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

Research output: Contribution to journalArticle

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 languageEnglish
Pages (from-to)544-550
Number of pages7
JournalJournals of Gerontology - Series A Biological Sciences and Medical Sciences
Volume67 A
Issue number5
DOIs
Publication statusPublished - May 2012

Keywords

  • Administrative databases
  • Emergency department
  • Prognostic stratification
  • Risk stratification

ASJC Scopus subject areas

  • Ageing
  • Geriatrics and Gerontology
  • Medicine(all)

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