Predictive Validity of the Identification of Seniors at Risk Screening Tool in a German Emergency Department Setting

Katrin Singler, Hans Jürgen Heppner, Andreas Skutetzky, Cornel Sieber, Michael Christ, Ulrich Thiem
2014 Gerontology  
index visit in the ED. The primary end point was death from any cause or hospitalization or recurrent ED visit or change of residency into a long-term care facility on day 28 after the index ED visit. Results: The mean age ± SD was 82.8 ± 5.0 years. According to ISAR, 425 patients (81.7%) scored ≥ 2 points, and 315 patients (60.5%) scored ≥ 3 points. The combined primary end point was observed in 250 of 520 patients (48.1%) on day 28 and in 260 patients (50.0%) on day 180. Using a continuous
more » ... R score the area under the curve on day 28 was 0.621 (95% confidence interval, CI 0.573-0.669) and 0.661 (95% CI 0.615-0.708) on day 180, respectively. Conclusion: The German version of the ISAR screening tool acceptably identified elderly patients in the ED with an increased risk of a negative outcome. Using the cutoff ≥ 3 points instead of ≥ 2 points yielded better overall results.
doi:10.1159/000358825 pmid:24969966 fatcat:csesqgfha5aijonhchwdmpicga