Summary
Managenent of older patients in hospital Emergency Departments: results of the GERYURG survey
María Mir Montero1, Carles Ferré Losa2, Cesáreo Fernández Alonso3, Belén Rodríguez Miranda4, Sira Aguiló Mir5, Mireia Puig Campmany6, En representación del Grupo de Trabajo GEM-SEMES
Affiliation of the authors
1Servicio de Urgencias, Hospital Universitario Infanta Leonor, Madrid, Spain. 2Servicio de Urgencias, Hospital Universitari Vall d’Hebron, Barcelona, Spain. 3Servicio de Geriatría, Hospital Clínico Universitario San Carlos, Madrid, Spain. 4Servicio de Urgencias, Hospital Universitario de la Princesa, Madrid, Spain. 5Servicio de Urgencias, Hospital Clínic, Barcelona, Spain. 6Servicio de Urgencias, Hospital de la Santa Creu i Sant Pau, Barcelona, Spain.
DOI
Quote
Mir Montero M, Ferré Losa C, Fernández Alonso C, Rodríguez Miranda B, Aguiló Mir S, Puig Campmany M, En representación del Grupo de Trabajo GEM-SEMES. Managenent of older patients in hospital Emergency Departments: results of the GERYURG survey. Rev Esp Urg Emerg. 2026;5:277-80
Summary
Population aging has increased the demand for care of older patients in hospital Emergency Departments (EDs), who are characterized by greater frailty, comorbidity, and complexity of care. The GERyURG study evaluated the implementation of resources, environmental adaptations, and geriatric care strategies in Spanish EDs. A survey was conducted among ED managers, obtaining 62 responses from 294 centers (21 %). Patients older than 65 years accounted for 31 % of ED visits. Frailty screening was performed in 90.3 % of EDs, but only 35.5 % conducted a geriatric assessment adapted to the emergency setting, and 24.2 % had
interdisciplinary teams. Only 11.3 % met all the environmental adaptation measures evaluated. No significant differences were observed according to hospital level of care. Progress has been made in frailty detection, but substantial organizational and carerelated deficiencies remain, highlighting the need to implement comprehensive models of emergency geriatric care.