Paramedics and EMTs’ Perceptions of Geriatric Trauma Care in Saudi Arabia DOI Creative Commons
Naif Harthi, Steve Goodacre, Fiona Sampson

et al.

Research Square (Research Square), Journal Year: 2024, Volume and Issue: unknown

Published: Nov. 12, 2024

Abstract Background Saudi ambulance clinicians face ageing-related challenges and impacts of ageing changes while providing prehospital geriatric trauma care but little is known about their understanding such care. Methods A qualitative study was conducted using a purposive sample paramedics technicians from Riyadh Makkah online semi-structured interviews analysed the framework method. Results The recruited twenty participants identified that they reported age-related including physiological changes, polypharmacy, communication difficulties. They all wanted training guidelines to improve knowledge. struggling with difficulties, inaccurate adverse outcomes predictions, difficult intravenous cannulations, cultural restrictions affecting provision for female patients. We organisational barriers (e.g. lack shared patient records guidelines) assessing women, attitudes towards older people, paramedics) influenced implementation Conclusion Ambulance in Arabia want managing patients these need take into account we facilitate implementing knowledge changing practice improved

Language: Английский

Paramedics and emergency medical technicians’ perceptions of geriatric trauma care in Saudi Arabia DOI Creative Commons
Naif Harthi, Steve Goodacre, Fiona Sampson

et al.

BMC Emergency Medicine, Journal Year: 2025, Volume and Issue: 25(1)

Published: Jan. 9, 2025

Language: Английский

Citations

1
Validation and comparison of fall screening tools for predicting future falls among older adults DOI
Elizabeth R. Burns, Robin Lee, Sarah Hodge

et al.

Archives of Gerontology and Geriatrics, Journal Year: 2022, Volume and Issue: 101, P. 104713 - 104713

Published: April 30, 2022

Language: Английский

Citations

30
Balancing vision with pragmatism: The geriatric emergency department guidelines‐realistic expectations from emergency medicine and geriatric medicine DOI
Richard D. Shih, Christopher R. Carpenter, Vaishal Tolia

et al.

Journal of the American Geriatrics Society, Journal Year: 2022, Volume and Issue: 70(5), P. 1368 - 1373

Published: March 12, 2022

In 2014 the Geriatric Emergency Department (GED) Guidelines were published and endorsed by four major medical organizations. The multidisciplinary GED characterize complex needs of older emergency department (ED) patient current best practices with goal promoting more cost-effective patient-centered care. recommendations are extensive vast majority EDs then now do not have either resources nor hospital administrative support to provide this additional service. At 2021 American Academy Medicine's Scientific Assembly, a panel medicine physicians geriatricians discussed realities EDs' capacity practice guideline recommended care patients. This article is synthesis panel's presentation discussion. With substantial challenges in providing EDs, will explore three high impact clinical conditions highlight recommendations, opportunities, discuss realistically achievable expectations for non-Geriatric ED accredited institutions. describing geriatric Unfortunately, worldwide level service guidelines. can be termed aspirational U.S. at present time.

Language: Английский

Citations

19
The Geriatric Emergency Care Applied Research (GEAR) network approach: a protocol to advance stakeholder consensus and research priorities in geriatrics and dementia care in the emergency department DOI Creative Commons
Ula Hwang, Christopher R. Carpenter, Scott M. Dresden

et al.

BMJ Open, Journal Year: 2022, Volume and Issue: 12(4), P. e060974 - e060974

Published: April 1, 2022

Introduction Increasingly, older adults are turning to emergency departments (EDs) address healthcare needs. To achieve these research demands, infrastructure is needed both generate evidence of intervention impact and advance the development implementation science, pragmatic trials evaluation dissemination findings from studies addressing care needs adults. The Geriatric Emergency Care Applied Research Network ( https://gearnetwork.org ) has been created in response scientific needs—to build a transdisciplinary support that will optimise for persons living with dementia. Methods analysis In this paper, we describe our approach developing GEAR infrastructure, scoping reviews identify clinical gaps its use consensus-driven priorities taskforce stakeholders includes patients partners. We how priority topic areas ascertained, process conducting integrated academic librarians performing standardised searches providing quality control on reviews, input large-scale consensus workshop prioritise future topics. provides framework systematic develop agenda geriatric care. Ethics This review previously conducted research; accordingly, it does not constitute human subjects needing ethics review. These be prepared as manuscripts submitted publication peer-reviewed journals, results presented at conferences. Open Science Framework registered DOI: 10.17605/OSF.IO/6QRYX , 10.17605/OSF.IO/AKVZ8 10.17605/OSF.IO/EPVR5 10.17605/OSF.IO/VXPRS .

Language: Английский

Citations

19
Predictive Performance of the KINDER 1 Fall Risk Assessment Tool in a Regional Health System DOI Creative Commons
Vallire D. Hooper, Cynthia M. LaFond,

Kristi Stephenson

et al.

