TY - JOUR
T1 - Prognostic stratification of elderly patients in the emergency department
T2 - A comparison between the "identification of seniors at risk" and the "silver code"
AU - Di Bari, Mauro
AU - Salvi, Fabio
AU - Roberts, Anna T.
AU - Balzi, Daniela
AU - Lorenzetti, Barbara
AU - Morichi, Valeria
AU - Rossi, Lorena
AU - Lattanzio, Fabrizia
AU - Marchionni, Niccol
PY - 2012/5
Y1 - 2012/5
N2 - 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
AB - 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
KW - Administrative databases
KW - Emergency department
KW - Prognostic stratification
KW - Risk stratification
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U2 - 10.1093/gerona/glr209
DO - 10.1093/gerona/glr209
M3 - Article
C2 - 22156440
AN - SCOPUS:84860167303
VL - 67 A
SP - 544
EP - 550
JO - Journals of Gerontology - Series A Biological Sciences and Medical Sciences
JF - Journals of Gerontology - Series A Biological Sciences and Medical Sciences
SN - 1079-5006
IS - 5
ER -