{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,30]],"date-time":"2026-06-30T10:45:54Z","timestamp":1782816354828,"version":"3.54.5"},"reference-count":21,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T00:00:00Z","timestamp":1777507200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T00:00:00Z","timestamp":1777507200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/100002076","name":"Emergency Medicine Foundation","doi-asserted-by":"publisher","award":["EMEG\u2010058R40\u20102023\u2010WILLIAMS"],"award-info":[{"award-number":["EMEG\u2010058R40\u20102023\u2010WILLIAMS"]}],"id":[{"id":"10.13039\/100002076","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Emerg Medicine Australasia"],"published-print":{"date-parts":[[2026,6]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>Australia's ageing population resulted in increasing Emergency Department (ED) presentations among older adults, particularly frail and those at risk of adverse outcomes. Delirium contributes significantly to morbidity in this cohort. The 4AT screening tool is routinely employed to identify risk. This study examined the impact of the Geriatric Emergency Department Initiative (GEDI) on clinical outcomes for older community dwelling adults presenting to ED with a completed 4AT.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A retrospective, single\u2010centre observational cohort study was conducted at an urban district ED. Patients \u2265\u200975\u2009years, and First Nations peoples \u2265\u200955\u2009years, with a completed 4AT presenting between January 1 and June 30, 2023 were included. Data were extracted and analysed using descriptive and comparative statistics.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Of 1756 patients, 918 (52%) received GEDI input. Overall, 1135 (65%) had a 4AT score of 0 (no cognitive impairment), 410 (23%) with 4AT of 1\u20133 (mild cognitive impairment), and 211 (12%) with 4AT score of \u2265\u20094 (probable delirium). Among patients with a 4AT of 0, GEDI involvement was associated with shorter ED lengths of stay, lower admission rates, and higher discharges home (all\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001). Patients with 4AT scores 1\u20133, GEDI involvement lowered admission rates, increased discharges home, with no difference in ED length of stay. No significant differences were observed with 4AT scores \u2265\u20094 when compared to standard care.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>GEDI involvement reduced ED length of stay and admission rates among older adults without delirium or with mild cognitive impairment, but no significant impact was observed for patients with probable delirium.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/1742-6723.70266","type":"journal-article","created":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T09:46:56Z","timestamp":1777542416000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["The Impact of the Geriatric Emergency Department Initiative on Older Community Dwelling Adults Presenting to the Emergency Department With a Completed Delirium Screen"],"prefix":"10.1111","volume":"38","author":[{"ORCID":"https:\/\/orcid.org\/0009-0006-5712-2529","authenticated-orcid":false,"given":"Kendall","family":"Williams","sequence":"first","affiliation":[{"name":"Emergency Department Redland Hospital, Metro South Health  Cleveland Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8603-3134","authenticated-orcid":false,"given":"Alison","family":"Craswell","sequence":"additional","affiliation":[{"name":"University of the Sunshine Coast  Sippy Downs Australia"},{"name":"Caboolture Hospital, Metro North Health  Caboolture Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4418-5441","authenticated-orcid":false,"given":"Henry","family":"Tsao","sequence":"additional","affiliation":[{"name":"Emergency Department Redland Hospital, Metro South Health  Cleveland Queensland Australia"},{"name":"Faculty of Medicine The University of Queensland  Herston Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Salih A.","family":"Salih","sequence":"additional","affiliation":[{"name":"Centre for Health Service Research, University of Queensland  Woolloongabba Australia"},{"name":"Department of Medicine Redland Hospital, Metro South Health, Queensland Health  Cleveland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tania","family":"Quaglio","sequence":"additional","affiliation":[{"name":"Gold Coast University Hospital, Gold Coast Health  Southport Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5635-1414","authenticated-orcid":false,"given":"Andrea","family":"Taylor","sequence":"additional","affiliation":[{"name":"Royal Brisbane and Women's Hospital, Metro North Health  Herston Australia"},{"name":"Queensland University of Technology  Kelvin Grove Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,4,30]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12913\u2010024\u201010576\u20101"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12245\u2010024\u201000584\u20107"},{"key":"e_1_2_11_4_1","unstructured":"Australian Institute of Health and Welfare (AIHW) \u201cEmergency Department Care \u201d(2022) www.aihw.gov.au\/reports\u2010data\/myhospitals\/sectors\/emergency\u2010department\u2010care#:~:text=of%20the%20patients%20aged%2065 to%2028%25%20for%20all%20patients."},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1093\/ageing\/afad116"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.lanhl.2024.100642"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.emc.2024.08.007"},{"key":"e_1_2_11_8_1","unstructured":"Australian Commission on Safety and Quality in Health Care \u201cDelirium Clinical Care Standard \u201d(2023) www.safetyandquality.gov.au\/our\u2010work\/clinical\u2010care\u2010standards\/delirium\u2010clinical\u2010care\u2010standard."},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.annemergmed.2025.02.003"},{"key":"e_1_2_11_10_1","doi-asserted-by":"publisher","DOI":"10.1111\/acem.14935"},{"key":"e_1_2_11_11_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41572\u2010020\u201000223\u20104"},{"key":"e_1_2_11_12_1","doi-asserted-by":"publisher","DOI":"10.1093\/ageing\/afaa224"},{"key":"e_1_2_11_13_1","doi-asserted-by":"publisher","DOI":"10.1093\/ageing\/afu021"},{"key":"e_1_2_11_14_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12877\u2010022\u201002999\u20104"},{"key":"e_1_2_11_15_1","volume-title":"Model of Care 2021: Geriatric Emergency Department Initiative (GEDI)","author":"Metro South Health","year":"2021"},{"key":"e_1_2_11_16_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12877\u2010018\u20100992\u2010z"},{"key":"e_1_2_11_17_1","volume-title":"Geriatric Emergency Department Intervention (GEDI) Toolkit","author":"Marsden E.","year":"2017"},{"key":"e_1_2_11_18_1","doi-asserted-by":"publisher","DOI":"10.36150\/2499\u20106564\u2010N632"},{"key":"e_1_2_11_19_1","unstructured":"Australian Institute of Health and Welfare (AIHW) \u201cOlder Aboriginal and Torres Strait Islander People \u201d(2024) https:\/\/www.aihw.gov.au\/reports\/older\u2010people\/older\u2010australians\/contents\/population\u2010groups\u2010of\u2010interest\/indigenous\u2010australians?utm_source=chatgpt.com."},{"key":"e_1_2_11_20_1","doi-asserted-by":"publisher","DOI":"10.1111\/joim.20014"},{"key":"e_1_2_11_21_1","doi-asserted-by":"publisher","DOI":"10.1007\/s41999\u2010023\u201000890\u2010y"},{"key":"e_1_2_11_22_1","doi-asserted-by":"publisher","DOI":"10.1093\/ageing\/afaf093"}],"container-title":["Emergency Medicine Australasia"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/1742-6723.70266","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/1742-6723.70266","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/1742-6723.70266","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,6,30]],"date-time":"2026-06-30T10:12:51Z","timestamp":1782814371000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/1742-6723.70266"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,4,30]]},"references-count":21,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2026,6]]}},"alternative-id":["10.1111\/1742-6723.70266"],"URL":"https:\/\/doi.org\/10.1111\/1742-6723.70266","archive":["Portico"],"relation":{},"ISSN":["1742-6731","1742-6723"],"issn-type":[{"value":"1742-6731","type":"print"},{"value":"1742-6723","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,4,30]]},"assertion":[{"value":"2026-02-16","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-04-16","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-04-30","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e70266"}}