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Care of the older person
There are limited amenities on the sailboat we put older persons on for their post emergency department journey
  1. Clare L Atzema1,2
  1. 1 Sunnybrook Health Sciences Centre, Toronto, Ontario, Canada
  2. 2 ICES, Toronto, Ontario, Canada
  1. Correspondence to Dr Clare L Atzema, Sunnybrook Health Sciences Centre, Toronto, ON M4N 3M5, Canada; clare.atzema{at}

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Commentary on: 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. J Am Geriatr Soc. 2022 Nov;70(11):3152-3162. doi: 10.1111/jgs.17950. Epub 2022 Jul 2.

Implications for practice and research

  • Research is needed to assess the effectiveness and cost–benefit of work-flow friendly interventions that address the abrupt discharge process, which leaves older emergency department (ED) patients feeling ill-equipped to manage their own post-ED care.

  • Integrated managed healthcare organisations should lead the way in scheduling follow-up testing and care prior to ED departure, to automate the navigation component of the older patient’s follow-up care journey.


Older persons make the highest number of ED visits, and with the ageing of the population, that number will rise.1 Discharge from the ED allows patients to sleep in their own beds, avoids hospital-acquired infections …

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  • Competing interests None declared.

  • Provenance and peer review Commissioned; internally peer reviewed.