GEAR Research

With an aging U.S. population, there is an increasing demand for optimal, interactive care for older adults across emergency departments (EDs), hospitals, and health systems. However, the amount of strong evidence resulting in improved outcomes in geriatric emergency care is limited. The need for research in geriatric emergency medicine (GEM) was acknowledged early on by Lowell Gerson, PhD, who observed the disproportionate use of emergency departments by older persons and, with others, formed the Society for Academic Emergency Medicine Geriatric Emergency Medicine Task Force. Dr. Gerson’s work and mentorship has led to several developments, including the establishment of clinical guidelines and accreditation processes for geriatric emergency departments. The Geriatric Emergency Care Applied Research Network (GEAR), which aims to establish infrastructure to support collaborative, interdisciplinary research to improve care for older adults, is yet another result of that work.

GEAR 1.1

The Geriatric Emergency care Applied Research Network (GEAR) 1.1  aims to establish infrastructure to support collaborative, interdisciplinary research to improve care for older adults.  Toward that end, we have established five key research priorities and how to study them: cognitive impairment, medication safety, elder abuse, falls, and care transitions. GEAR 1.1  is funded by the National Institutes of Health and other partners (grant #R33AG058926).

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GEAR 2.0 & 2.1

People with dementia are twice as likely to use the ED and 1.5 times more likely to have an avoidable visit. When in the ED, they often struggle and are at greater risk of poor outcomes. The Geriatric Emergency Care Applied Research Network 2.0 – Advancing Dementia Care (GEAR 2.0 ADC) is a National Institutes of Health funded program (Grant # R61AG069822) to advance the science supporting emergency care for people with dementia. 

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GEAR Database

The Geriatric Emergency care Applied Research (GEAR) Database is a cloud-based, multi-site research infrastructure supporting patient-centered data for evaluation of interventions and characteristics aimed at providing improved care for older adults in the ED.

Learn More about the GEAR Database