.

S E Lim (SE)

Academic Geriatric Medicine, University of Southampton, Southampton, UK.

A Thaur (A)

Department of Emergency Medicine, Guy's and St.Thomas' NHS Foundation Trust, London, UK.

M A Karamercan (MA)

Department of Emergency Medicine, Gazi University School of Medicine, Ankara, Turkey.

L C Blomaard (LC)

Department of Internal Medicine, Section on Gerontology and Geriatrics, Leiden University Medical Center, Leiden, The Netherlands.

Z D Dundar (ZD)

Department of Emergency Medicine, Necmettin Erbakan University Meram Faculty of Medicine, Konya, Turkey.

K Y Chueng (KY)

Accident and Emergency Department, United Christian Hospital, Kwun Tong, Hong Kong.

F Islam (F)

Department of Public Health and Primary Care, KU Leuven, Leuven, Belgium.

B de Groot (B)

Department of Emergency Medicine, Leiden University Medical Center, Leiden, The Netherlands.

S Conroy (S)

Geriatric Medicine, MRC Unit for Lifelong Health and Ageing at UCL, 5th Floor, 1-19 Torrington Place, London, WC1E 7HB, UK.

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