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Centre for Policy on Ageing | |
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Functional assessments utilised in emergency departments
— a systematic review | | Author(s) | Michell Bissett, Anne Cusick, Natasha A Lannin |
| Journal title | Age and Ageing, vol 42, no 2, March 2013 |
| Publisher | Oxford University Press, March 2013 |
| Pages | pp 163-172 |
| Source | www.ageing.oxfordjournals.org |
| Keywords | Accident & emergency depts ; Admission [hospitals] ; In-patients ; Evaluation ; Research Reviews. |
| Annotation | Functional assessment is an important component of the management of older adults in the emergency department (ED) as the function level has been identified as a predictor of adverse events including ED re-presentation. The purpose of this systematic review aimed: (i) to identify functional assessments that have been utilised in ED settings; (ii) to examine what psychometric properties analysis has been completed and (iii) to establish recommendations for practice. Articles were reviewed using pre-determined inclusion criteria. Each study was appraised using quality criteria for aspects of validity and reliability in addition to clinical utility, interpretability and responsiveness. Recommendations for practice were determined on the basis of the extent of psychometric data generated in ED settings and whether or not the assessment was specifically developed for ED use. In all, 332 articles were identified of which 43 articles utilising 14 functional assessments were retained. Psychometric testing was scarce. Functional assessment has been reported internationally and only with older adults. Following appraisal four assessments were recommended for practice with moderate reservations, namely: the Identification of Seniors at Risk (ISAR), Triage Risk Stratification Tool (TRST), Older Adult Resources and Services (OARS) and Functional Status Assessment of Seniors in Emergency Departments (FSAS-ED). The study concludes that the ISAR or TRST are suitable for fast screening, whereas the OARS or FSAS-ED are more suitable for a comprehensive understanding of functional performance. Further research is warranted and recommendations for ED assessment may change as more becomes known about psychometric properties and clinical applications of other assessments. (JL). |
| Accession Number | CPA-130308224 A |
| Classmark | LD6: LD:QKH: LF7: 4C: 3A:6KC |
Data © Centre for Policy on Ageing |
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| ...from the Ageinfo database published by Centre for Policy on Ageing. |
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