{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,13]],"date-time":"2026-10-13T11:41:52Z","timestamp":1791891712953,"version":"4.3.4"},"reference-count":27,"publisher":"Oxford University Press (OUP)","issue":"8","license":[{"start":{"date-parts":[[2024,8,8]],"date-time":"2024-08-08T00:00:00Z","timestamp":1723075200000},"content-version":"vor","delay-in-days":7,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2024,8,6]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Introduction<\/jats:title>\n                  <jats:p>Due to the increasing number of older patients in emergency departments (EDs) with frailty, cognitive impairment and multimorbidity, there is a need for geriatric expertise in EDs.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>This retrospective study is of older patients visiting Turku University Hospital ED between 2 January and 31 December 2022. Patients aged 75\u00a0years of older were screened for frailty using Triage Risk Screening Tool (TRST) and Clinical Frailty Scale (CFS). Nonacute, frail patients (CFS \u22654) suitable for Targeted Geriatric Assessment (TGA) (n\u2009=\u20091096) were scanned for the risk of delirium, cognitive impairment, change in functional status, falls, malnutrition and depression. A comprehensive patient record was made with recommendations for future care.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>TRST was completed in 70% of the ED visits, and two-thirds of those were considered high-risk. Among the patients assessed by the geriatric team (TGA), nonspecific complaint (38%) and falls (35%) were the main reasons for ED admission. Cognitive impairment was present in over 60% and orthostatic hypotension in 40% of the patients. The 72-hour revisit rate for TGA-patients was 2.3%. For the real-life control group, the 72-hour revisit rate was 4.6% (P\u2009=\u2009.001). Thirty-day revisit rates were 10% and 16%, respectively (P\u2009&amp;lt;\u2009.001). The need for rehabilitation, cognitive evaluation and intensifying home care were the main recommendations for future care.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusions<\/jats:title>\n                  <jats:p>TGA approach provides structured and accurate information on older patients\u2019 background. This may lead to more precise diagnostics, a thorough consideration of hospital intake and a secure discharge from the ED. Ensuring continuity of care may help to reduce readmissions to EDs.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/ageing\/afae171","type":"journal-article","created":{"date-parts":[[2024,8,8]],"date-time":"2024-08-08T05:39:17Z","timestamp":1723095557000},"source":"Crossref","is-referenced-by-count":9,"title":["AEGIS\u2014AcutE Geriatric Intervention Study: pilot study of frontline acute geriatric assessment to improve quality of care in emergency department"],"prefix":"10.1093","volume":"53","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2993-5750","authenticated-orcid":false,"given":"Kaisa J","family":"Karjalainen","sequence":"first","affiliation":[{"name":"Department of Geriatric Medicine , Faculty of Medicine\/Clinical Medicine, , Turku, Finland"},{"name":"University of Turku and Turku University Hospital, The wellbeing services county of Southwest Finland , Faculty of Medicine\/Clinical Medicine, , Turku, Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hannele","family":"Tuori","sequence":"additional","affiliation":[{"name":"Department of Geriatric Medicine , Faculty of Medicine\/Clinical Medicine, , Turku, Finland"},{"name":"University of Turku and Turku University Hospital, The wellbeing services county of Southwest Finland , Faculty of Medicine\/Clinical Medicine, , Turku, Finland"},{"name":"Tyks Acute\/Turku University Hospital, The wellbeing services county of Southwest Finland , Turku, Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marika","family":"Salminen","sequence":"additional","affiliation":[{"name":"Department of Geriatric Medicine , Faculty of Medicine\/Clinical Medicine, , Turku, Finland"},{"name":"University of Turku and Turku University Hospital, The wellbeing services county of Southwest Finland , Faculty of Medicine\/Clinical Medicine, , Turku, Finland"},{"name":"Department of General Practice , Faculty of Medicine\/Clinical Medicine, Finland"},{"name":"University of Turku and The wellbeing services county of Southwest , Faculty of Medicine\/Clinical Medicine, Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Juha","family":"Peltonen","sequence":"additional","affiliation":[{"name":"Tyks Acute\/Turku University Hospital, The wellbeing services county of Southwest Finland , Turku, Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sirpa","family":"Rantanen","sequence":"additional","affiliation":[{"name":"Tyks Acute\/Turku University Hospital, The wellbeing services county of Southwest Finland , Turku, Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paula","family":"Viikari","sequence":"additional","affiliation":[{"name":"Department of Geriatric Medicine , Faculty of Medicine\/Clinical Medicine, , Turku, Finland"},{"name":"University of Turku and Turku University Hospital, The wellbeing services county of Southwest Finland , Faculty of Medicine\/Clinical Medicine, , Turku, Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Matti","family":"Viitanen","sequence":"additional","affiliation":[{"name":"Department of Geriatric Medicine , Faculty of Medicine\/Clinical Medicine, , Turku, Finland"},{"name":"University of Turku and Turku University Hospital, The wellbeing services county of Southwest Finland , Faculty of Medicine\/Clinical Medicine, , Turku, Finland"},{"name":"Division of Clinical Geriatrics , Center for Alzheimer Research, Department of Neurobiology, Care Sciences and Society, , Stockholm, Sweden"},{"name":"Karolinska Institutet and Karolinska University Hospital Huddinge , Center for Alzheimer Research, Department of Neurobiology, Care Sciences and Society, , Stockholm, Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maria S","family":"Nuotio","sequence":"additional","affiliation":[{"name":"Department of Geriatric Medicine , Faculty of Medicine\/Clinical Medicine, , Turku, Finland"},{"name":"University of Turku and Turku University Hospital, The wellbeing services county of Southwest Finland , Faculty of Medicine\/Clinical Medicine, , Turku, Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Laura","family":"Viikari","sequence":"additional","affiliation":[{"name":"Department of Geriatric Medicine , Faculty of Medicine\/Clinical Medicine, , Turku, Finland"},{"name":"University of Turku and Turku University Hospital, The wellbeing services county of Southwest Finland , Faculty of Medicine\/Clinical Medicine, , Turku, Finland"},{"name":"Tyks Acute\/Turku University Hospital, The wellbeing services county of Southwest Finland , Turku, Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2024,8,8]]},"reference":[{"key":"2024080805385886800_ref1","doi-asserted-by":"crossref","DOI":"10.1093\/ageing\/afab280","article-title":"Geriatric 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