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Association between time to geriatric ward admission and change in functional status in older adults after an emergency department visit: a prospective cohort study

dc.rights.licenseopenen_US
dc.contributor.authorBANNELIER, Heloise
dc.contributor.authorZERAH, Lorene
hal.structure.identifierBordeaux population health [BPH]
dc.contributor.authorCATOIRE, Pierre
dc.contributor.authorPHAGOUAPE, Justine
dc.contributor.authorGUYOT, Salome
dc.contributor.authorFREUND, Yonathan
dc.contributor.authorMINAUD, Alix
dc.contributor.authorBODDAERT, Jacques
dc.contributor.authorDAUNY, Vincent
dc.contributor.authorPHILIPPON, Anne-Laure
dc.date.accessioned2025-05-16T07:30:13Z
dc.date.available2025-05-16T07:30:13Z
dc.date.issued2025-04-14
dc.identifier.issn1970-9366en_US
dc.identifier.urihttps://oskar-bordeaux.fr/handle/20.500.12278/206637
dc.description.abstractEnThe impact of total time from emergency department (ED) admission to geriatric ward admission in older patients remains unknown. The objective of the study was to assess the association between time to geriatric ward admission on 6-month mortality and functional decline in older adults. A prospective, single-center cohort study was conducted including patients 75 years or older admitted to an acute-care geriatric unit following an ED visit in 2023 with a 6-month follow-up. Functional decline was defined as a decrease of at least 1 point in the Activities of Daily Living (ADL) scale between admission and 6 months. The primary end point was a composite of 6-month mortality and functional decline. Association between quartiles of time to geriatric ward admission and the primary end point was analyzed using multivariable logistic regression. Among the 360 included patients (median age 86, median time to geriatric ward admission 32.2 h), 198 (55%) experienced the composite outcome (31% death and 24% functional decline): 42%, 47%, 60%, and 71% in the first to last quartile, respectively. Compared to the first quartile, there was an independent association between time to geriatric ward admission and the primary outcome with an adjusted odds ratios of 1.4 (95% CI 0.8–2.7), 2.3 (95% CI 1.2–4.3), and 3.4 (95% CI 1.8–6.6) for the second, third, and fourth quartiles, respectively. Prolonged time to geriatric ward admission following ED consultation is associated with a higher risk of 6-month mortality and functional decline in older adults. Trial registration 2023-A02753-42 (CPP Sud-Est V approval). © The Author(s), under exclusive licence to Società Italiana di Medicina Interna (SIMI) 2025.
dc.language.isoENen_US
dc.subject.enActivities of daily living
dc.subject.enEmergency medicine
dc.subject.enFrailty
dc.subject.enFunctional decline
dc.subject.enGeriatrics
dc.subject.enMortality
dc.title.enAssociation between time to geriatric ward admission and change in functional status in older adults after an emergency department visit: a prospective cohort study
dc.title.alternativeIntern Emerg Meden_US
dc.typeArticle de revueen_US
dc.identifier.doi10.1007/s11739-025-03909-3en_US
dc.subject.halSciences du Vivant [q-bio]/Santé publique et épidémiologieen_US
dc.identifier.pubmed40229528en_US
bordeaux.journalInternal and Emergency Medicineen_US
bordeaux.hal.laboratoriesBordeaux Population Health Research Center (BPH) - UMR 1219en_US
bordeaux.institutionUniversité de Bordeauxen_US
bordeaux.institutionINSERMen_US
bordeaux.teamBIOSTAT_BPHen_US
bordeaux.peerReviewedouien_US
bordeaux.inpressnonen_US
hal.identifierhal-05070136
hal.version1
hal.date.transferred2025-05-16T07:30:16Z
hal.popularnonen_US
hal.audienceInternationaleen_US
hal.exporttrue
dc.rights.ccPas de Licence CCen_US
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