Evidence map›Paper›PMID 40155783›Full record

ArticleAcademic emergency medicine : official journal of the Society for Academic Emergency Medicine2026

Development and validation of the Patient-Reported Outcome Measure-Older adult care Transitions from the Emergency Department (PROM-OTED) tool.

Cameron J Gettel, Arjun K Venkatesh, Ivie Uzamere, James Galske, Tonya Chera, Marney A White, Ula Hwang, PROM‐OTED Group Authorship

Abstract readValidation Study
In one paragraph

Article in Academic emergency medicine : official journal of the Society for Academic Emergency Medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Development and Validation of the Emergency Department Transitions Measure.Academic emergency medicine : official journal of the Society for Academic Emergency Medicine · 2026
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Cameron J GettelDepartment of Emergency Medicine, Yale School of Medicine, New Haven, Connecticut, USA.ORCID 0000-0002-6249-1023
Arjun K VenkateshDepartment of Emergency Medicine, Yale School of Medicine, New Haven, Connecticut, USA.ORCID 0000-0002-8248-0567
Ivie UzamereDepartment of Emergency Medicine, Yale School of Medicine, New Haven, Connecticut, USA.
James GalskeUniversity of Connecticut School of Medicine, Farmington, Connecticut, USA.ORCID 0000-0002-1328-0131
Tonya CheraLewis Katz School of Medicine at Temple University, Philadelphia, Pennsylvania, USA.
Marney A WhiteDepartment of Social and Behavioral Sciences, Yale School of Public Health, New Haven, Connecticut, USA.
Ula HwangDepartments of Emergency Medicine, New York University Grossman School of Medicine, New York City, New York, USA.ORCID 0000-0002-3715-3073
PROM‐OTED Group Authorship

Funding

Yale Study Support Suite (YES3): Dashboard and Web Portal Software Supporting Research Workflow through integrated, customizable REDCap External ModulesP30AG021342 · NIA · YALE UNIVERSITY · PI Terri R. Fried · 2002 to 2026
$37.9M
Growing the Geriatric Emergency care Applied Research (GEAR 1.1) network: Expanding and sustaining an emergency care aging study infrastructure.R33AG058926 · NIA · YALE UNIVERSITY · PI Ula Y Hwang, Daniella Meeker · 2020 to 2026
$4.6M
Geriatric Emergency care Applied Research network 2.0 - Advancing Dementia Care (GEAR 2.0 ADC)R61AG069822 · NIA · YALE UNIVERSITY · PI HWANG, ULA Y, SHAH, MANISH N · 2020 to 2021
$3.0M
GAPcare II: The Geriatric Acute & Post-acute Care Coordination Program for Fall Prevention in the Emergency DepartmentK76AG059983 · NIA · UNIVERSITY OF COLORADO DENVER · PI GOLDBERG, ELIZABETH · 2019 to 2024
$1.5M
Implementation of Multidisciplinary Assessments for Geriatric Patients in an ED Observation Unit (IMAGE)K23AG061284 · NIA · OHIO STATE UNIVERSITY · PI SOUTHERLAND, LAUREN T. · 2019 to 2023
$832k
Development and validation of the Patient-Reported Outcome Measure - Older adult care Transitions from the Emergency Department (PROM-OTED) toolR03AG073988 · NIA · YALE UNIVERSITY · PI GETTEL, CAMERON · 2021 to 2022
$335k
Emergency Medicine FoundationJohn A. Hartford FoundationNIA NIH HHS K23 AG061284NIA NIH HHS K76 AG059983NIA NIH HHS P30AG021342NIA NIH HHS R03 AG073988NIA NIH HHS R03AG073988NIA NIH HHS R33AG058926NIA NIH HHS R61AG069822Society for Academic Emergency Medicine FoundationWest Health Institute
6 · The paper itself

Abstract

backgroundCare transitions from the emergency department (ED) to the community represent a critical period that can significantly impact clinical outcomes of older adults, yet there is a lack of standardized tools to measure patient-reported experiences and outcomes during this transition. Our objective was to develop and validate the Patient-Reported Outcome Measure-Older adult care Transitions in the ED (PROM-OTED) tool to measure care transition outcomes within 4-10 days after ED discharge.

methodsOlder adults (65+ years) discharged from four EDs were enrolled between November 2021 and April 2024 in a multiphase process: qualitative interviews, item generation, member checking, cognitive debriefing, technical expert panel review, and psychometric evaluation and validation. We employed descriptive statistics, item analysis, interitem correlation, and factor analyses to assess the tool's validity and reliability.

resultsAcross all phases, we enrolled 290 older adults. The final 18-item PROM-OTED tool included items that addressed understanding of discharge instructions, medication management, follow-up care, and quality of life. The tool demonstrated feasibility with a mean (±SD) completion time of 4.97 (±3.04) min and was able to be administered electronically or via telephone. The tool additionally demonstrated excellent internal consistency (Cronbach's alpha 0.9376, McDonald's omega 0.9988) and good test-retest reliability (r = 0.8437). Exploratory factor analysis supported a robust factor structure and significant correlations between the PROM-OTED tool with the Care Transitions Measure-3, a general measure of hospital discharge quality of care, support its concurrent validity.

conclusionsThe PROM-OTED tool is a reliable and preliminarily valid instrument for use during the immediate post-ED period, with potential clinical applications in enhancing discharge practices and assessing care transition outcomes of older adults during observational or interventional studies.

Indexed as

Emergency Service, HospitalPatient Reported Outcome MeasuresPatient TransferAgedAged, 80 and overFemaleHumansMalePatient DischargePsychometricsReproducibility of ResultsSurveys and Questionnairescare transitionsemergency departmentolder adultsoutcome measure

Identifiers

PMID40155783
PMCPMC13010179

What Socratic holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.