Journal of Emergency Nursing, Journal Year: 2025, Volume and Issue: unknown

Published: Feb. 1, 2025

Language: Английский

Citations

0
Analysis of long-term prognosis of older patients after a first fall according to economic status DOI
Ana García‐Martínez, Lourdes Artajona,

Sergio García-Rosa

et al.

European Geriatric Medicine, Journal Year: 2025, Volume and Issue: unknown

Published: Feb. 28, 2025

Language: Английский

Citations

0
Collaborative design and implementation of a clinical decision support system for automated fall-risk identification and referrals in emergency departments DOI
Gwen Costa Jacobsohn, Margaret Leaf,

Frank Liao

et al.

Healthcare, Journal Year: 2021, Volume and Issue: 10(1), P. 100598 - 100598

Published: Dec. 16, 2021

Language: Английский

Citations

25
Predicting posthospitalization falls in Brazilian older adults: External validation of the Carpenter instrument DOI
Pedro Kallas Curiati,

Marcela dos S. Arruda,

Christopher R. Carpenter

et al.

Academic Emergency Medicine, Journal Year: 2024, Volume and Issue: 31(7), P. 688 - 695

Published: March 7, 2024

Abstract Objectives This study sought to explore and externally validate the Carpenter instrument's efficacy in predicting postdischarge fall risk among older adults admitted emergency department (ED) for reasons other than falls or related injuries. Methods A prospective cohort was conducted on 779 patients aged ≥ 65 years from a tertiary hospital São Paulo, Brazil, who were monitored up 6 months post‐ED hospitalization. The instrument, which evaluates four factors nonhealing foot sores, self‐reported depression, inability self‐clip toenails, prior falls, utilized assess risk. Follow‐up by telephone occurred at 30, 90, 180 days identify mortality. Fine–Gray models estimated predictive power of instrument future considering death as competing event sociodemographic factors, frail status, clinical measures confounders. Results Among patients, 68 (9%) experienced within admission, 88 (11%) died. majority male (54%), with mean age 79 years. Upon utilizing score, those higher (≥2 points) displayed more comorbidities, greater frailty, increased severity baseline. Regression analyses showed that every additional point score hazard 73%. Two primary contributors its potential identified: history preceding year an toenails. However, discriminative accuracy suboptimal, area under curve 0.62. Conclusions While associated 6‐month postadmission visit, individual patient decision making limited. Given significant impact health outcomes care costs, refining assessment tools remains essential. Future research should focus enhancing these assessments devising targeted proactive strategies.

Language: Английский

Citations

2
Geriatric emergency medicine—a model for frailty friendly healthcare DOI Open Access
Simon P. Mooijaart, Christopher R. Carpenter, Simon Conroy

et al.

Age and Ageing, Journal Year: 2021, Volume and Issue: 51(3)

Published: Dec. 17, 2021

As the world's population continues to age over decades ahead, medical educators and researchers in every adult surgical specialty will need 'geriatricise' their clinical science. Many have already engaged with geriatrics. Here we describe progress that has been made opportunities ahead field of Geriatric Emergency Medicine (GEM), a taken large steps integrating holistic care. Future exist three domains evidence-based medicine: including patient preferences needs, generating scientific evidence, improving physician knowledge expertise. Implementation requires new innovations also organisation Similar strategies may be useful other fields medicine, making care standard for older people.

Language: Английский

Citations

15
Sex differences in mortality of older adults with falls after emergency department consultation: FALL‐ER registry DOI
Òscar Miró, Adriana Gil‐Rodrigo, Ana García‐Martínez

et al.

Journal of the American Geriatrics Society, Journal Year: 2023, Volume and Issue: 71(9), P. 2715 - 2725

Published: May 24, 2023

To investigate if sex is a risk factor for mortality in patients consulting at the emergency department (ED) an unintentional fall.This was secondary analysis of FALL-ER registry, cohort ≥65 years with fall presenting to one 5 Spanish EDs during 52 predefined days (one per week year). We collected 18 independent patient baseline and fall-related variables. Patients were followed 6 months all-cause recorded. The association between biological expressed as unadjusted adjusted hazard ratios (HR) 95% confidence interval (95% CI), subgroup analyses performed by assessing interaction all variables.Of 1315 enrolled (median age 81 years), 411 men (31%) 904 women (69%). 6-month higher (12.4% vs. 5.2%, HR = 2.48, CI 1.65-3.71), although similar sexes. Men had more comorbidity, previous hospitalizations, loss consciousness, intrinsic cause falling. Women frequently lived alone, self-reported depression, results fracture immobilization. Nonetheless, after adjustment these eight divergent variables, older aged 65 over still showed significantly (HR 2.19, 1.39-3.45), highest observed first month ED presentation 4.18, 1.31-13.3). found no any patient-related or variables respect (p > 0.05 comparisons).Male death following population adults over. causes this should be investigated future studies.

Language: Английский

Citations

5