Risk stratification and rapid geriatric screening in an emergency department – a quasi-randomised controlled trial
| Autor: | Madeline Wei Ling Phuah, Vivan Wing Yin Siu, Hou Ang, Chik Loon Foo, Chee Kheong Ooi |
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| Jazyk: | angličtina |
| Předmět: |
Male
Geriatric screening medicine.medical_specialty Time Factors Activities of daily living medicine.medical_treatment Psychological intervention law.invention Elderly Randomized controlled trial law Internal medicine Humans Mass Screening Medicine Geriatric Assessment Risk stratification Aged Aged 80 and over Risk Management Rehabilitation Emergency department business.industry Triage Emergency medicine Female Geriatrics and Gerontology Emergency Service Hospital business Research Article Follow-Up Studies |
| Zdroj: | BMC Geriatrics |
| ISSN: | 1471-2318 |
| DOI: | 10.1186/1471-2318-14-98 |
| Popis: | Background To determine if risk stratification followed by rapid geriatric screening in an emergency department (ED) reduced functional decline, ED reattendance and hospitalisation. Method This was a quasi-randomised controlled trial. Patients were randomised by the last digit of their national registration identity card (NRIC). Odd number controls received standard ED care; even number patients received geriatric screening, followed by intervention and/or onward referrals. Patients were followed up for 12 months. Results There were 500 and 280 patients in the control and intervention groups. The intervention group had higher Triage Risk Screening Tool (TRST) scores (34.3% vs 25.4% TRST ≥3, p = 0.01) and lower baseline Instrumental Activity of Daily Living (IADL) scores (22.84 vs 24.18, p |
| Databáze: | OpenAIRE |
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