A European Research Agenda for Geriatric Emergency Medicine: a modified Delphi study
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RESEARCH PAPER
A European Research Agenda for Geriatric Emergency Medicine: a modified Delphi study Simon P. Mooijaart1,2 · Christian H. Nickel3 · Simon P. Conroy4 · Jacinta A. Lucke1,5 · Lisa S. van Tol1 · Mareline Olthof1 · Laura C. Blomaard1 · Bianca M. Buurman6 · Zerrin D. Dundar7 · Bas de Groot8 · Beatrice Gasperini9 · Pieter Heeren10,11,12 · Mehmet A. Karamercan13 · Rosa McNamara14 · Aine Mitchell15 · James D. van Oppen4,16 · F. Javier Martin Sanchez17 · Yvonne Schoon18 · Katrin Singler19 · Renan Spode20 · Sigrun Skúldóttir21,22 · Thordis Thorrsteindottir21 · Marije van der Velde23 · James Wallace24 Received: 3 July 2020 / Accepted: 29 October 2020 © The Author(s) 2020
Key Summary Points Aim To provide an inventory and prioritisation of research questions amongst GEM professionals throughout Europe. Findings A list of 10 research questions was identified and prioritised. Message The list of research questions may serve as guidance for scientists, policymakers and funding bodies in prioritising future research projects. Abstract Purpose Geriatric Emergency Medicine (GEM) focuses on delivering optimal care to (sub)acutely ill older people. This involves a multidisciplinary approach throughout the whole healthcare chain. However, the underpinning evidence base is weak and it is unclear which research questions have the highest priority. The aim of this study was to provide an inventory and prioritisation of research questions among GEM professionals throughout Europe. Methods A two-stage modified Delphi approach was used. In stage 1, an online survey was administered to various professionals working in GEM both in the Emergency Department (ED) and other healthcare settings throughout Europe to make an inventory of potential research questions. In the processing phase, research questions were screened, categorised, and validated by an expert panel. Subsequently, in stage 2, remaining research questions were ranked based on relevance using a second online survey administered to the same target population, to identify the top 10 prioritised research questions. Results In response to the first survey, 145 respondents submitted 233 potential research questions. A total of 61 research questions were included in the second stage, which was completed by 176 respondents. The question with the highest priority was: Is implementation of elements of CGA (comprehensive geriatric assessment), such as screening for frailty and geriatric interventions, effective in improving outcomes for older patients in the ED? Conclusion This study presents a top 10 of high-priority research questions for a European Research Agenda for Geriatric Emergency Medicine. The list of research questions may serve as guidance for researchers, policymakers and funding bodies in prioritising future research projects. Keywords Geriatric Emergency Medicine · Research prioritisation
Introduction
* Simon P. Mooijaart [email protected] Extended author information available on the last page of the article
Geriatric Emergency Medicine (GEM)
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