High Yield Research Opportunities in Geriatric Emergency Medicine: Prehospital Care, Delirium, Adverse Drug Events, and Falls

被引:76
作者
Carpenter, Christopher R. [2 ]
Shah, Manish N. [3 ]
Hustey, Fredric M. [4 ]
Heard, Kennon [5 ,6 ]
Gerson, Lowell W. [7 ,8 ,9 ]
Miller, Douglas K. [1 ,10 ]
机构
[1] Indiana Univ, Ctr Aging Res, Indianapolis, IN 46202 USA
[2] Washington Univ, Div Emergency Med, St Louis, MO USA
[3] Univ Rochester, Dept Emergency Med, New York, NY USA
[4] Cleveland Clin, Emergency Serv Inst, Cleveland, OH USA
[5] Rocky Mt Poison & Drug Ctr, Denver, CO USA
[6] Univ Colorado, Dept Emergency Med, Aurora, CO USA
[7] Summa Hlth Syst, Dept Emergency Med, Akron, OH USA
[8] Northeastern Ohio Univ Coll Med & Pharm, Coll Med, Dept Behav & Community Hlth Sci, Rootstown, OH 44272 USA
[9] Northeastern Ohio Univ Coll Med & Pharm, Coll Pharm, Dept Behav & Community Hlth Sci, Rootstown, OH USA
[10] Regenstrief Inst Inc, Indianapolis, IN USA
来源
JOURNALS OF GERONTOLOGY SERIES A-BIOLOGICAL SCIENCES AND MEDICAL SCIENCES | 2011年 / 66卷 / 07期
关键词
Aged; Emergency medical services; Delirium; Drug toxicity; Accidental falls; COMPUTERIZED DECISION-SUPPORT; INAPPROPRIATE MEDICATION USE; OLDER-PEOPLE; RISK-FACTORS; DEPARTMENT PATIENTS; ELDERLY EMERGENCY; PREVENTING FALLS; CONTROLLED-TRIAL; HEALTH OUTCOMES; INJURIOUS FALLS;
D O I
10.1093/gerona/glr040
中图分类号
R592 [老年病学]; C [社会科学总论];
学科分类号
03 ; 0303 ; 100203 ;
摘要
Emergency services constitute crucial and frequently used safety nets for older persons, an emergency visit by a senior very often indicates high vulnerability for functional decline and death, and interventions via the emergency system have significant opportunities to change the clinical course of older patients who require its services. However, the evidence base for widespread employment of emergency system-based interventions is lacking. In this article, we review the evidence and offer crucial research questions to capitalize on the opportunity to optimize health trajectories of older persons seeking emergency care in four areas: prehospital care, delirium, adverse drug events, and falls.
引用
收藏
页码:775 / 783
页数:9
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