Patients in need of comprehensive geriatric assessment: The utility of the InterRAI emergency department screener.

• Published in: International Emergency Nursing
• Main Authors: Gretarsdottir, Elfa, Jonsdottir, Anna Björg, Sigurthorsdottir, Ingibjörg, Gudmundsdottir, Ester Eir, Hjaltadottir, Ingibjörg, Jakobsdottir, Iris Bjork, Tomasson, Gunnar, Jonsson, Palmi V, Thorsteinsdottir, Thordis
• Other Authors: 1Internal Medicine Services, Landspítali The National University Hospital of Iceland, Iceland; Faculty of Nursing, University of Iceland, Iceland. Electronic address: [e-mail]. 2Geriatric Department, Landspítali The National University Hospital of Iceland, Iceland. 3Emergency, Geriatrics, Rehabilitation Service, Landspitali The National University Hospital of Iceland, Iceland. 4Faculty of Nursing, University of Iceland, Iceland. 5Faculty of Nursing, University of Iceland, Iceland; Emergency, Geriatrics, Rehabilitation Service, Landspitali The National University Hospital of Iceland, Iceland. 6Internal Medicine Services, Landspítali The National University Hospital of Iceland, Iceland; Faculty of Nursing, University of Iceland, Iceland. 7Department of Rheumatology, Landspítali The National University Hospital of Iceland, Iceland; Centre for Rheumatology Research, Landspítali The National University Hospital, Iceland; Faculty of Medicine, University of Iceland, Iceland. 8Geriatric Department, Landspítali The National University Hospital of Iceland, Iceland; Faculty of Medicine, University of Iceland, Iceland. 9Faculty of Nursing, University of Iceland, Iceland; Research Institute in Emergency Care, Landspítali The National University Hospital of Iceland, Iceland.
• Format: Article in Journal/Newspaper
• Language: English
• Published: Elsevier 2021
• Subjects: Comprehensive geriatric assessment; Emergency department; InterRAI ED-screener; Screening; Aldraðir; Bráðadeildir; Geriatric Assessment; Emergency Service; Hospital; Iceland
• Online Access: http://hdl.handle.net/2336/621751; https://doi.org/10.1016/j.ienj.2020.100943

To access publisher's full text version of this article click on the hyperlink below Introduction: The interRAI Emergency Department-Screener (ED-screener) is a risk stratification instrument incorporating functional and social aspects to identify older adults in EDs. The aim was to assess the construct validity and utility of the ED-screener in comparison with more established instruments. Methods: The ED-screener, Triage Risk Screening Tool (TRST) and Identification of Seniors at Risk (ISAR) were administered to older ED-patients. Construct validity was assessed by correlation with TRST and ISAR. The ED-screener scores that corresponded to the established cut-offs for ISAR and TRST were assessed with linear regression. The sensitivity and specificity of the ED-screener for mortality at 4-months were calculated. Results: Two hundred patients were included (mean age 78.5 years, 44% male). Majority (85%) lived at home, 43% lived alone and 53% received home care. The scores of 3.02 and 3.01 on ED-screener corresponded to the cut-off score of 2 on the other instruments. The correlation of the ED-screener with ISAR and TRST was 0.56 and 0.41 respectively. A score of 3 on the ED-screener was 100% sensitive and 28% specific for 4-month mortality. Conclusion: These findings provide support for the construct validity of the ED-screener and its ability to predict outcomes in its intended setting. Keywords: Comprehensive geriatric assessment; Emergency department; InterRAI ED-screener; Screening. Landspitali University Hospital Research Fund University of Iceland Research Fund