2024
Emergency Department Visits Among Patients With Dementia Before and After Diagnosis
Gettel C, Song Y, Rothenberg C, Kitchen C, Gilmore-Bykovskyi A, Fried T, Brody A, Nothelle S, Wolff J, Venkatesh A. Emergency Department Visits Among Patients With Dementia Before and After Diagnosis. JAMA Network Open 2024, 7: e2439421. PMID: 39401040, DOI: 10.1001/jamanetworkopen.2024.39421.Peer-Reviewed Original Research
2023
An Outcome Comparison Between Geriatric and Nongeriatric Emergency Departments
Gettel C, Hwang U, Janke A, Rothenberg C, Tomasino D, Schneider S, Goyal P, Venkatesh A. An Outcome Comparison Between Geriatric and Nongeriatric Emergency Departments. Annals Of Emergency Medicine 2023, 82: 681-689. PMID: 37389490, PMCID: PMC10756927, DOI: 10.1016/j.annemergmed.2023.05.013.Peer-Reviewed Original ResearchConceptsGeriatric EDDiagnosis rateED lengthEmergency departmentMedian discharge rateAmerican CollegeRevisit ratesOlder adultsUrinary tract infectionAge categoriesGeriatric Emergency DepartmentHigher diagnosis ratesED visitsTract infectionsMental statusObservational studyDelirium/Outcome comparisonsData registryED statusProcess outcomesED sitesStayAnalytic sampleAdultsEmergency Department-to-Community Transitions of Care Best Practices for the Older Adult Population
Gettel C, Hastings S, Biese K, Goldberg E. Emergency Department-to-Community Transitions of Care Best Practices for the Older Adult Population. Clinics In Geriatric Medicine 2023, 39: 659-672. PMID: 37798071, PMCID: PMC10716862, DOI: 10.1016/j.cger.2023.05.009.Peer-Reviewed Original ResearchConceptsEmergency departmentOlder adultsTransitional care management servicesPatient-centered outcome measuresCare management servicesOlder Adult PopulationED settingFunctional statusCare transitionsOutcome measuresAdult populationEffective interventionsIntervention implementationUnique populationSocial isolationAdultsRiskDepartmentCommunity transitionFuture effortsPopulationImpairmentCareCare transition outcome measures of importance after emergency care: Do emergency clinicians and older adults agree?
Gettel C, Hwang U, Rising K, Goldberg E, Feder S, Uzamere I, Venkatesh A. Care transition outcome measures of importance after emergency care: Do emergency clinicians and older adults agree? Academic Emergency Medicine 2023, 30: 1061-1064. PMID: 37014286, PMCID: PMC10548356, DOI: 10.1111/acem.14732.Peer-Reviewed Original ResearchMeSH KeywordsAgedEmergency Medical ServicesEmergency Service, HospitalEmergency TreatmentHumansOutcome Assessment, Health CarePatient Transfer
2022
Rising high‐acuity emergency care services independently billed by advanced practice providers, 2013 to 2019
Gettel C, Schuur J, Mullen J, Venkatesh A. Rising high‐acuity emergency care services independently billed by advanced practice providers, 2013 to 2019. Academic Emergency Medicine 2022, 30: 89-98. PMID: 36334276, PMCID: PMC10973948, DOI: 10.1111/acem.14625.Peer-Reviewed Original ResearchMeSH KeywordsAgedCross-Sectional StudiesEmergency Medical ServicesEmergency Service, HospitalHumansMedicareUnited StatesWorkforceConceptsAdvanced practice providersEmergency care servicesCare servicesClinician typeED encountersClinician levelPractice providersHigh acuityEM physiciansHigh-acuity visitsRepeated cross-sectional analysisHigh-acuity servicesEmergency medicine workforceCross-sectional analysisEmergency cliniciansPractice patternsLow acuityRelative increaseEmergency careAcuity levelsMedicare Part BAcuityOutcome proportionsPhysiciansOne-thirdTrends In Treat-And-Release Emergency Care Visits With High-Intensity Billing In The US, 2006–19
