Universität zu Köln

Weinrebe, W., Schiefer, Y., Weckmueller, K., Schulz, R. J., Rupp, S., Bischoff, S., Karaman, M., Goetz, S., Heppner, H. J. and Polidori, M. C. (2019). Does the identification of seniors at risk (ISAR) score effectively select geriatric patients on emergency admission? Aging Clin. Exp. Res., 31 (12). S. 1839 - 1843. NEW YORK: SPRINGER. ISSN 1720-8319

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Abstract

The number of older patients admitted to emergency departments (ED) increases continuously. The Identification of Seniors at Risk (ISAR) score is currently recommended to screen patients in German ED, but its appropriateness is being criticized. ISAR scores and clinical characteristics from 98 emergency admissions (EA), 80 from acute geriatrics (AG) and 89 from a geriatric rehabilitation (GR) unit were compared retrospectively. No significant differences were found between groups, being the ISAR score positive in 87.7% of EA, 94.9% of AG and 94.4% of GR cases. None of positively identified geriatric patients in the EA was transferred to the geriatric ward of competence. EA patients showed significantly higher number of functional impairments (p = 0.001) and higher BI score (p < 0.0001) compared to AG and GR groups. A higher ISAR score threshold and additional functional information might be needed to better select patients in need of prompt treatment by a geriatric team.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Weinrebe, W. UNSPECIFIED UNSPECIFIED UNSPECIFIED Schiefer, Y. UNSPECIFIED UNSPECIFIED UNSPECIFIED Weckmueller, K. UNSPECIFIED UNSPECIFIED UNSPECIFIED Schulz, R. J. UNSPECIFIED UNSPECIFIED UNSPECIFIED Rupp, S. UNSPECIFIED UNSPECIFIED UNSPECIFIED Bischoff, S. UNSPECIFIED UNSPECIFIED UNSPECIFIED Karaman, M. UNSPECIFIED UNSPECIFIED UNSPECIFIED Goetz, S. UNSPECIFIED UNSPECIFIED UNSPECIFIED Heppner, H. J. UNSPECIFIED UNSPECIFIED UNSPECIFIED Polidori, M. C. UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-126678
DOI:	10.1007/s40520-018-1105-8
Journal or Publication Title:	Aging Clin. Exp. Res.
Volume:	31
Number:	12
Page Range:	S. 1839 - 1843
Date:	2019
Publisher:	SPRINGER
Place of Publication:	NEW YORK
ISSN:	1720-8319
Language:	English
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language ELDERLY-PATIENTS; OLDER-PEOPLE; OUTCOMES; TOOL Multiple languages Geriatrics & Gerontology Multiple languages
Refereed:	Yes
URI:	http://kups.ub.uni-koeln.de/id/eprint/12667