Risk stratification of older patients in the emergency department: Comparison between the identification of seniors at risk and triage risk screening tool

Rejuvenation Research

Volumn 15, Issue 3, 2012, Pages 288-294

  Salvi, Fabio ^a   Morichi, Valeria ^a   Lorenzetti, Barbara ^b   Rossi, Lorena ^a   Spazzafumo, Liana ^a   Luzi, Riccardo ^a   De Tommaso, Giuseppe ^a   Lattanzio, Fabrizia ^a  

^a INRCA   (Italy)

^b OSPEDALI RIUNITI   (Italy)

Author keywords

[No Author keywords available]

Indexed keywords

AGED; ARTICLE; EMERGENCY HEALTH SERVICE; EMERGENCY WARD; FEMALE; FOLLOW UP; GERIATRIC PATIENT; HEALTH CARE ACCESS; HOSPITAL ADMISSION; HUMAN; IDENTIFICATION OF SENIORS AT RISK; INTERMETHOD COMPARISON; MAJOR CLINICAL STUDY; MALE; MORTALITY; OBSERVATIONAL STUDY; PRIORITY JOURNAL; PROSPECTIVE STUDY; RISK ASSESSMENT; SCREENING; TRIAGE RISK SCREENING TOOL;

AGED; EMERGENCY SERVICE, HOSPITAL; FEMALE; HUMANS; MALE; MASS SCREENING; PATIENT ADMISSION; PATIENT DISCHARGE; RISK ASSESSMENT; TREATMENT OUTCOME; TRIAGE;

LEPTOSPIRA;

EID: 84863429043     PISSN: 15491684     EISSN: 15578577     Source Type: Journal    
DOI: 10.1089/rej.2011.1239     Document Type: Article

References (24)