Janke A, Gettel C, Koski-Vacirca R, Lin M, Kocher K, Venkatesh A. Trends In Treat-And-Release Emergency Care Visits With High-Intensity Billing In The US, 2006–19. Health Affairs 2022, 41: 1772-1780. PMID: 36469824, DOI: 10.1377/hlthaff.2022.00484.Peer-Reviewed Original ResearchMeSH KeywordsEmergency Medical ServicesEmergency Service, HospitalEmergency TreatmentHealth StatusHumansUnited StatesConceptsRelease ED visitsEmergency departmentED visitsNationwide Emergency Department SampleEmergency care visitsEmergency Department SampleProportion of visitsHealth care systemMore comorbiditiesCare visitsOlder patientsED careBilling practicesSerious diagnosisObservational studyUndifferentiated patientsPatient complexityCare servicesHealth statusCare systemVisitsPatientsEvolving roleReimbursement reformTreatEmergency department clinician satisfaction with an APRN‐led geriatric emergency medicine service consult team
Moreines L, Gettel C, Hajduk A, Kukulka S, Lai J, Ouellet J. Emergency department clinician satisfaction with an APRN‐led geriatric emergency medicine service consult team. Journal Of The American Geriatrics Society 2022, 71: 991-994. PMID: 36420709, PMCID: PMC10023295, DOI: 10.1111/jgs.18133.Peer-Reviewed Original ResearchAdvanced Practice NursingAgedEmergency Medical ServicesEmergency MedicineEmergency Service, HospitalHumansPersonal SatisfactionEmergency department‐to‐community care transition barriers: A qualitative study of older adults
Gettel CJ, Serina PT, Uzamere I, Hernandez‐Bigos K, Venkatesh AK, Rising KL, Goldberg EM, Feder SL, Cohen AB, Hwang U. Emergency department‐to‐community care transition barriers: A qualitative study of older adults. Journal Of The American Geriatrics Society 2022, 70: 3152-3162. PMID: 35779278, PMCID: PMC9669106, DOI: 10.1111/jgs.17950.Peer-Reviewed Original ResearchMeSH KeywordsAftercareAgedEmergency Service, HospitalFemaleHumansMalePatient DischargePatient TransferQualitative ResearchConceptsCare transitionsOlder adultsClinical careImmediate post-discharge periodED discharge processEmergency clinical careEmergency department visitsPost-discharge periodAdverse health outcomesOutpatient clinical careDepartment visitsIntact patientsEmergency departmentHealth outcomesOlder adults' willingnessU.S. healthcare systemBaseline activityEffective interventionsIntervention developmentHealthcare systemAdultsCareAdults' willingnessSymptom explanationsEDA Qualitative Study of “What Matters” to Older Adults in the Emergency Department
Gettel CJ, Venkatesh AK, Dowd H, Hwang U, Ferrigno RF, Reid EA, Tinetti ME. A Qualitative Study of “What Matters” to Older Adults in the Emergency Department. Western Journal Of Emergency Medicine 2022, 23: 579-588. PMID: 35980413, PMCID: PMC9391017, DOI: 10.5811/westjem.2022.4.56115.Peer-Reviewed Original ResearchConceptsOlder adult patientsAdult patientsEmergency departmentOlder adultsED careAge-Friendly Health SystemIntact older adultsSymptom resolutionED cliniciansED settingPatient 1Clinician recommendationsPatient concernsPatient prioritiesDyadic semi-structured interviewsSymptom reductionClinical practicePatientsCliniciansHealth systemConversation guideHealthcare systemAdultsHome environmentOutcomesEmergency Department Care Transitions for Patients With Cognitive Impairment: A Scoping Review
