Bibliometric Study on Geriatric Emergencies: Intellectual Structure, Prominent Themes, and Future-Directing Topics Bibliometric Study on Geriatric Emergencies
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Abstract
Objective: This study aims to identify the intellectual structure, prominent themes, and diseases associated with geriatric emergency care. Additionally, it seeks to establish research questions for future studies.
Material and Methods: Co-citation and co-occurrence analyses were conducted for bibliometric evaluations. The Web of Science database was utilized. Diseases mentioned in 939 articles were identified through thematic coding analysis of abstracts and titles. Finally, questions for the future agenda were prepared. Bibliometric analyses were carried out using R-based Bibliometrix software.
Results: Co-citation analysis revealed two main themes: "Adverse Outcomes in Elderly Post-Emergency Service, Delirium Identification, and Multidisciplinary Interventions" and "Diagnosis and Management of Cognitive Dysfunction in Elderly Emergency Department Patients." Co-occurrence analyses indicate that the literature clusters around key themes such as "risk and prevalence," "management and epidemiology," "physical performance," "elderly care and outcomes," "elderly and community," "survival and prognosis," and "stroke and related diseases." According to the list of diseases, the ten most frequently studied diseases in geriatric emergency articles are, in order, Cancer, Stroke, Dementia, Depression, Delirium, Alzheimer's, Carcinoma, Metabolic Syndrome, Type 2 Diabetes, and Heart Failure.
Conclusion: Adopting a comprehensive approach is essential for improving older adults' quality of life and independenceHealthcare providers and decision-makers should take these findings into consideration, as they make significant contributions to the health and independence of the elderly population. Furthermore, questions for future research agendas have been formulated.
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This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
Accepted 2023-10-21
Published 2023-10-25
References
Hwang U, Runels T, Han L, Gruber E, McQuown CM, Ragsdale L, et al. Dissemination and implementation of age‐friendly care and geriatric emergency department accreditation at Veterans Affairs hospitals. Academic Emergency Medicine 2023;30:270–7. DOI: https://doi.org/10.1111/acem.14665
Liu SW, Lee S, Hayes JM, Khoujah D, Lo AX, Doering M, et al. Head computed tomography findings in geriatric emergency department patients with delirium, altered mental status, and confusion: A systematic review. Academic Emergency Medicine 2023;30:616–25. DOI: https://doi.org/10.1111/acem.14622
Makaroun LK, Halaszynski JJ, Rosen T, Haggerty KL, Blatnik JK, Froberg R, et al. Leveraging VA geriatric emergency department accreditation to improve elder abuse detection in older Veterans using a standardized tool. Academic Emergency Medicine 2023;30:428–36. DOI: https://doi.org/10.1111/acem.14646
Heeren P, Lombaert L, Janssens P, Islam F, Flamaing J, Sabbe M, et al. A survey on the availability of geriatric-friendly protocols, equipment and physical environment across emergency departments in Flanders, Belgium. BMC Geriatr 2023;23:1–9. DOI: https://doi.org/10.1186/s12877-023-03994-z
McQuown CM, Snell KT, Abbate LM, Jetter EM, Blatnik JK, Ragsdale LC. Telehealth for geriatric post‐emergency department visits to promote age‐friendly care. Health Serv Res 2023;58:16–25. DOI: https://doi.org/10.1111/1475-6773.14058
Simpson M, Sergi C, Malsch A, Ryer S, Rubach C, Singh M. Association of Geriatric Emergency Department post‐discharge referral order and follow‐up with healthcare utilization. J Am Geriatr Soc 2023;71:821–31. DOI: https://doi.org/10.1111/jgs.18137
Kennedy M, Liu SW. Geriatric Emergency Medicine: The Need Has Never Been Greater. Clin Geriatr Med 2023. DOI: https://doi.org/10.1016/j.cger.2023.06.003
