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Detection of older people at increased risk of adverse health outcomes after an emergency visit: the ISAR screening tool
Author(s)Jane McCusker, François Bellavance, Sylvie Cardin
Journal titleJournal of the American Geriatrics Society, vol 47, no 10, October 1999
Pagespp 1229-1237
KeywordsAccident & emergency depts ; Death ; Admission [nursing homes] ; Geriatric hospitals ; Canada.
AnnotationThe hospital emergency department (ED) has been suggested as a potentially important site for the identification of high risk older adults for geriatric evaluation and management. This Canadian study developed a self-report screening tool to identify older people in the ED of a hospital at increased risk of adverse health outcomes, including death, admission to nursing home or long-term hospitalisation, or a clinically significant decrease in functional status. A total of 1673 older patients who had visited the ED were followed up six months later, and 29.2% had an adverse health outcome. The proposed screening tool (ISAR) comprises six self-report questions on functional dependence, recent hospitalisation, impaired medicine, and polymedication. The tool performed well in the total cohort, and the study concluded that it can quickly identify older patients in the ED at increased risk of several adverse health outcomes and those with current disability. (AKM).
Accession NumberCPA-991201214 A
ClassmarkLD6: CW: LHB:QKH: LDA: 7S

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