Screening instruments for identification of vulnerable older adults at the emergency department: a critical appraisal

C S van Dam; N Moss; S A Schaper; M C Trappenburg; M M Ter Wee; K Scheerman; M Muller; Pwb Nanayakkara; Mjl Peters

Screening instruments for identification of vulnerable older adults at the emergency department: a critical appraisal

C S van Dam, N Moss, S A Schaper, M C Trappenburg, M M Ter Wee, K Scheerman, M Muller, Pwb Nanayakkara, Mjl Peters

Research output: Contribution to journal › Article › Academic › peer-review

Abstract

BACKGROUND: Early detection of vulnerable older adults at the emergency department (ED) and implementation of targeted interventions to prevent functional decline may lead to better patient outcomes.

OBJECTIVE: To assess the level of agreement between four frequently used screening instruments: ISAR-HP, VMS, InterRAI ED Screener and APOP.

METHODS: Observational prospective cohort study in patients ≥ 70 years attending Dutch ED.

RESULTS: The prevalence of vulnerability ranged from 19% (APOP) to 45% (ISAR-HP). Overall there was a moderate agreement between the screening instruments (Fleiss Kappa of 0.42 (p<0.001)).

CONCLUSION: Depending on the screening instrument used, either only a small percentage or almost as many as half of the presenting patients will be eligible for targeted interventions, leading to large dissimilarities in working processes, resources and costs.

Original language	English
Pages (from-to)	124-129
Number of pages	6
Journal	Acute Medicine
Volume	17
Issue number	3
Publication status	Published - 2018

Cite this

@article{3f82c4e705a34df88a072482128bce1d,

title = "Screening instruments for identification of vulnerable older adults at the emergency department: a critical appraisal",

abstract = "BACKGROUND: Early detection of vulnerable older adults at the emergency department (ED) and implementation of targeted interventions to prevent functional decline may lead to better patient outcomes.OBJECTIVE: To assess the level of agreement between four frequently used screening instruments: ISAR-HP, VMS, InterRAI ED Screener and APOP.METHODS: Observational prospective cohort study in patients ≥ 70 years attending Dutch ED.RESULTS: The prevalence of vulnerability ranged from 19% (APOP) to 45% (ISAR-HP). Overall there was a moderate agreement between the screening instruments (Fleiss Kappa of 0.42 (p<0.001)).CONCLUSION: Depending on the screening instrument used, either only a small percentage or almost as many as half of the presenting patients will be eligible for targeted interventions, leading to large dissimilarities in working processes, resources and costs.",

author = "{van Dam}, {C S} and N Moss and Schaper, {S A} and Trappenburg, {M C} and {Ter Wee}, {M M} and K Scheerman and M Muller and Pwb Nanayakkara and Mjl Peters",

year = "2018",

language = "English",

volume = "17",

pages = "124--129",

journal = "Acute Medicine",

issn = "1747-4892",

publisher = "Rila Publications Ltd",

number = "3",

}

TY - JOUR

T1 - Screening instruments for identification of vulnerable older adults at the emergency department

T2 - a critical appraisal

AU - van Dam, C S

AU - Moss, N

AU - Schaper, S A

AU - Trappenburg, M C

AU - Ter Wee, M M

AU - Scheerman, K

AU - Muller, M

AU - Nanayakkara, Pwb

AU - Peters, Mjl

PY - 2018

Y1 - 2018

N2 - BACKGROUND: Early detection of vulnerable older adults at the emergency department (ED) and implementation of targeted interventions to prevent functional decline may lead to better patient outcomes.OBJECTIVE: To assess the level of agreement between four frequently used screening instruments: ISAR-HP, VMS, InterRAI ED Screener and APOP.METHODS: Observational prospective cohort study in patients ≥ 70 years attending Dutch ED.RESULTS: The prevalence of vulnerability ranged from 19% (APOP) to 45% (ISAR-HP). Overall there was a moderate agreement between the screening instruments (Fleiss Kappa of 0.42 (p<0.001)).CONCLUSION: Depending on the screening instrument used, either only a small percentage or almost as many as half of the presenting patients will be eligible for targeted interventions, leading to large dissimilarities in working processes, resources and costs.

AB - BACKGROUND: Early detection of vulnerable older adults at the emergency department (ED) and implementation of targeted interventions to prevent functional decline may lead to better patient outcomes.OBJECTIVE: To assess the level of agreement between four frequently used screening instruments: ISAR-HP, VMS, InterRAI ED Screener and APOP.METHODS: Observational prospective cohort study in patients ≥ 70 years attending Dutch ED.RESULTS: The prevalence of vulnerability ranged from 19% (APOP) to 45% (ISAR-HP). Overall there was a moderate agreement between the screening instruments (Fleiss Kappa of 0.42 (p<0.001)).CONCLUSION: Depending on the screening instrument used, either only a small percentage or almost as many as half of the presenting patients will be eligible for targeted interventions, leading to large dissimilarities in working processes, resources and costs.

M3 - Article

C2 - 30129944

VL - 17

SP - 124

EP - 129

JO - Acute Medicine

JF - Acute Medicine

SN - 1747-4892

IS - 3

ER -