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The predictive validity of the interRAI ED screener for predicting re-presentation within 28 days for older adults at a regional hospital emergency de931.71 kB
CC BY-NC-ND V4.0, Open Access
Journal article
The predictive validity of the interRAI ED screener for predicting re-presentation within 28 days for older adults at a regional hospital emergency department
Australasian Emergency Care, Vol.22(3), pp.149-155
2019
Abstract
Background: The rapid screening of older adults in the Emergency Department (ED) at risk of adverse events is considered useful. The aim of this study was to evaluate the predictive validity of the interRAI ED screener for re-presentation to the ED within 28 days. Method: A prospective cohort study with convenience sampling of 687 adults aged 70 years or older, and eligible for discharge, was conducted. The interRAI ED screener was utilised by specialist nurses with gerontology expertise. We reviewed electronic medical databases at 28 days for re-presentation data. Area under the receiver operating curve (AUROC) characteristics was computed to determine tool accuracy. Results: The interRAI ED screener demonstrated an AUROC of 0.55 and a P value of 0.09. The overall re-presentation rate within 28 days to the ED was 19.5%; and of re-presentations the majority scored low risk using the interRAI ED screener. Conclusion: When administered by specialised nurses in the ED, the interRAI ED screener demonstrated poor discriminatory ability to predict 28-day re-presentation to the ED of older adults. Whilst the interRAI ED screener was not helpful in identifying those at risk of re-presentation, the results reinforced the need for all older adults to be assessed more comprehensively than through superficial screening.
Details
- Title
- The predictive validity of the interRAI ED screener for predicting re-presentation within 28 days for older adults at a regional hospital emergency department
- Authors
- Andrea Taylor (Author) - University of the Sunshine Coast - School of Nursing, Midwifery & ParamedicineMarc Broadbent (Author) - University of the Sunshine Coast - School of Nursing, Midwifery & ParamedicineMarianne Wallis (Author) - University of the Sunshine Coast - School of Nursing, Midwifery & ParamedicineElizabeth J Marsden (Author) - University of the Sunshine Coast - School of Nursing, Midwifery & Paramedicine
- Publication details
- Australasian Emergency Care, Vol.22(3), pp.149-155
- Publisher
- College of Emergency Nursing Australia (CENA)
- Date published
- 2019
- DOI
- 10.1016/j.auec.2019.04.005
- ISSN
- 2588-994X
- Copyright note
- Copyright © 2019 The Authors. Published by Elsevier Inc. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
- Organisation Unit
- School of Health - Nursing; University of the Sunshine Coast, Queensland; School of Nursing, Midwifery and Paramedicine - Legacy
- Language
- English
- Record Identifier
- 99451251002621
- Output Type
- Journal article
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- Collaboration types
- Domestic collaboration
- Web Of Science research areas
- Emergency Medicine
- Nursing
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