Solakoglu GA, Baspinar A, Aciksari K, Oguz S, Adak NA. Motives behind low-acuity geriatric emergency medicine attenders: a picture from free healthcare system. Irish Journal of Medical Science (1971-) 2023:1–9. DOI: https://doi.org/10.1007/s11845-023-03359-w
Haynesworth A, Gilmer TP, Brennan JJ, Weaver EH, Tolia VM, Chan TC, et al. Clinical and financial outcome impacts of comprehensive geriatric assessment in a level 1 geriatric emergency department. J Am Geriatr Soc 2023. DOI: https://doi.org/10.1111/jgs.18468
El-Qawaqzeh K, Hosseinpour H, Bhogadi SK, Joseph B. Frailty in Geriatric Trauma and Emergency General Surgery. Acute Care Surgery in Geriatric Patients, Springer; 2023, p. 41–9. DOI: https://doi.org/10.1007/978-3-031-30651-8_5
Melady D, Schumacher JG. Developing a Geriatric Emergency Department: People, Processes, and Place. Clin Geriatr Med 2023. DOI: https://doi.org/10.1017/9781009039253
Aminzadeh F, Dalziel WB. Older adults in the emergency department: a systematic review of patterns of use, adverse outcomes, and effectiveness of interventions. Ann Emerg Med 2002;39:238–47. DOI: https://doi.org/10.1067/mem.2002.121523
McCusker J, Cardin S, Bellavance Fois, Belzile E. Return to the emergency department among elders: patterns and predictors. Academic Emergency Medicine 2000;7:249–59. DOI: https://doi.org/10.1111/j.1553-2712.2000.tb01070.x
McCusker J, Bellavance F, Cardin S, Trepanier S, Verdon J, Ardman O. Detection of older people at increased risk of adverse health outcomes after an emergency visit: the ISAR screening tool. J Am Geriatr Soc 1999;47:1229–37. DOI: https://doi.org/10.1111/j.1532-5415.1999.tb05204.x
Carpenter CR, Shelton E, Fowler S, Suffoletto B, Platts‐Mills TF, Rothman RE, et al. Risk factors and screening instruments to predict adverse outcomes for undifferentiated older emergency department patients: a systematic review and meta‐analysis. Academic Emergency Medicine 2015;22:1–21. DOI: https://doi.org/10.1111/acem.12569
Han JH, Wilson A, Vasilevskis EE, Shintani A, Schnelle JF, Dittus RS, et al. Diagnosing delirium in older emergency department patients: validity and reliability of the delirium triage screen and the brief confusion assessment method. Ann Emerg Med 2013;62:457–65. DOI: https://doi.org/10.1016/j.annemergmed.2013.05.003
Inouye SK, van Dyck CH, Alessi CA, Balkin S, Siegal AP, Horwitz RI. Clarifying confusion: the confusion assessment method: a new method for detection of delirium. Ann Intern Med 1990;113:941–8. DOI: https://doi.org/10.7326/0003-4819-113-12-941
Hwang U, Dresden SM, Rosenberg MS, Garrido MM, Loo G, Sze J, et al. Geriatric emergency department innovations: transitional care nurses and hospital use. J Am Geriatr Soc 2018;66:459–66. DOI: https://doi.org/10.1111/jgs.15235
Aldeen AZ, Courtney DM, Lindquist LA, Dresden SM, Gravenor SJ, Investigators G. Geriatric emergency department innovations: preliminary data for the geriatric nurse liaison model. J Am Geriatr Soc 2014;62:1781–5. DOI: https://doi.org/10.1111/jgs.12979
Salvi F, Morichi V, Grilli A, Giorgi R, De Tommaso G, Dessi-Fulgheri P. The elderly in the emergency department: a critical review of problems and solutions. Intern Emerg Med 2007;2:292–301. DOI: https://doi.org/10.1007/s11739-007-0081-3
Southerland LT, Lo AX, Biese K, Arendts G, Banerjee J, Hwang U, et al. Concepts in practice: geriatric emergency departments. Ann Emerg Med 2020;75:162–70. DOI: https://doi.org/10.1016/j.annemergmed.2019.08.430
Adams JG, Gerson LW. A new model for emergency care of geriatric patients. Acad Emerg Med 2003;10:271–4. DOI: https://doi.org/10.1197/aemj.10.3.271
Hwang U, Shah MN, Han JH, Carpenter CR, Siu AL, Adams JG. Transforming emergency care for older adults. Health Aff 2013;32:2116–21. DOI: https://doi.org/10.1377/hlthaff.2013.0670
