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

doi:https://doi.org/10.52964/AMJA.0716

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

5 Citations (Scopus)

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
DOIs	https://doi.org/10.52964/AMJA.0716
Publication status	Published - Sept 2018

Keywords

APOP
Emergency department
ISAR-HP
InterRAI ED screener
Older adults
Screening
VMS
Vulnerability

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https://doi.org/10.52964/AMJA.0716

https://acutemedjournal.co.uk/original-articles/screening-instruments-for-identification-of-vulnerable-older-adults-at-the-emergency-department-a-critical-appraisal/

Cite this

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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.",

keywords = "APOP, Emergency department, ISAR-HP, InterRAI ED screener, Older adults, Screening, VMS, Vulnerability",

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",

month = sep,

doi = "https://doi.org/10.52964/AMJA.0716",

language = "English",

volume = "17",

pages = "124--129",

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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 - 2018/9

Y1 - 2018/9

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.

KW - APOP

KW - Emergency department

KW - ISAR-HP

KW - InterRAI ED screener

KW - Older adults

KW - Screening

KW - VMS

KW - Vulnerability

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

Abstract

Keywords

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