QJM : monthly journal of the Association of Physicians
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The analysis of routinely collected hospital data informs the design of specialist services for at-risk older people. ⋯ Advanced age and comorbidity are important drivers of outcomes among older ED attendees. There is a need to embed specialist geriatric services within frontline services to make them more gerontologically attuned. Our results predate the opening of an acute medical unit with specialist geriatric input.