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Acute care of older patients in the emergency department: strategies to improve patient outcomes

Authors McCabe JJ, Kennelly S

Received 13 June 2015

Accepted for publication 25 July 2015

Published 4 September 2015 Volume 2015:7 Pages 45—54

DOI https://doi.org/10.2147/OAEM.S69974

Checked for plagiarism Yes

Review by Single-blind

Peer reviewer comments 3

Editor who approved publication: Dr Hans-Christoph Pape


John J McCabe, Sean P Kennelly

Department of Age-Related Health Care, Tallaght Hospital, Dublin, Ireland

Abstract: Older patients in the emergency department (ED) are a vulnerable population who are at a higher risk of functional decline and hospital reattendance subsequent to an ED visit, and have a high mortality rate in the months following an ED attendance. The delivery of acute care in a busy environment to this population presents its own unique challenge. The purpose of this review is to detail the common geriatric syndromes encountered in the ED as well as the appropriate strategies and instruments, which can be utilized to support the clinical decision matrix and improve outcomes.

Keywords: delirium, dementia, emergency department, comprehensive geriatric assessment

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