Pitfalls in the emergency department triage of frail elderly patients without specific complaints

Swiss Medical Weekly

Volumn 135, Issue 9-10, 2005, Pages 145-150

  Rutschmann, Olivier T ^a   Chevalley, Thierry ^a   Zumwald, Catherine ^b   Luthy, Christophe ^a   Vermeulen, Bernard ^a   Sarasin, François P ^a  

^a GENEVA UNIVERSITY HOSPITALS   (Switzerland)

^b Fond Serv d'Aide Soins Domicile   (Switzerland)

Author keywords

Emergency service; Frail elderly; Geriatric assessment; Hospital; Triage

Indexed keywords

AGED; ARTICLE; EMERGENCY HEALTH SERVICE; EMERGENCY WARD; GERIATRIC CARE; GERIATRICS; HOME CARE; HOSPITAL ADMISSION; HUMAN; MAJOR CLINICAL STUDY; UNIVERSITY HOSPITAL;

EID: 16244410110     PISSN: 14247860     EISSN: None     Source Type: Journal    
DOI: None     Document Type: Article

References (25)

1. Strange GR, Chen E. Use of emergency departments by elder patients: a five year follow-up study. Academic Emergency Medicine 1998;5:1157-62.
2. Wofford JL, Schwartz E, Timerding BL, Folmar S, Ellis SD, Messick CH. Emergency department utilization by the elderly: analysis of the national hospital ambulatory medical care survey. Academic Emergency Medicine 1996;3:694-9.
3. Hu SC, Yen D, Yu YC, Kao WF, Wang LM. Elderly use of the ed in an asian metropolis. Am J Emerg Med 1999;17:95-9.
4. Aminzadeh F, Dalziel WB. Older adults in the emergency department: a systematic review of patterns of use, adverse outcomes, and effectiveness of interventions. Ann Emerg Med 2002;39:238-47.
5. Sanders AB. Care of the elderly in emergency departments: conclusions and recommendations. Ann Emerg Med 1992;21: 830-4.
6. McNamara RM, Rousseau E, Sanders AB. Geriatric emergency medicine: a survey of practicing emergency physicians. Ann Emerg Med 1992;21:796-801.
7. Meldon SW, Reilly M, Drew BL, Mancuso C, Fallon W Jr. Trauma in the very elderly: a community-based study of outcomes at trauma and nontrauma centers. Journal of Trauma-Injury Infection & Critical Care 2002;52:79-84.
8. Phillips S, Rond PC 3rd, Kelly SM, Swartz PD. The failure of triage criteria to identify geriatric patients with trauma: results from the Florida trauma triage study. Journal of Trauma-Injury Infection & Critical Care 1996;40:278-83.
9. Vanpee D, Swine C, Vandenbossche P, Gillet JB. Epidemiological profile of geriatric patients admitted to the emergency department of a university hospital localized in a rural area. Eur J Emerg Med 2001;8:301-4.
10. Beveridge RC. The Canadian triage and acuity scale: a new and critical element in health care reform. J Emerg Med 1998;16: 507-11.
11. Morris JN, Fries BE, Steel K, Ikegami N, Bernabei R, Carpenter GI, et al. Comprehensive clinical assessment in community setting: applicability of the MDS-HC. J Am Geriatr Soc 1997; 45:1017-24.
12. Oates J, Heslop L, Boord N. The elderly adult in the emergency department. Int J Nurs Prac 1997;3:166-72.
13. Lane P, Sorondo B, Kelly JJ. Geriatric trauma patients - are they receiving trauma center care? Academic Emergency Medicine 2003;10:244-50.
14. Parkhe M, Myles PS, Leach DS, Maclean AV. Outcome of emergency department patients with delayed admission to an intensive care unit. Emerg Med 2002;14:50-7.
15. Chu K, Brown A, Pillay R. Older patients' utilisation of emergency department resources: a cross-sectional study. Australian Health Review 2001;24:44-52.
16. Adams JG, Gerson LW. A new model for emergency care of geriatric patients. Academic Emergency Medicine 2003;10: 271-4.
17. Van Gerven R, Delooz H, Sermeus W. Systematic triage in the emergency department using the Australian national triage scale: a pilot project. Eur J Emerg Med 2001;8:3-7.
18. Wuerz R. Emergency severity index triage category is associated with six-month survival. ESI triage study group. Academic Emergency Medicine 2001;8:61-4.
19. Salk ED, Schriger DL, Hubbell KA, Schwartz BL. Effect of visual cues, vital signs, and protocols on triage: a prospective randomized crossover trial. Ann Emerg Med 1998;32:655-64.
20. Witzke DB, Sanders AB. The development and evaluation of a geriatric emergency medicine curriculum. The SAEM geriatric emergency medicine task force. Academic Emergency Medicine 1997;4:219-22.
21. Sanders AB, Morley JE. The older person and the emergency department. J Am Geriatr Soc 1993;41:880-2.
22. McCusker J, Cardin S, Bellavance F, Belzile E. Return to the emergency department among elders: patterns and predictors. Academic Emergency Medicine 2000;7:249-59.
23. Mion LC, Palmer RM, Anetzberger GJ, Meldon SW. Establishing a case-finding and referral system for at-risk older individuals in the emergency department setting: the signet model. J Am Geriatr Soc 2001;49:1379-86.
24. Landi F, Onder G, Tua E, Carrara B, Zuccala G, Gambassi G, et al. Impact of a new assessment system, the MDS-HC, on function and hospitalization of homebound older people: a controlled clinical trial. J Am Geriatr Soc 2001;49:1288-93.
25. Boult C, Boult L, Murphy C, Ebbitt B, Luptak M, Kane RL. A controlled trial of outpatient geriatric evaluation and management. J Am Geriatr Soc 1994;42:465-70.