Screening for frailty in elderly emergency department patients by using the identification of seniors at risk (ISAR)

F. Salvi, V. Morichi, A. Grilli, L. Lancioni, L. SpazzaFuMo, S. Polonara, A. M. Abbatecola, G. De ToMMaSo, P. DeSSi-FulGheri, F. Lattanzio

Research output: Contribution to journalArticle

Abstract

Objectives: Frail older adults are at an increased risk for adverse outcomes after an emergency Department (eD) visit. comprehensive geriatric assessment (cGa) has been proposed to screen for frailty in the eD, but it is difficult to carry out. We tested whether a cGa-based approach using the identification of Seniors at risk (iSar) screening tool was associated with the brief deficit accumulation index (Dai) of frailty. Design: prospective observational study. Setting: two urban eDs in italy. Participants: a cohort of 200 elderly (≥65 years) eD patients. Measurements: identifiers, triage, clinical and social data along with the administration of iSar. cGa was performed using: charlson index, Short portable Mental Status Questionnaire and Katz's aDl. Follow-up data at 30 and 180 days included: mortality, eD revisit, hospital admission, and functional decline. Frailty was defined according to a brief Dai. logistic regression evaluated the consistency of the frailty definition; roc curves evaluated iSar ability in identifying frailty. Results: Frailty was present in 117 (58.5%) subjects and predicted eD revisit and frequent eD return, hospitalization and 6-month mortality. iSar had an auc of 0.92 (95%ci 0.88-0.96, p

Original languageEnglish
Pages (from-to)313-318
Number of pages6
JournalJournal of Nutrition, Health and Aging
Volume16
Issue number4
DOIs
Publication statusPublished - Apr 2012

Keywords

  • Emergency department
  • Frailty
  • Geriatric assessment
  • Outcome
  • Screening

ASJC Scopus subject areas

  • Medicine (miscellaneous)
  • Nutrition and Dietetics
  • Geriatrics and Gerontology

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