This study will characterise the patients using the Geriatric Emergency Medicine Unit, a unit which provides specialist care for patients aged 75 years and older attending the emergency department. It will examine how this specialist care impacts their health in terms of a number of different outcomes, such as; function, quality of life and health care usage; for example admission to the acute hospital.
Older adults aged ≥75 years
Manchester Triage System category 2-5
Screen positive for risk of adverse outcomes after ED visit (≥ 2 on ISAR screening tool)
Presenting with a medical condition
Patients presenting with a non-medical issue including major trauma or hip fracture
Patients presenting with acute stroke or transient ischaemic attack
Patients more appropriate to another alternative pathway e.g. deep vein thrombosis pathway, low risk chest pain pathway
Patients with acute coronary syndrome or unstable arrthymia
All prospective older adults attending the GEMU that meet inclusion criteria will be invited to participate. However, this will be limited to the working hours of the research team (Monday-Friday, 8:00-20:00).
Cohort
Prospective
Not listed
Our primary outcome is incidence of hospital admission at index GEM-U presentation
Patients who attend GEM-U and have an acute hospital admission at this time
Mortality
Mortality
Unscheduled ED revisit
Patients who attend the ED department again during the follow up period
Unscheduled hospital visit(s)
Patients who have unplanned hospital admission (i.e. not elective procedure) during follow up period
Nursing home admission
Patients now living in a nursing home
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