1. Pitts SR, Niska RW, Xu J, Burt CW. National Hospital Ambulatory Medical Care Survey: 2006 emergency department summary. Natl Health Stat Report 2008;7:1-38.
2. Roberts DC, McKay MP, Shaffer A. Increasing rates of emergency department visits for elderly patients in the United States, 1993 to 2003. Ann Emerg Med 2008;51:769-774.
3. Salvi F, Morichi V, Grilli A, Giorgi R, De Tommaso G, Dessi-Fulgheri P. The elderly in the emergency department: A critical review of problems and solutions. Intern Emerg Med 2007;2:292-301.
4. Salvi F, Vita D, Morichi V, Fallani M, Dessi-Fulgheri P. Older adults use the emergency department appropriately. Intern Emerg Med 2009;4:93-94.
5. Wolinsky FD, Liu L, Miller TR, An H, Geweke JF, Kaskie B, Wright KB, Chrischilles EA, Pavlik CE, Cook EA, Ohsfeldt RL, Richardson KK, Rosenthal GE, Wallace RB. Emergency department utilization patterns among older adults. J Gerontol A Biol Sci Med Sci 2008;63:204-209. (Pubitemid 351738454)
6. Aminzadeh F, Dalziel WB. Older adults in the emergency department: A systematic review of pattern of use, adverse outcomes, and effectiveness of interventions. Ann Emerg Med 2002;39:238-247. (Pubitemid 34219636)
7. McCusker J, Verdon J. Do geriatric interventions reduce emergency department visits? A systematic review. J Gerontol A Biol Sci Med Sci 2006;61:53-62. (Pubitemid 43227801)
8. McCusker J, Bellavance F, Cardin S, Trepanier S, Verdon J, Ardman O. Detection of older people at increased risk of adverse health outcomes after an emergency visit: The ISAR screening tool. J Am Geriatr Soc 1999;47:1229-1237. (Pubitemid 29473296)
9. Mion LC, Palmer RM, Anetzberger GJ, Meldon SW. Establishing a case-finding and referral system for at-risk older individuals in the Emergency Department setting: The SIGNET model. J Am Geriatr Soc 2001;49:1379-1386. (Pubitemid 33015218)
10. Meldon SW, Mion LC, Palmer RM, Drew BL, Connor JT, Lewicki LJ, Bass DM, Emerman CL. A brief risk-stratification tool to predict repeat emergency department visits and hospitalizations in older patients discharged from the emergency department. Acad Emerg Med 2003;10:224-232. (Pubitemid 36292624)
11. Hustey FM, Mion LC, Connor JT, Emerman CL, Campbell J, Palmer RM. A brief risk stratification tool to predict functional decline in older adults discharged from Emergency Department. J Am Geriatr Soc 2007;55:1269-1274. (Pubitemid 47108186)
12. Lee JS, Schwindt G, Langevin M, Moghabghab R, Alibhai SM, Kiss A, Naglie G. Validation of the triage risk stratification tool to identify older persons at risk for hospital admission and returning to the emergency department. J Am Geriatr Soc 2008;56:2112-2117.
13. Salvi F, Morichi V, Grilli A, Spazzafumo L, Giorgi R, Polonara S, De Tommaso G, Dessi-Fulgheri P. Predictive validity of the Identification of Seniors At Risk (ISAR) screening tool in elderly patients presenting to two Italian Emergency Departments. Aging Clin Exp Res 2009;21:69-75.
14. Salvi F, Morichi V, Grilli A, Giorgi R, Spazzafumo L, Polonara S, De Tommaso G, Rappelli A, Dessi-Fulgheri P. A geriatric emergency service for acutely ill elderly patients: Pattern of use and comparison with a conventional emergency department. J Am Geriatr Soc 2008;56:2131-2138.
15. Fan J, Worster A, Fernandes CMB. Predictive validity of the Triage Risk Screening Tool for elderly patients in a Canadian emergency department. Am J Emerg Med 2006; 24:540-544. (Pubitemid 44287255)
16. McCusker J, Cardin S, Bellavance F, Belzile E. Return to the emergency department among elders: Patterns and predictors. Acad Emerg Med 2000;7:249-259. (Pubitemid 30133938)
17. McCusker J, Bellavance F, Cardin S, Belzile E, Verdon J. Prediction of hospital utilization among elderly patients during the 6 months after an emergency department visit. Ann Emerg Med 2000;36:438-445.
18. Dendukuri N, McCusker J, Belzile E. The Identification of Seniors At Risk screening tool: Further evidence of concurrent and predictive validity. J Am Geriatr Soc 2004;52:290-296. (Pubitemid 38233496)
19. Salvi F, Morichi V, Grilli A, Lancioni L, Spazzafumo L, Polonara S, Abbatecola AM, De Tommaso G, Dessi-Fulgheri P, Lattanzio F. Screening for frailty in elderly Emergency Department patients by using the Identification of Seniors At Risk. J Nutr Health Aging 2011;(Epub ahead of print): DOI: 10.1007/s12603-011-0155-9.
20. LaMantia MA, Platts-Mills TF, Biese K, Khandelwal C, Forbach C, Cairns CB, Busby-Whitehead J, Kizer JS. Predicting hospital admission and returns to Emergency Departments for elderly patients. Acad Emerg Med 2010;17:252-259.
21. Moons P, De Ridder K, Geyskens K, Sabbe M, Braes T, Flamaing J, Milisen K. Screening for risk of readmission of patients ages 65 years and above after discharge from the emergency department: predictive value of four instruments. Eur J Emerg Med 2007;14:315-323. (Pubitemid 350035769)
22. Buurman BM, van den Berg W, Korevaar JC, Milisen K, de Haan RJ, de Rooij SE. Risk for poor outcomes in older patients discharged from an emergency department: Feasibility of four screening instruments. Eur J Emerg Med 2011;18:215-220.
23. Braes T, Moons P, Lipkens P, SterckxW, Sabbe M, Flamaing J, Boonen S, Milisen K. Screening for risk of unplanned readmission in older patients admitted to hospital: Predictive accuracy of three instruments. Aging Clin Exp Res 2010;22:345-351.
24. Hwang U, Morrison SR. The geriatric emergency department. J Am Geriatr Soc 2007;55:1873-1876. (Pubitemid 350043772)