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. 2015 Jun;27(3):181-184.

[Utility of the Identification of Seniors at Risk score to predict short-term adverse outcomes in elderly patients discharged from a short-stay unit]

[Article in Spanish]
Cesáreo Fernández Alonso  1 , Juan Jorge González Armengol  1 , Javier Perdigones  2 , Manuel E Fuentes Ferrer  3 , Juan González Del Castillo  1 , Francisco Javier Martín-Sánchez  1
Affiliations
  • PMID: 29077311
Free article

[Utility of the Identification of Seniors at Risk score to predict short-term adverse outcomes in elderly patients discharged from a short-stay unit]

[Article in Spanish]
Cesáreo Fernández Alonso et al. Emergencias. 2015 Jun.
Free article

Abstract
in English, Spanish

Objectives: To determine whether the Identification of Seniors at Risk (ISAR) score predicts short-term adverse outcomes in elderly patients discharged from a short-stay unit.

Material and methods: Prospective, observational analysis of outcomes in a cohort of all patients 75 years or older who were discharged home from a short-stay unit during a 2-month period. The ISAR score was calculated for each patient. The variable of interest was the development of any adverse outcome (acute severe functional deterioration, death, or any-cause readmission) within 30 days of discharge.

Results: One hundred twenty patients (64.2%) with a mean (SD) age of 81.5 (5.4) years were enrolled. An adverse outcome within 30 days of the index event was observed in 36 patients (30%). The ISAR score cut point of 3 had the strongest predictive ability for the composite outcome and for individual components of the composite at 30 days.

Conclusion: An ISAR score of 3 or higher is able to identify elderly individuals at high risk of an adverse outcome within 30 days of discharge from a short-stay unit.

Objetivo: Determinar si la escala Identification of Seniors at Risk (ISAR) predice los resultados adversos (RA) a corto plazo en los ancianos dados de alta desde una unidad de corta estancia (UCE).

Metodo: Estudio analítico observacional de cohorte prospectivo que seleccionó a todo paciente 75 años dado de alta a domicilio desde una UCE durante 2 meses. Se calculó la puntuación total del ISAR. La variable resultado fue presentar algún RA (deterioro funcional agudo grave, muerte o reingreso por cualquier causa) a los 30 días del alta.

Resultados: Se incluyeron 120 pacientes con una edad de 81,5 (DE 5,4) años, 36 (30%) presentaron algún RA a los 30 días tras el evento índice. El punto de corte de ISAR menor o igual a 3 es el que presentó una mejor capacidad predictiva tanto para las variables resultado aisladas como para la variable compuesta a los 30 días.

Conclusiones: La ISAR puede identificar al anciano con alto riesgo de presentar un resultado adverso a los 30 días tras el alta de una UCE, siendo el punto de corte de 3 el que mostró una mejor capacidad predictiva.

Keywords: Anciano frágil o de riesgo; Frail older adults; ISAR; ISAR score Short-stay unit; Identification of Senior at Risk; Identification of Seniors at Risk score; Unidad de corta estancia.

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