Gettel CJ, Falvey JR, Gifford A, Hoang L, Christensen LA, Hwang U, Shah MN, Network T, Aggarawal N, Allore H, Amy A, Belleville M, Bellolio M, Betz M, Biese K, Brandt C, Bruursema S, Carnahan R, Carpenter C, Carr D, Chin-Hansen J, Daven M, Degesys N, Dresden M, Dussetschleger J, Ellenbogen M, Falvey J, Foster B, Gettel C, Gifford A, Gilmore-Bykovskyi A, Goldberg E, Han J, Hardy J, Hastings S, Hirshon J, Hoang L, Hogan T, Hung W, Hwang U, Isaacs E, Jaspal N, Jobe D, Johnson J, Kelly K, Kennedy M, Kind A, Leggett J, Malone M, Moccia M, Moreno M, Morrow-Howell N, Nowroozpoor A, Ohuabunwa U, Oiyemhonian B, Perry W, Prusaczk B, Resendez J, Rising K, Sano M, Savage B, Shah M, Suyama J, Swartzberg J, Taylor Z, Vaishal T, Vann A, Webb T, Weintraub S. Emergency Department Care Transitions for Patients With Cognitive Impairment: A Scoping Review. Journal Of The American Medical Directors Association 2022, 23: 1313.e1-1313.e13. PMID: 35247358, PMCID: PMC9378565, DOI: 10.1016/j.jamda.2022.01.076.Peer-Reviewed Original ResearchMeSH KeywordsAgedCognitive DysfunctionEmergency Service, HospitalGeriatric AssessmentHouse CallsHumansPatient TransferConceptsCare transition interventionsRelevant patient-centered outcomesPatient-centered outcomesCognitive impairmentCare partnersTransition interventionsCare transitionsOlder adultsEmergency Department Care TransitionsED revisit ratesSystematic electronic searchFull-text reviewScoping ReviewMedical research databasesGeriatric assessmentSecondary outcomesSystematic scoping reviewED careED patientsED settingPhysical functionFuture investigationsCare coordinationOutpatient careEligible studiesChanges in Emergency Department Arrival Times for Acute Myocardial Infarction During the COVID-19 Pandemic Suggest Delays in Care Seeking
Janke AT, Gettel CJ, Haimovich A, Kocher KE, Krumholz HM, Venkatesh AK. Changes in Emergency Department Arrival Times for Acute Myocardial Infarction During the COVID-19 Pandemic Suggest Delays in Care Seeking. Circulation Cardiovascular Quality And Outcomes 2022, 15: e008402. PMID: 35105172, PMCID: PMC8833230, DOI: 10.1161/circoutcomes.121.008402.Peer-Reviewed Original ResearchCOVID-19Emergency Service, HospitalHumansMyocardial InfarctionPandemicsSARS-CoV-2ST Elevation Myocardial Infarction
2021
Care transitions and social needs: A Geriatric Emergency care Applied Research (GEAR) Network scoping review and consensus statement
Gettel CJ, Voils CI, Bristol AA, Richardson LD, Hogan TM, Brody AA, Gladney MN, Suyama J, Ragsdale LC, Binkley CL, Morano CL, Seidenfeld J, Hammouda N, Ko KJ, Hwang U, Hastings SN. Care transitions and social needs: A Geriatric Emergency care Applied Research (GEAR) Network scoping review and consensus statement. Academic Emergency Medicine 2021, 28: 1430-1439. PMID: 34328674, PMCID: PMC8725618, DOI: 10.1111/acem.14360.Peer-Reviewed Original ResearchMeSH KeywordsAgedEmergency Medical ServicesEmergency Service, HospitalHumansPatient DischargePatient TransferTransitional CareConceptsCare transition interventionsOlder adult populationTransition interventionsIntervention studiesAdult populationCare transitionsOlder adultsEmergency Department Care TransitionsHealth care utilization outcomesSubsequent health care utilizationComprehensive geriatric assessmentHealth care utilizationPatient-centered outcomesOptimal outcome measuresResearch NetworkGeriatric assessmentCare utilizationUtilization outcomesDischarge planningPatient outcomesConsensus statementOutcome measuresClinical questionsConsensus conferenceElectronic databasesMoving the needle on fall prevention: A Geriatric Emergency Care Applied Research (GEAR) Network scoping review and consensus statement
Hammouda N, Carpenter CR, Hung WW, Lesser A, Nyamu S, Liu S, Gettel C, Malsch A, Castillo EM, Forrester S, Souffront K, Vargas S, Goldberg EM, Network T. Moving the needle on fall prevention: A Geriatric Emergency Care Applied Research (GEAR) Network scoping review and consensus statement. Academic Emergency Medicine 2021, 28: 1214-1227. PMID: 33977589, PMCID: PMC8581064, DOI: 10.1111/acem.14279.Peer-Reviewed Original ResearchMeSH KeywordsAgedEmergency Medical ServicesEmergency MedicineEmergency Service, HospitalGeriatric AssessmentHumansResearchConceptsRecurrent fallsFall risk assessment toolsFall screening toolsEmergency medical services personnelSelf-reported fallsFall-related outcomesFall assessment toolsHigh-priority research focusMedical services personnelPreferred Reporting ItemsHealth services researchersAssessment toolRisk assessment toolHarmonizing definitionFall interventionsMultifactorial interventionED patientsED physiciansExercise programRisk stratificationOutcome ascertainmentEmergency departmentFalls screeningFall preventionConsensus statement