Wilber ST, Gerson LW, Terrell KM, Carpenter CR, Shah MN, Heard K, et al. Geriatric emergency medicine and the 2006 Institute of Medicine reports from the Committee on the Future of Emergency Care in the US health system. Academic Emergency Medicine 2006;13:1345–51. DOI: https://doi.org/10.1197/j.aem.2006.09.050
Mion LC, Palmer RM, Meldon SW, Bass DM, Singer ME, Payne SMC, et al. Case finding and referral model for emergency department elders: a randomized clinical trial. Ann Emerg Med 2003;41:57–68. DOI: https://doi.org/10.1067/mem.2003.3
Hastings SN, Heflin MT. A systematic review of interventions to improve outcomes for elders discharged from the emergency department. Academic Emergency Medicine 2005;12:978–86. DOI: https://doi.org/10.1197/j.aem.2005.05.032
McCusker J, Karp I, Cardin S, Durand P, Morin J. Determinants of emergency department visits by older adults: a systematic review. Academic Emergency Medicine 2003;10:1362–70. DOI: https://doi.org/10.1197/S1069-6563(03)00539-6
Schnitker L, Martin-Khan M, Beattie E, Gray L. Negative health outcomes and adverse events in older people attending emergency departments: a systematic review. Australasian Emergency Nursing Journal 2011;14:141–62. DOI: https://doi.org/10.1016/j.aenj.2011.04.001
Baraff LJ, Lee TJ, Kader S, Penna R Della. Effect of a practice guideline for emergency department care of falls in older patients on subsequent falls and hospitalizations for injuries. Academic Emergency Medicine 1999;6:1224–31. DOI: https://doi.org/10.1111/j.1553-2712.1999.tb00138.x
Han JH, Zimmerman EE, Cutler N, Schnelle J, Morandi A, Dittus RS, et al. Delirium in older emergency department patients: recognition, risk factors, and psychomotor subtypes. Academic Emergency Medicine 2009;16:193–200. DOI: https://doi.org/10.1111/j.1553-2712.2008.00339.x
Élie M, Rousseau F, Cole M, Primeau F, McCusker J, Bellavance F. Prevalence and detection of delirium in elderly emergency department patients. Cmaj 2000;163:977–81.
Schnitker LM, Martin-Khan M, Burkett E, Brand CA, Beattie ER, Jones RN, et al. Research collaboration for quality care of older persons: emergency care panel. Structural quality indicators to support quality of care for older people with cognitive impairment in emergency departments. Acad Emerg Med 2015;22:273–84. DOI: https://doi.org/10.1111/acem.12617
Zupic I, Čater T. Bibliometric methods in management and organization. Organ Res Methods 2015;18:429–72. DOI: https://doi.org/10.1177/1094428114562629
Kurutkan MN, Orhan F. Sağlık politikası konusunun bilim haritalama teknikleri ile analizi. Türkiye: İktisad Yayınevi; 2018.
Afşin, H. (2023). Assessing Metastasis through Positron Emission Tomography (PET): An In-depth Analysis and Mapping of Thematic Clusters and Prevailing Topics in Nuclear Medicine Research: Mapping Metastasis: A PET Analysis in Nuclear Medicine Research. Medical Science and Discovery, 10(10), 803-817. DOI: https://doi.org/10.36472/msd.v10i10.1061
Donthu N, Kumar S, Mukherjee D, Pandey N, Lim WM. How to conduct a bibliometric analysis: An overview and guidelines. J Bus Res 2021;133:285–96. https://doi.org/10.1016/j.jbusres.2021.04.070. DOI: https://doi.org/10.1016/j.jbusres.2021.04.070
Zhang Y, Zhao D, Liu H, Huang X, Deng J, Jia R, et al. Research hotspots and frontiers in agricultural multispectral technology: Bibliometrics and scientometrics analysis of the Web of Science. Front Plant Sci 2022;13:955340. DOI: https://doi.org/10.3389/fpls.2022.955340
Caputo A, Kargina M. A user-friendly method to merge Scopus and Web of Science data during bibliometric analysis. Journal of Marketing Analytics 2022;10:82–8. DOI: https://doi.org/10.1057/s41270-021-00142-7
Aria M, Cuccurullo C. bibliometrix: An R-tool for comprehensive science mapping analysis. J Informetr 2017;11:959–75. DOI: https://doi.org/10.1016/j.joi.2017.08.007
Hwang U, Morrison RS. The geriatric emergency department. J Am Geriatr Soc 2007;55:1873–6. DOI: https://doi.org/10.1111/j.1532-5415.2007.01400.x
