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Emergency department intervention for high-risk elders: Identification strategy and randomised controlled trial to reduce hospitalisation and institutionalisation

Yim, V.W.T., Graham, C.A., Woo, J, Wong, T.W., Lau, F.L., Ting, S.M. and Rainer, Timothy Hudson 2011. Emergency department intervention for high-risk elders: Identification strategy and randomised controlled trial to reduce hospitalisation and institutionalisation. Hong Kong Medical Journal 17 (3 (S3)) , S4-S7.

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Abstract

1. A six-item self-reported screening questionnaire — Hong Kong identification of seniors at risk (HK-ISAR) — was developed for elders attending the emergency department (ED) deemed to be at increased risk of adverse health outcomes. 2. The HK-ISAR is the first validated screening tool for use in an ED setting in Hong Kong. It addressed health outcomes such as activities of daily living, dependence, history of hospitalisation, and polypharmacy. 3. Among the six questions in the HK-ISAR, attendance at a hospital ED during the past month was the most important predictor of poor subsequent health outcome. 4. The sensitivity and specificity of the HK-ISAR for predicting a poor health outcome was 68.3% and 49.4%, respectively, with an area under the receiver operating characteristic curve of 0.621. 5. A randomised controlled trial of a community-based structured interventional programme found no difference in the 6-month outcomes of patients screened positive (receiving the intervention) or negative (receiving usual care) according to the HK-ISAR.

Item Type: Article
Date Type: Publication
Status: Published
Schools: Medicine
Subjects: R Medicine > R Medicine (General)
Publisher: Hong Kong Academy of Medicine Press
ISSN: 1024-2708
Last Modified: 04 Jun 2017 09:17
URI: http://orca-mwe.cf.ac.uk/id/eprint/93039

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