Prognostic stratification of elderly patients in the emergency department: A comparison between the "identification of seniors at risk" and the "silver code"

Mauro Di Bari; Fabio Salvi; Anna T. Roberts; Daniela Balzi; Barbara Lorenzetti; Valeria Morichi; Lorena Rossi; Fabrizia Lattanzio; Niccol Marchionni

doi:10.1093/gerona/glr209

Prognostic stratification of elderly patients in the emergency department: A comparison between the "identification of seniors at risk" and the "silver code"

Mauro Di Bari, Fabio Salvi, Anna T. Roberts, Daniela Balzi, Barbara Lorenzetti, Valeria Morichi, Lorena Rossi, Fabrizia Lattanzio, Niccol Marchionni

Istituto Nazionale di Riposo e Cura per Anziani V.E. II

Research output: Contribution to journal › Article

Abstract

Background. The increasing number of elderly patients accessing emergency departments (EDs) requires use of validated assessment tools. We compared the Identification of Seniors at Risk (ISAR), using direct patient evaluation, with the Silver Code (SC), based on administrative data. Methods. Subjects aged 75+ years accessing a geriatric ED over an 8-month period were enrolled. Outcomes were need for hospital admission and mortality at the index ED access, ED return visit, hospitalization, and death at 6 months. Results. Of 1,632 participants (mean age 84 ± 5.5 years), 75% were ISAR positive, and the sample was homogeneously distributed across the four SC risk categories (cutoffs of 0-3, 4-6, 7-10, and 11+). The two scores were mildly correlated (r =. 350, p

Original language	English
Pages (from-to)	544-550
Number of pages	7
Journal	Journals of Gerontology - Series A Biological Sciences and Medical Sciences
Volume	67 A
Issue number	5
DOIs	https://doi.org/10.1093/gerona/glr209
Publication status	Published - May 2012

Keywords

Administrative databases
Emergency department
Prognostic stratification
Risk stratification

ASJC Scopus subject areas

Ageing
Geriatrics and Gerontology
Medicine(all)

Access to Document

10.1093/gerona/glr209

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Di Bari, M., Salvi, F., Roberts, A. T., Balzi, D., Lorenzetti, B., Morichi, V., Rossi, L., Lattanzio, F., & Marchionni, N. (2012). Prognostic stratification of elderly patients in the emergency department: A comparison between the "identification of seniors at risk" and the "silver code". Journals of Gerontology - Series A Biological Sciences and Medical Sciences, 67 A(5), 544-550. https://doi.org/10.1093/gerona/glr209

Prognostic stratification of elderly patients in the emergency department : A comparison between the "identification of seniors at risk" and the "silver code". / Di Bari, Mauro; Salvi, Fabio; Roberts, Anna T.; Balzi, Daniela; Lorenzetti, Barbara; Morichi, Valeria ; Rossi, Lorena ; Lattanzio, Fabrizia; Marchionni, Niccol.

In: Journals of Gerontology - Series A Biological Sciences and Medical Sciences, Vol. 67 A, No. 5, 05.2012, p. 544-550.

Research output: Contribution to journal › Article

Di Bari, M, Salvi, F, Roberts, AT, Balzi, D, Lorenzetti, B, Morichi, V , Rossi, L , Lattanzio, F & Marchionni, N 2012, 'Prognostic stratification of elderly patients in the emergency department: A comparison between the "identification of seniors at risk" and the "silver code"', Journals of Gerontology - Series A Biological Sciences and Medical Sciences, vol. 67 A, no. 5, pp. 544-550. https://doi.org/10.1093/gerona/glr209

Di Bari M, Salvi F, Roberts AT, Balzi D, Lorenzetti B, Morichi V et al. Prognostic stratification of elderly patients in the emergency department: A comparison between the "identification of seniors at risk" and the "silver code". Journals of Gerontology - Series A Biological Sciences and Medical Sciences. 2012 May;67 A(5):544-550. https://doi.org/10.1093/gerona/glr209

Di Bari, Mauro ; Salvi, Fabio ; Roberts, Anna T. ; Balzi, Daniela ; Lorenzetti, Barbara ; Morichi, Valeria ; Rossi, Lorena ; Lattanzio, Fabrizia ; Marchionni, Niccol. / Prognostic stratification of elderly patients in the emergency department : A comparison between the "identification of seniors at risk" and the "silver code". In: Journals of Gerontology - Series A Biological Sciences and Medical Sciences. 2012 ; Vol. 67 A, No. 5. pp. 544-550.

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