Screening instruments for identification of vulnerable older adults at the emergency department: A critical appraisal
| Autor: | C S van Dam, N Moss, Mjl Peters, K Scheerman, S A Schaper, Marijke C. Trappenburg, M M Ter Wee, Majon Muller, Pwb Nanayakkara |
|---|---|
| Přispěvatelé: | AMS - Ageing and Morbidity, Neuromechanics, Internal medicine, APH - Aging & Later Life, Amsterdam Movement Sciences - Rehabilitation & Development, Epidemiology and Data Science, ACS - Atherosclerosis & ischemic syndromes, APH - Quality of Care, ACS - Diabetes & metabolism, APH - Digital Health |
| Předmět: |
InterRAI ED screener
medicine.medical_specialty ISAR-HP Vulnerability Fleiss' kappa Critical Care and Intensive Care Medicine Internal Medicine Medicine In patient Prospective cohort study business.industry Emergency department APOP General Medicine Targeted interventions Critical appraisal Older adults Emergency medicine Emergency Medicine Screening VMS Observational study business |
| Zdroj: | Scopus-Elsevier Acute medicine, 17(3), 124-129. Rila Publications Ltd van Dam, C S, Moss, N, Schaper, S A, Trappenburg, M C, Ter Wee, M M, Scheerman, K, Muller, M, Nanayakkara, P & Peters, M 2018, ' Screening instruments for identification of vulnerable older adults at the emergency department : a critical appraisal ', Acute Medicine, vol. 17, no. 3, pp. 124-129 . Acute Medicine, 17(3), 124-129. Rila Publications Ltd van Dam, C S, Moss, N, Schaper, S A, Trappenburg, M C, ter Wee, M M, Scheerman, K, Muller, M, Nanayakkara, P W B & Peters, M J L 2018, ' Screening instruments for identification of vulnerable older adults at the emergency department : A critical appraisal ', Acute medicine, vol. 17, no. 3, pp. 124-129 . https://doi.org/10.52964/AMJA.0716 |
| ISSN: | 1747-4884 1747-4892 |
| DOI: | 10.52964/AMJA.0716 |
| Popis: | BACKGROUND: Early detection of vulnerable older adults at the emergency department (ED) and implementation of targeted interventions to prevent functional decline may lead to better patient outcomes.OBJECTIVE: To assess the level of agreement between four frequently used screening instruments: ISAR-HP, VMS, InterRAI ED Screener and APOP.METHODS: Observational prospective cohort study in patients ≥ 70 years attending Dutch ED.RESULTS: The prevalence of vulnerability ranged from 19% (APOP) to 45% (ISAR-HP). Overall there was a moderate agreement between the screening instruments (Fleiss Kappa of 0.42 (pCONCLUSION: Depending on the screening instrument used, either only a small percentage or almost as many as half of the presenting patients will be eligible for targeted interventions, leading to large dissimilarities in working processes, resources and costs. |
| Databáze: | OpenAIRE |
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