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URMC  » Emergency Medicine » Research

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Geriatric Emergency Medicine Research

Goal / Description

The goal of this research area is to evaluate and improve the system of medical care for older adults with acute healthcare needs. There are many factors that limit these patients' access to safe, patient-centered, efficient, high-quality, acute care. These factors foster unneccessary ED use, adverse events in the ED for which older adults are particularly at-risk, and unnecessary medical costs. This research is particularly important due to the increasing number of older adults.

Ongoing Projects

Screening Older Adults in the Acute Care Setting

To develop and evaluate a program of EMS screening and ED interventions to help community-dwelling older adults with unmet needs.

Evaluating Telemedicine for Acute Illnesses in Assited Living Residencies

National, multi-center project to evaluate the effectiveness of the CDC trauma triage guidelines in determining pediatric trauma center need.

Learn more about Telemedicine

Geriatric Emergency Medical Services Use

To describe the epidemiology of the population of older adults presenting to the ED and provide preliminary information regarding the impact of an acute illness upon screening for depression and cognitive impairment.

Learn more about GEM Sevices

Recent Publications

Shah MN
"Introduction: Special Content Focus: Geriatric Emergency Medicine "
Acad Emerg Med. 2010;17(3):231 view GEM abstract

Gillespie SM,Gleason LJ, Karuza J, Shah MN
"Healthcare Providers' Opinions on Communication Between Nursing Homes and Emergency Departments "
J. American Medical Directors Association. 2010;11(3):204-210 view Communication abstract

Shah MN, Swanson P, Rajasekeran K, Dozier A
"Repeat EMS Use by Older Adults in a Rural Community: Impact on Research Methods and Study Length "
Prehospital Emergency Care. 2009;13:137-138 view Older Adults abstract

Chapman BP, Shah MN, Friedman B, Drayer R, Duberstein PR, Lyness JM
"Personality Traits Predict Emergency Department Utilization Over 3 Years in Older Patients "
American Journal of Geriatric Psychiatry . 2009;17(6):526-535 view Personality abstract

Complete listing of recent faculty publications and articles in press.

Funding

Source	Type	Description
AHRQ	R01	Evaluating Telemedicine for Acute Illnesses in Assisted Living Residencies
Beeson	Career Development	Screening Older Adults in the Acute Care Setting