A new method of classifying prognostic comorbidity in longitudinal studies: development and validation. Each item on the tools was dichotomized and scored At Leicester Royal Infirmary, the care of frail older people occupies a disproportionate amount of emergency department (ED) staff's time and resources. The index was tested for its ability to predict risk of death from comorbid disease in the second cohort of 685 patients during a 10-yr follow-up.
A systematic review. A scoring system was developed for each predictor variable and patients were assigned to low, intermediate, and high risk categories. The Think Frailty triage tool, MFST-HP, and ISAR appeared to have the highest sensitivity with 72 to 94%. Lancet 1999; 353:205–206Hwang U, Morrison RS. Rehospitalizations among patients in the Medicare fee-for-service program. We collected prospective data on frail patients admitted to a CVW in a single centre in Ireland. Relationships between risk scores, health states and adverse outcomes at 30, 60 and 90 days after admission were examined using multinomial regression analysis. During the first month, 1792 patients were admitted to emergency department and 333 patients were aged ⩾65 years. - To describe non-responders participants in the MCI group by identifying variables predictive of poor response to the intervention in order to characterise the subgroup of participants who might be eligible from additional treatment(s), including drugs; N Engl J Med 2009; 360:1418–1428Kiely DK, Cupples LA, Lipsitz LA. The ISAR was tested at a Danish hospital in 2005 and the results dem-onstrated a sensitivity of 90% and a specificity of 26% compared with an assessment performed by a specialist Stratifying patients’ risk for readmission may enable facilities to provide targeted readmission-reducing interventions, and appropriate discharge planning, to reduce 30 day readmission rates.
Only seven tools reported on their sensitivity and specificity (HARP, Think Frailty, ISAR, ISAR-HP, MFST-HP, SHERPA and VMS tool). Community Virtual Wards (CVW) reduce adverse events in these patients. *Seven and six patients, who had died within 6 months, had had ED revisit and admission, respectively, within 30 days.Results of Contingency Tables and Multiple Logistic Regression Models for Outcomes and by frailty statusas covariate for composite outcomes evaluated at 30 days.return. Intern Emerg Med 2007; 2:292-301among older persons discharged from the ED. In the 6-month follow-up of patients discharged alive, the tools predicted comparably ED return visit (ISAR, 0.60; TRST, 0.59), hospital admission (ISAR, 0.63; TRST, 0.60), and mortality (ISAR, 0.74; TRST, 0.73). J Am Geriatr Soc 2006; 54:975–979Fried LP, Tangen CM, Walston J, et al. The tool was administered by trained staff nurses and clinical nurse specialists in a community hospital setting in 2011-2012. You can also search for this author in In total, 88 community-dwellers, mean (±SD) age of 82.8 ±6.4 years, were included.
J Gerontol A Biol Sci Med Sci 2010: 65:165department in Italy. Multi-center prospective cohort study. Conclusion Data on patient characteristics at the time of dialysis initiation were linked to regional EMS data. Prognostic stratification of older persons based on simple administrative data: development and validation of the “Silver Code”, to be used in emergency department triage. - To evaluate the effectiveness of a multicomponent intervention (MCI) programme (physical activity [PA], nutritional counselling/dietary intervention, and information & communication technology [ICT] intervention) compared with a healthy aging lifestyle education (HALE) programme on the hazard rate of mobility disability, in non-disabled older people with physical frailty and sarcopenia (PF&S). With each increased level of the comorbidity index, there were stepwise increases in the cumulative mortality attributable to comorbid disease (log rank chi 2 = 165; p less than 0.0001). With ISAR as the gold standard the geriatric check showed a sensitivity of 82.0% and a specificity of 62.1%. The overall specificity of the tools had a … We tested whether a CGA-based approach using the Identification of Seniors At Risk (ISAR) screening tool was associated with the brief deficit accumulation index (DAI) of frailty. Prediction of hospital utilization among elderly patients during the 6 months after an emergency department visit. Solid line: non-frail patients; dashed line: frail elderly ED patientsAll content in this area was uploaded by Paolo Dessì-Fulgheri on Feb 02, 2016 used to identify frail ED elders needing a CGA approach.ISAR fitted such definition in older persons admitted to the ED.less than 10%. Although representing poor performance, Identification of Seniors at Risk tool was better at 3 months in predicting health risks for the elderly who have visited emergency department. EDs may benefit from comprehensive frailty screening post-triage, as frailty and its associated geriatric syndromes drive outcomes separate from traditional measures of acuity.Purpose: