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, PMCID: PMC11581500, DOI: 10.1001/jamanetworkopen.2024.39421.Peer-Reviewed Original Research“What Matters” in the Emergency Department
Chera T, Tinetti M, Travers J, Galske J, Venkatesh A, Southerland L, Dresden S, McQuown C, Gettel C. “What Matters” in the Emergency Department. Medical Care 2024, 62: s50-s56. PMID: 39514495, PMCID: PMC11548826, DOI: 10.1097/mlr.0000000000002053.Peer-Reviewed Original ResearchConceptsOlder adultsEmergency departmentEmergency careED visitsAssociated with meetingAssociated with older adultsEnd-of-lifeFollow-upPatient characteristicsMultivariate logistic regression modelCare of oneselfLogistic regression modelsFollow-up interviewsMulticenter prospective observational studyHealthcare settingsED encountersFunctional independenceProspective observational studySecondary analysisSymptom identificationAssess concernsSecondary outcomesPrimary outcomeCareObservational study
2023
Emergency medicine physician workforce attrition differences by age and gender
Gettel C, Courtney D, Agrawal P, Madsen T, Rothenberg C, Mills A, Lall M, Keim S, Kraus C, Ranney M, Venkatesh A. Emergency medicine physician workforce attrition differences by age and gender. Academic Emergency Medicine 2023, 30: 1092-1100. PMID: 37313983, PMCID: PMC10973949, DOI: 10.1111/acem.14764.Peer-Reviewed Original ResearchConceptsFemale emergency physiciansEmergency physiciansMedian ageMultivariate logistic regression modelMale emergency physiciansResidency graduationRepeated cross-sectional analysisCharacteristics of physiciansWorkforce attritionCross-sectional analysisLogistic regression modelsStudy time frameDate of birthPrimary outcomeFemale genderMale physiciansClinical practiceFemale physiciansClinical servicesPhysiciansEmergency medicineAgeNumber of yearsRecent dataWorkforce concerns
2022
Emergency 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 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 explanationsED
2020
Care 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 ResearchConceptsEmergency 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 Research
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 ResearchConceptsLarge 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