McNamara RM, Rousseau E, Sanders AB. Geriatric emergency medicine: a survey of practicing emergency physicians. Ann Emerg Med 1992;21:796–801. DOI: https://doi.org/10.1016/S0196-0644(05)81024-8
Terrell KM, Perkins AJ, Dexter PR, Hui SL, Callahan CM, Miller DK. Computerized decision support to reduce potentially inappropriate prescribing to older emergency department patients: a randomized, controlled trial. J Am Geriatr Soc 2009;57:1388–94. DOI: https://doi.org/10.1111/j.1532-5415.2009.02352.x
Caplan GA, Williams AJ, Daly B, Abraham K. A randomized, controlled trial of comprehensive geriatric assessment and multidisciplinary intervention after discharge of elderly from the emergency department—the DEED II study. J Am Geriatr Soc 2004;52:1417–23. DOI: https://doi.org/10.1111/j.1532-5415.2004.52401.x
Carpenter CR, Bromley M, Caterino JM, Chun A, Gerson LW, Greenspan J, et al. Optimal older adult emergency care: introducing multidisciplinary geriatric emergency department guidelines from the American College of Emergency Physicians, American Geriatrics Society, Emergency Nurses Association, and Society for Academic Emergency Medicine. J Am Geriatr Soc 2014;62:1360–3. DOI: https://doi.org/10.1111/jgs.12883
Wallis M, Marsden E, Taylor A, Craswell A, Broadbent M, Barnett A, et al. The geriatric emergency department intervention model of care: a pragmatic trial. BMC Geriatr 2018;18:1–9. DOI: https://doi.org/10.1186/s12877-018-0992-z
Conroy SP, Ansari K, Williams M, Laithwaite E, Teasdale B, Dawson J, et al. A controlled evaluation of comprehensive geriatric assessment in the emergency department: the ‘Emergency Frailty Unit.’ Age Ageing 2014;43:109–14. DOI: https://doi.org/10.1093/ageing/aft087
Hogan TM, Losman ED, Carpenter CR, Sauvigne K, Irmiter C, Emanuel L, et al. Development of geriatric competencies for emergency medicine residents using an expert consensus process. Academic Emergency Medicine 2010;17:316–24. DOI: https://doi.org/10.1111/j.1553-2712.2010.00684.x
Lewis LM, Miller DK, Morley JE, Nork MJ, Lasater LC. Unrecognized delirium in ED geriatric patients. Am J Emerg Med 1995;13:142–5. DOI: https://doi.org/10.1016/0735-6757(95)90080-2
Carpenter CR, DesPain B, Keeling TN, Shah M, Rothenberger M. The Six-Item Screener and AD8 for the detection of cognitive impairment in geriatric emergency department patients. Ann Emerg Med 2011;57:653–61. DOI: https://doi.org/10.1016/j.annemergmed.2010.06.560
Hustey FM, Meldon SW, Smith MD, Lex CK. The effect of mental status screening on the care of elderly emergency department patients. Ann Emerg Med 2003;41:678–84. DOI: https://doi.org/10.1067/mem.2003.152
Kakuma R, Du Fort GG, Arsenault L, Perrault A, Platt RW, Monette J, et al. Delirium in older emergency department patients discharged home: effect on survival. J Am Geriatr Soc 2003;51:443–50. DOI: https://doi.org/10.1046/j.1532-5415.2003.51151.x
Terrell KM, Hustey FM, Hwang U, Gerson LW, Wenger NS, Miller DK, et al. Quality indicators for geriatric emergency care. Academic Emergency Medicine 2009;16:441–9. DOI: https://doi.org/10.1111/j.1553-2712.2009.00382.x
Carpenter CR, Scheatzle MD, D’Antonio JA, Ricci PT, Coben JH. Identification of fall risk factors in older adult emergency department patients. Academic Emergency Medicine 2009;16:211–9. DOI: https://doi.org/10.1111/j.1553-2712.2009.00351.x
Sanders AB. Care of the elderly in emergency departments: conclusions and recommendations. Ann Emerg Med 1992;21:830–4. DOI: https://doi.org/10.1016/S0196-0644(05)81030-3
Folstein MF, Folstein SE, McHugh PR. “Mini-mental state”: a practical method for grading the cognitive state of patients for the clinician. J Psychiatr Res 1975;12:189–98. DOI: https://doi.org/10.1016/0022-3956(75)90026-6
Mahoney FI, Barthel DW. Functional evaluation: the Barthel Index: a simple index of independence useful in scoring improvement in the rehabilitation of the chronically ill. Md State Med J 1965.
