OARS: (Primary outcome) An assessment of activities of daily living (functional status) commonly used in ED studies. We will obtain 3 timepoints: at the ED visit (day 0) and at days 30 and 90. A change of ≥ 3 points or death between is a significant decline. | |
HRQoL: The Patient-Reported Outcomes Measurement information System (PROMIS) is endorsed by the NIH and PCORI. We will use the Global Health v1.2 (10 questions). A 3-point change is clinically meaningful. | |
New services: The number of new or increased outpatient services (e.g., home health therapies, referral for community interventions, referrals to hospice, equipment). | |
New geriatric syndromes: Number of new diagnoses of delirium, impaired cognition, fall risk, or elder mistreatment. | |
Geriatric clinic referral: Number of referrals to the falls prevention, polypharmacy, or geriatric clinic. | |
Pharmacist recommendations: The number of medication-related problems/interactions or medication changes recommended by the pharmacy team. | |
Positive geriatric interventions: ≥ 1 of new services, diagnoses, referrals, or pharmacist recommendations. | |
ED revisits and hospitalizations: Any ED revisits or unscheduled hospitalizations within 90 days. | |
Patient satisfaction: Thematic analysis of semi-structured interviews with participants. |