Emergency Department Case-finding for High-risk Older Adults: The Brief Risk Identification for Geriatric Health Tool (BRIGHT)
| Autor: | Gillian Robb, Carole Pilcher, Chris McLean, Michal Boyd, Ngaire Kerse, Kim Yates, Jane Koziol-McLain |
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| Rok vydání: | 2008 |
| Předmět: |
Gerontology
medicine.medical_specialty Activities of daily living Receiver operating characteristic business.industry Risk identification General Medicine Emergency department Confidence interval Emergency Medicine Physical therapy medicine Effects of sleep deprivation on cognitive performance medicine.symptom business Risk assessment Cognitive deficit |
| Zdroj: | Academic Emergency Medicine. 15:598-606 |
| ISSN: | 1069-6563 |
| DOI: | 10.1111/j.1553-2712.2008.00157.x |
| Popis: | Objective: The objective was to test the ability of the Brief Risk Identification for Geriatric Health Tool (BRIGHT) to identify older emergency department (ED) patients with functional and physical impairment. Methods: This was a cross-sectional study in which 139 persons ≥75 years, who presented to an urban New Zealand ED over a 12-week period, completed the 11-item BRIGHT case-finding tool. Then, within 10 days of their index ED visit, 114 persons completed a comprehensive geriatric assessment. A “yes” response to at least 3 of the 11 BRIGHT items was considered “positive.” Primary outcome measures were instrumental activities of daily living (IADL), cognitive performance scale (CPS), and activities of daily living (ADL). Results: The BRIGHT-identified IADL deficit (64% prevalence) with a sensitivity of 0.76, specificity of 0.79, and receiver operating characteristic (ROC) of 0.83 (95% confidence interval [CI] = 0.74 to 0.91, p |
| Databáze: | OpenAIRE |
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