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http://hdl.handle.net/1942/35896
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DC Field | Value | Language |
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dc.contributor.author | Heeren, P | - |
dc.contributor.author | Hendrikx , A | - |
dc.contributor.author | Ceyssens , J | - |
dc.contributor.author | Devriendt, E | - |
dc.contributor.author | DESCHODT, Mieke | - |
dc.contributor.author | Desruelles, D | - |
dc.contributor.author | Flamaing, J | - |
dc.contributor.author | Sabbe, M | - |
dc.contributor.author | Milisen, K | - |
dc.date.accessioned | 2021-11-25T16:05:05Z | - |
dc.date.available | 2021-11-25T16:05:05Z | - |
dc.date.issued | 2021 | - |
dc.date.submitted | 2021-09-13T14:56:36Z | - |
dc.identifier.citation | BMC GERIATRICS, 21 (1) (Art N° 95) | - |
dc.identifier.issn | 1471-2318 | - |
dc.identifier.uri | http://hdl.handle.net/1942/35896 | - |
dc.description.abstract | BackgroundCombining observation principles and geriatric care concepts is considered a promising strategy for risk-stratification of older patients with emergency care needs. We aimed to map the structure and processes of emergency observation units (EOUs) with a geriatric focus and explore to what extent the comprehensive geriatric assessment (CGA) approach was implemented in EOUs.MethodsThe revised scoping methodology framework of Arksey and O'Malley was applied. Manuscripts reporting on dedicated areas within hospitals for observation of older patients with emergency care needs were eligible for inclusion. Electronic database searches were performed in MEDLINE, EMBASE and CINAHL in combination with backward snowballing. Two researchers conducted data charting independently. Data-charting forms were developed and iteratively refined. Data inconsistencies were judged by a third researcher or discussed in the research team. Quality assessment was conducted with the Methodological Index for Non-Randomized Studies.ResultsSixteen quantitative studies were included reporting on fifteen EOUs in seven countries across three continents. These units were located in the ED, immediately next to the ED or remote from the ED (i.e. hospital-based). All studies reported that staffing consisted of at least three healthcare professions. Observation duration varied between 4 and 72h. Most studies focused on medical and functional assessment. Four studies reported to assess a patients' medical, functional, cognitive and social capabilities. If deemed necessary, post-discharge follow-up (e.g. community/primary care services and/or outpatient clinics) was provided in eleven studies.ConclusionThis scoping review documented that the structure and processes of EOUs with a geriatric focus are very heterogeneous and rarely cover all elements of CGA. Further research is necessary to determine how complex care principles of 'observation medicine' and 'CGA' can ideally be merged and successfully implemented in clinical care. | - |
dc.description.sponsorship | The authors did not receive grants, institutional or corporate support to conduct this study. PH is holder of a PhD fellowship granted by Research Foundation - Flanders (FWO) (1133320 N). The authors would like to thank Magdalena Jans for her contribution to development of the search strings. This work was presented at the first virtual congress of the European Society for Emergency Medicine (EUSEM) (19-22 September, 2020). | - |
dc.language.iso | en | - |
dc.publisher | BMC | - |
dc.rights | The Author(s). 2021 Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data. | - |
dc.subject.other | Acute care | - |
dc.subject.other | Emergency department | - |
dc.subject.other | Observation unit | - |
dc.subject.other | Older adults | - |
dc.subject.other | Geriatric emergency medicine | - |
dc.subject.other | Comprehensive geriatric assessment | - |
dc.title | Structure and processes of emergency observation units with a geriatric focus: a scoping review | - |
dc.type | Journal Contribution | - |
dc.identifier.issue | 1 | - |
dc.identifier.volume | 21 | - |
local.bibliographicCitation.jcat | A1 | - |
local.publisher.place | CAMPUS, 4 CRINAN ST, LONDON N1 9XW, ENGLAND | - |
local.type.refereed | Refereed | - |
local.type.specified | Article | - |
local.bibliographicCitation.artnr | 95 | - |
dc.identifier.doi | 10.1186/s12877-021-02029-9 | - |
dc.identifier.pmid | 33526029 | - |
dc.identifier.isi | 000616637100004 | - |
dc.identifier.eissn | 1471-2318 | - |
local.provider.type | Web of Science | - |
local.uhasselt.international | yes | - |
item.fullcitation | Heeren, P; Hendrikx , A; Ceyssens , J; Devriendt, E; DESCHODT, Mieke; Desruelles, D; Flamaing, J; Sabbe, M & Milisen, K (2021) Structure and processes of emergency observation units with a geriatric focus: a scoping review. In: BMC GERIATRICS, 21 (1) (Art N° 95). | - |
item.validation | ecoom 2022 | - |
item.accessRights | Open Access | - |
item.fulltext | With Fulltext | - |
item.contributor | Heeren, P | - |
item.contributor | Hendrikx , A | - |
item.contributor | Ceyssens , J | - |
item.contributor | Devriendt, E | - |
item.contributor | DESCHODT, Mieke | - |
item.contributor | Desruelles, D | - |
item.contributor | Flamaing, J | - |
item.contributor | Sabbe, M | - |
item.contributor | Milisen, K | - |
crisitem.journal.issn | 1471-2318 | - |
crisitem.journal.eissn | 1471-2318 | - |
Appears in Collections: | Research publications |
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File | Description | Size | Format | |
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Structure and processes of emergency observation units with a geriatric focus_ a scoping review.pdf | Published version | 770.86 kB | Adobe PDF | View/Open |
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