Charlson ME, Ales KL, Simon R, MacKenzie CR. Why predictive indexes perform less well in validation studies: is it magic or methods? Arch Intern Med 1987;147:2155–61. DOI: https://doi.org/10.1001/archinte.147.12.2155
Lawton MP, Brody EM. Assessment of older people: self-maintaining and instrumental activities of daily living. Gerontologist 1969;9:179–86. DOI: https://doi.org/10.1093/geront/9.3_Part_1.179
Fried LP, Tangen CM, Walston J, Newman AB, Hirsch C, Gottdiener J, et al. Frailty in older adults: evidence for a phenotype. J Gerontol A Biol Sci Med Sci 2001;56:M146–57. DOI: https://doi.org/10.1093/gerona/56.3.M146
Yesavage JA. Imagery pretraining and memory training in the elderly. Gerontology 1983;29:271–5. DOI: https://doi.org/10.1159/000213126
Rockwood K, Song X, MacKnight C, Bergman H, Hogan DB, McDowell I, et al. A global clinical measure of fitness and frailty in elderly people. Cmaj 2005;173:489–95. DOI: https://doi.org/10.1503/cmaj.050051
Singal BM, Hedges JR, Rousseau EW, Sanders AB, Berstein E, McNamara RM, et al. Geriatric patient emergency visits part I: comparison of visits by geriatric and younger patients. Ann Emerg Med 1992;21:802–7. DOI: https://doi.org/10.1016/S0196-0644(05)81025-X
Saxena S, Meldon S, Hashmi AZ, Muir M, Ruwe J. Use of the electronic medical record to screen for high-risk geriatric patients in the emergency department. JAMIA Open 2023;6:ooad021. DOI: https://doi.org/10.1093/jamiaopen/ooad021
Patterson BW, Shah MN. Geriatric Emergency Departments as Laboratories for Innovation. Journal of Geriatric Emergency Medicine 2023;3:4. DOI: https://doi.org/10.17294/2694-4715.1046
Moreines LT, Gettel CJ, Hajduk AM, Kukulka S, Lai JM, Ouellet JA. Emergency department clinician satisfaction with an APRN‐led geriatric emergency medicine service consult team. J Am Geriatr Soc 2023;71:991–4. DOI: https://doi.org/10.1111/jgs.18133
Chary AN, Cameron-Comasco L, Shankar K, Samuels-Kalow ME. Diversity, Equity, and Inclusion: Considerations in the Geriatric Emergency Department Patient. Clin Geriatr Med 2023. DOI: https://doi.org/10.1016/j.cger.2023.04.009
Bunney G, Tran S, Han S, Gu C, Wang H, Luo Y, et al. Using Machine Learning to Predict Hospital Disposition With Geriatric Emergency Department Innovation Intervention. Ann Emerg Med 2023;81:353–63. DOI: https://doi.org/10.1016/j.annemergmed.2022.07.026
Hogan MD TM, Gerson PhD L, Sanders MD AB. The History of Geriatric Emergency Medicine. Journal of Geriatric Emergency Medicine 2023;4:2. DOI: https://doi.org/10.17294/2694-4715.1044
Kuxhause J, Liogas N, Keene S, Fisher R, Cameron Comasco L. Patient Experience After Geriatric Emergency Medicine Assessment. Journal of Geriatric Emergency Medicine 2023;4:2. DOI: https://doi.org/10.17294/2694-4715.1048
Jazuli F, Mulla A, Weingarten L, deWit K, Franc J. Emergency Medical Service Facilitated Geriatric Emergency Department Visits in Hamilton, Ontario, Canada During the COVID-19 Pandemic. Prehosp Disaster Med 2023;38:s125–s125. DOI: https://doi.org/10.1017/S1049023X23003308
de Andrade Junior MC, Morinaga C V, Brito CMM, Moraes IG, Yamaguti WP, Curiati PK. Indication of Mobility Aids and Training of Older Patients in a Geriatric Emergency Department: Abiding by International Guidelines. Journal of Geriatric Emergency Medicine 2023;3:6. DOI: https://doi.org/10.17294/2694-4715.1047
Burney CP, Baumann L, Carlos HA, Briggs A. Impact of rurality on geriatric emergency general surgery patients in New Hampshire. J Am Coll Surg 2023:10–1097.
Yildirim F, Gulhan PY, Karaman I, Kurutkan MN. Bibliometric analysis of acute respiratory distress syndrome (ARDS) studies published between 1980 and 2020. Advances in Clinical and Experimental Medicine 2022;31:807–13. DOI: https://doi.org/10.17219/acem/150555
Gülhan PY, Kurutkan MN. Bibliometric analysis of the last 40 years of Chest Journal. Düzce Üniversitesi Bilim ve Teknoloji Dergisi 2021;9:1507–18. DOI: https://doi.org/10.29130/dubited.891524
Kurutkan MN, Terzi M. Sağlık hizmetlerinde dış kaynak kullanımının Bibliyometrik analizi. Sağlık Bilimlerinde Değer 2022;12:417–31. DOI: https://doi.org/10.33631/sabd.1072053