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Using a database of 300,000 patients and applying a predictive measure for mortality, these authors found that patients over 66 with a high likelihood of 6 month mortality at the time of presentation were more likely to be admitted to an ICU when they presented to an ED. The authors conclude there is much work to be done regarding discussion of goals of care based on this information.
References
Adeyemi O, Hill J, Siman N, Goldfeld KS, Cuthel AM, Grudzen CR. Acute Care Use and Prognosis in Older Adults Presenting to the Emergency Department. J Pain Symptom Manage. 2025;69(6):559-568. doi:10.1016/j.jpainsymman.2025.01.006