RT Journal Article
SR Electronic
T1 What older people want from emergency care: a systematic review
JF Emergency Medicine Journal
JO Emerg Med J
FD BMJ Publishing Group Ltd and the British Association for Accident & Emergency Medicine
SP 754
OP 761
DO 10.1136/emermed-2019-208589
VO 36
IS 12
A1 van Oppen, James David
A1 Keillor, Lisa
A1 Mitchell, Áine
A1 Coats, Timothy John
A1 Conroy, Simon Paul
YR 2019
UL http://emj.bmj.com/content/36/12/754.abstract
AB Objectives To evaluate the expectations and preferred outcomes from emergency care among older people or their caregivers.Methods A review protocol was registered. Medline, Embase, CINAHL, PsychInfo, BNI, AgeInfo and the Cochrane Database of Systematic Reviews were searched in their full date ranges to September 2018. Included articles were hand-searched for further citations. Citations were screened for (1) older people aged over 65 years, (2) ED settings and (3) reporting expectations or preferred outcomes for emergency care (as opposed to experience or satisfaction). Quality appraisal and data extraction of eligible articles were undertaken by two reviewers. Themes were synthesised through content analysis and described narratively.Results Older people wished to have prompt waiting times, efficient care, clear communication and comfortable environments. They had additional and unique expectations for holistic care and support in decision-making. The ED provoked a sense of vulnerability among older people who were likely to have had frailty.Conclusion The lack of dominant themes among included studies suggests that older people should be treated as individuals rather than a homogenous group. Establishing individuals’ preferred outcomes could improve person-centred care.PROSPERO registration number CRD42018107050.