Department of Emergency Medicine, Gold Coast Hospital and Health Service, Gold Coast University Hospital, 1 Hospital Blvd, Southport, QLD 4215, Australia.
Bond University, 14 University Dr, Robina, QLD 4226, Australia.
Syst Rev. 2020 Dec 5;9(1):280. doi: 10.1186/s13643-020-01534-z.
People aged ≥ 65 years comprise around 1 in 5 emergency department (ED) presentations. Many of these presentations occur due to complications associated with chronic diseases and frailty. This review aims to provide a comprehensive understanding of available research regarding models of care for frail older people presenting to the ED.
The Joanna Briggs Institute scoping review framework will be used to guide this review. Literature searches will be conducted in the following electronic databases (from January 2009 onwards): CINAHL via EBSCOhost, Ovid MEDLINE, Embase, SocINDEX. Grey literature will be identified through searching Google Scholar. This review will consider primary research studies (including observational and interventional studies) published in English on models of care for frail older people (aged ≥ 65) presenting to the ED. Two researchers will independently screen all citations, full-text articles, and abstract data. Potential disagreements will be resolved through discussion with a third researcher. Data extracted from included studies will include the following: author(s), year of publication, country, research design and aim, time frame of the study, study population and sample size, data collection methods, definition of frailty, model of care, and key findings that pertain to the ability to inform this review. The strength of the body of evidence will be assessed using the National Health and Medical Research Council level of evidence hierarchy body of evidence matrix. Data will be presented in a tabular format and accompanied by a narrative that describes the characteristics of the body of literature.
Despite the increased number of ED presentations for frail older people, there has been no synthesis of the sources of evidence of model of care for frail older people in the setting of emergency care. The results of this scoping review will provide an overview of different models of care and help inform future research in the development of models of care for frail older persons, tailored to the healthcare system in the emergency context.
This scoping review has been registered in the Open Science Framework (osf.io/h2t94).
65 岁及以上人群约占急诊科 (ED) 就诊人数的 1/5。这些就诊中有许多是由于与慢性病和虚弱相关的并发症引起的。本综述旨在全面了解针对急诊科就诊虚弱老年人的护理模式的现有研究。
将采用 Joanna Briggs 研究所的范围综述框架来指导本综述。文献检索将在以下电子数据库中进行（自 2009 年 1 月起）：CINAHL 通过 EBSCOhost、Ovid MEDLINE、Embase、SocINDEX。将通过搜索 Google Scholar 确定灰色文献。本综述将考虑发表在英文期刊上的针对急诊科就诊虚弱老年人（年龄≥65 岁）的护理模式的原始研究（包括观察性和干预性研究）。两名研究人员将独立筛选所有引文、全文文章和摘要数据。如有潜在分歧，将通过与第三名研究人员讨论解决。从纳入研究中提取的数据将包括以下内容：作者、发表年份、国家、研究设计和目的、研究时间范围、研究人群和样本量、数据收集方法、虚弱定义、护理模式以及与本综述相关的主要发现。使用澳大利亚国家卫生和医学研究委员会证据等级层次结构证据矩阵评估证据的强度。将以表格形式呈现数据，并附有说明文献特征的叙述。
尽管急诊科就诊的虚弱老年人人数有所增加，但针对紧急护理环境中虚弱老年人护理模式的证据来源尚未进行综合分析。本范围综述的结果将提供不同护理模式的概述，并有助于为虚弱老年人护理模式的未来研究提供信息，针对紧急情况下的医疗保健系统进行模式开发。
本范围综述已在开放科学框架 (osf.io/h2t94) 中注册。
