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Centre for Policy on Ageing | |
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| The Identification of Seniors at Risk (ISAR) score to predict clinical outcomes and health service costs in older people discharged from UK acute medical units | | Author(s) | Judi Edmans, Lucy Bradshaw, John R F Gladman |
| Journal title | Age and Ageing, vol 42, no 6, November 2013 |
| Publisher | Oxford University Press, November 2013 |
| Pages | pp 747-753 |
| Source | www.ageing.oxfordjournals.org |
| Keywords | At risk ; Discharged patients ; Geriatric units ; Health services ; Costs [care] ; Screening ; Evaluation ; Midlands [England]. |
| Annotation | Adverse outcomes are common in older people discharged from acute medical units in the UK. Tools are required to identify high-risk older people in acute emergency settings so that appropriate services can be directed towards them. An observational cohort study was conducted with 667 patients aged 70 discharged from two acute medical units in the East Midlands, to. evaluate whether the Identification of Seniors At Risk (ISAR) predicts the clinical outcomes and health and social services costs incurred. Baseline ISAR was compared to an adverse clinical outcome at 90 days, where an adverse outcome was any of death, institutionalisation, hospital readmission, increased dependency in activities of daily living (decrease of 2 or more points on the Barthel ADL Index), reduced mental well-being (increase of 2 or more points on the 12-point General Health Questionnaire, GHQ-12), or reduced quality of life (reduction in the EuroQol-5D), and high health and social services costs over 90 days estimated from routine electronic service records. An adverse outcome at 90 days was observed in 76% of participants. The ISAR was poor at predicting adverse outcomes (AUC: 0.60, 95% CI: 0.54-0.65) and fair for health and social care costs (AUC: 0.70, 95% CI: 0.59-0.81). The poor predictive ability of the ISAR in older people discharged from acute medical units makes it unsuitable as a sole tool in clinical decision-making. (RH) |
| Accession Number | CPA-131115205 A |
| Classmark | CA3: LFD: LDB: L: QDC: 3V: 4C: 82X |
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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