2020
Who provides what care? An analysis of clinical focus among the national emergency care workforce
Gettel CJ, Canavan ME, D'Onofrio G, Carr BG, Venkatesh AK. Who provides what care? An analysis of clinical focus among the national emergency care workforce. The American Journal Of Emergency Medicine 2020, 42: 228-232. PMID: 33298349, PMCID: PMC8005412, DOI: 10.1016/j.ajem.2020.11.069.Peer-Reviewed Original ResearchMeSH KeywordsCross-Sectional StudiesEmergency Service, HospitalFee-for-Service PlansHealth WorkforceHumansMedicarePhysiciansUnited StatesConceptsAdvanced practice providersEmergency care workforceMedicare feeClinical focusEM physiciansED cliniciansED settingPublic Use FileService beneficiariesMedicare Public Use FilesCare workforceImproved patient outcomesCross-sectional analysisUnique cliniciansPrimary outcomePatient outcomesCare EvaluationClinician expertisePractice providersEmergency careIndividual cliniciansClinical settingPractice settingsCliniciansPhysiciansWhere Skilled Nursing Facility Residents Get Acute Care: Is the Emergency Department the Medical Home?
Venkatesh AK, Gettel CJ, Mei H, Chou SC, Rothenberg C, Liu SL, D’Onofrio G, Lin Z, Krumholz HM. Where Skilled Nursing Facility Residents Get Acute Care: Is the Emergency Department the Medical Home? Journal Of Applied Gerontology 2020, 40: 828-836. PMID: 32842827, PMCID: PMC7904961, DOI: 10.1177/0733464820950125.Peer-Reviewed Original ResearchMeSH KeywordsAgedCross-Sectional StudiesEmergency Service, HospitalHumansMedicarePatient DischargePatient-Centered CareSkilled Nursing FacilitiesUnited StatesConceptsAcute care visitsCare visitsEmergency departmentMedicare beneficiariesSNF staySNF servicesSkilled nursing facility residentsNursing facility residentsSkilled nursing facility servicesAcute care capabilitiesCross-sectional analysisNursing facility servicesHigher proportionAcute careMedical homeFacility residentsCare capabilitiesVisitsNumber of daysStayCareDepartmentFacility servicesBeneficiariesProportionCare Transition Decisions After a Fall‐related Emergency Department Visit: A Qualitative Study of Patients’ and Caregivers’ Experiences
Gettel CJ, Hayes K, Shield RR, Guthrie KM, Goldberg EM. Care Transition Decisions After a Fall‐related Emergency Department Visit: A Qualitative Study of Patients’ and Caregivers’ Experiences. Academic Emergency Medicine 2020, 27: 876-886. PMID: 32053283, PMCID: PMC7423638, DOI: 10.1111/acem.13938.Peer-Reviewed Original ResearchMeSH KeywordsAccidental FallsAgedAged, 80 and overCaregiversEmergency Service, HospitalFearFemaleHumansMaleMedicarePatient DischargePatient TransferUnited StatesConceptsEmergency department visitsPatient-caregiver dyadsCognitive impairmentED visitsDepartment visitsOlder adultsFall-related emergency department visitsInjury-related emergency department (ED) visitsInitial ED visitPrevention intervention trialTransitions of careSemistructured interview guideGeriatric AcuteED careOutpatient visitsIntervention trialsCare transitionsPatientsSentinel eventsVisitsCaregiversRecovery periodAdultsInjuryInterview guide
2019
A Retrospective Analysis of Nursing Home to ED Transfer Correspondence Length and ED Length of Stay.
Long SE, Marks SJ, Gettel CJ, Goldberg EM. A Retrospective Analysis of Nursing Home to ED Transfer Correspondence Length and ED Length of Stay. Rhode Island Medical Journal 2019, 102: 29-32. PMID: 31675784, PMCID: PMC7330887.Peer-Reviewed Original ResearchMeSH KeywordsAdolescentAdultAgedAged, 80 and overEmergency Service, HospitalFemaleHumansLength of StayMaleMiddle AgedNursing HomesPatient TransferRetrospective StudiesRhode IslandYoung Adult
2018
The Impact of Incomplete Nursing Home Transfer Documentation on Emergency Department Care
Gettel CJ, Merchant RC, Li Y, Long S, Tam A, Marks SJ, Goldberg EM. The Impact of Incomplete Nursing Home Transfer Documentation on Emergency Department Care. Journal Of The American Medical Directors Association 2018, 20: 935-941.e3. PMID: 30385229, PMCID: PMC6996106, DOI: 10.1016/j.jamda.2018.09.008.Peer-Reviewed Original ResearchMeSH KeywordsAgedAged, 80 and overDementiaDocumentationElectronic Health RecordsEmergency Service, HospitalFemaleHumansMaleMiddle AgedNursing HomesPatient TransferRetrospective StudiesRhode IslandConceptsLarge health care systemHospital admissionTransfer documentationFunctional statusQuality improvement toolsDocumentation completenessHigher Charlson Comorbidity Index scoresCharlson Comorbidity Index scoreTransfer documentsComorbidity Index scoreEmergency department careEmergency department cliniciansMultivariable linear regressionCore itemsNeed of nursingHealth care systemPatient ageNH residentsRetrospective studyMental statusDocumentation completionMultivariable modelIndex scoreLogistic regressionFacility characteristics
2017
Slipping through the cracks: A cross-sectional study examining older adult emergency department patient fall history, post-fall treatment and prevention.
Goldberg EM, McCreedy EM, Gettel CJ, Merchant RC. Slipping through the cracks: A cross-sectional study examining older adult emergency department patient fall history, post-fall treatment and prevention. Rhode Island Medical Journal 2017, 100: 18-23. PMID: 29190838, PMCID: PMC5908708.Peer-Reviewed Original ResearchConceptsCross-sectional studyPrior fallsFall historyOlder adult ED patientsAdult ED patientsEmergency department visitsAdults 65 yearsNon-fatal injuriesMore comorbiditiesED presentationsDepartment visitsED patientsHospital EDFuture fallsHigh riskRisk populationsCognitive impairmentFurther fallCognitive testingOlder adultsPrevention effortsSubstance useSubsequent fallVulnerable groupsRisk
2016
Painless syphilitic uveitis in the Emergency Department.
Gettel C. Painless syphilitic uveitis in the Emergency Department. Rhode Island Medical Journal 2016, 99: 28-9. PMID: 26726860.Peer-Reviewed Original Research