Screening for markers of frailty and perceived risk of adverse outcomes using the Risk Instrument for Screening in the Community (RISC).

Hdl Handle:
http://hdl.handle.net/10147/331949
Title:
Screening for markers of frailty and perceived risk of adverse outcomes using the Risk Instrument for Screening in the Community (RISC).
Authors:
O Caoimh, Rónán; Gao, Yang; Svendrovski, Anton; Healy, Elizabeth; O Connell, Elizabeth; O Keeffe, Gabrielle; Cronin, Una; O Herlihy, Eileen; Cornally, Nicola; Molloy, William D
Citation:
Screening for markers of frailty and perceived risk of adverse outcomes using the Risk Instrument for Screening in the Community (RISC). 2014, 14 (1):104 BMC Geriatr
Publisher:
BMC geriatrics
Journal:
BMC geriatrics
Issue Date:
19-Sep-2014
URI:
http://hdl.handle.net/10147/331949
DOI:
10.1186/1471-2318-14-104
PubMed ID:
25238874
Abstract:
Functional decline and frailty are common in community dwelling older adults, increasing the risk of adverse outcomes. Given this, we investigated the prevalence of frailty-associated risk factors and their distribution according to the severity of perceived risk in a cohort of community dwelling older adults, using the Risk Instrument for Screening in the Community (RISC).; A cohort of 803 community dwelling older adults were scored for frailty by their public health nurse (PHN) using the Clinical Frailty Scale (CFS) and for risk of three adverse outcomes: i) institutionalisation, ii) hospitalisation and iii) death, within the next year, from one (lowest) to five (highest) using the RISC. Prior to scoring, PHNs stated whether they regarded patients as frail.; The median age of patients was 80 years (interquartile range 10), of whom 64% were female and 47.4% were living alone. The median Abbreviated Mental Test Score (AMTS) was 10 (0) and Barthel Index was 18/20 (6). PHNs regarded 42% of patients as frail, while the CFS categorized 54% (scoring >=5) as frail. Dividing patients into low-risk (score one or two), medium-risk (score three) and high-risk (score four or five) using the RISC showed that 4.3% were considered high risk of institutionalization, 14.5% for hospitalization, and 2.7% for death, within one year of the assessment. There were significant differences in median CFS (4/9 versus 6/9 versus 6/9, p < 0.001), Barthel Index (18/20 versus 11/20 versus 14/20, p < 0.001) and mean AMTS scores (9.51 versus 7.57 versus 7.00, p < 0.001) between those considered low, medium and high risk of institutionalisation respectively. Differences were also statistically significant for hospitalisation and death. Age, gender and living alone were inconsistently associated with perceived risk. Frailty most closely correlated with functional impairment, r = -0.80, p < 0.001.; The majority of patients in this community sample were perceived to be low risk for adverse outcomes. Frailty, cognitive impairment and functional status were markers of perceived risk. Age, gender and social isolation were not and may not be useful indicators when triaging community dwellers. The RISC now requires validation against adverse outcomes.
Item Type:
Article
Language:
en
Description:
Functional decline and frailty are common in community dwelling older adults, increasing the risk of adverse outcomes. Given this, we investigated the prevalence of frailty-associated risk factors and their distribution according to the severity of perceived risk in a cohort of community dwelling older adults, using the Risk Instrument for Screening in the Community (RISC). A cohort of 803 community dwelling older adults were scored for frailty by their public health nurse (PHN) using the Clinical Frailty Scale (CFS) and for risk of three adverse outcomes: i) institutionalisation, ii) hospitalisation and iii) death, within the next year, from one (lowest) to five (highest) using the RISC. Prior to scoring, PHNs stated whether they regarded patients as frail.
Keywords:
OLDER PEOPLE; SCREENING; COMMUNITY CARE
ISSN:
1471-2318

Full metadata record

DC FieldValue Language
dc.contributor.authorO Caoimh, Rónánen_GB
dc.contributor.authorGao, Yangen_GB
dc.contributor.authorSvendrovski, Antonen_GB
dc.contributor.authorHealy, Elizabethen_GB
dc.contributor.authorO Connell, Elizabethen_GB
dc.contributor.authorO Keeffe, Gabrielleen_GB
dc.contributor.authorCronin, Unaen_GB
dc.contributor.authorO Herlihy, Eileenen_GB
dc.contributor.authorCornally, Nicolaen_GB
dc.contributor.authorMolloy, William Den_GB
dc.date.accessioned2014-09-29T15:27:23Z-
dc.date.available2014-09-29T15:27:23Z-
dc.date.issued2014-09-19-
dc.identifier.citationScreening for markers of frailty and perceived risk of adverse outcomes using the Risk Instrument for Screening in the Community (RISC). 2014, 14 (1):104 BMC Geriatren_GB
dc.identifier.issn1471-2318-
dc.identifier.pmid25238874-
dc.identifier.doi10.1186/1471-2318-14-104-
dc.identifier.urihttp://hdl.handle.net/10147/331949-
dc.descriptionFunctional decline and frailty are common in community dwelling older adults, increasing the risk of adverse outcomes. Given this, we investigated the prevalence of frailty-associated risk factors and their distribution according to the severity of perceived risk in a cohort of community dwelling older adults, using the Risk Instrument for Screening in the Community (RISC). A cohort of 803 community dwelling older adults were scored for frailty by their public health nurse (PHN) using the Clinical Frailty Scale (CFS) and for risk of three adverse outcomes: i) institutionalisation, ii) hospitalisation and iii) death, within the next year, from one (lowest) to five (highest) using the RISC. Prior to scoring, PHNs stated whether they regarded patients as frail.en_GB
dc.description.abstractFunctional decline and frailty are common in community dwelling older adults, increasing the risk of adverse outcomes. Given this, we investigated the prevalence of frailty-associated risk factors and their distribution according to the severity of perceived risk in a cohort of community dwelling older adults, using the Risk Instrument for Screening in the Community (RISC).-
dc.description.abstractA cohort of 803 community dwelling older adults were scored for frailty by their public health nurse (PHN) using the Clinical Frailty Scale (CFS) and for risk of three adverse outcomes: i) institutionalisation, ii) hospitalisation and iii) death, within the next year, from one (lowest) to five (highest) using the RISC. Prior to scoring, PHNs stated whether they regarded patients as frail.-
dc.description.abstractThe median age of patients was 80 years (interquartile range 10), of whom 64% were female and 47.4% were living alone. The median Abbreviated Mental Test Score (AMTS) was 10 (0) and Barthel Index was 18/20 (6). PHNs regarded 42% of patients as frail, while the CFS categorized 54% (scoring >=5) as frail. Dividing patients into low-risk (score one or two), medium-risk (score three) and high-risk (score four or five) using the RISC showed that 4.3% were considered high risk of institutionalization, 14.5% for hospitalization, and 2.7% for death, within one year of the assessment. There were significant differences in median CFS (4/9 versus 6/9 versus 6/9, p < 0.001), Barthel Index (18/20 versus 11/20 versus 14/20, p < 0.001) and mean AMTS scores (9.51 versus 7.57 versus 7.00, p < 0.001) between those considered low, medium and high risk of institutionalisation respectively. Differences were also statistically significant for hospitalisation and death. Age, gender and living alone were inconsistently associated with perceived risk. Frailty most closely correlated with functional impairment, r = -0.80, p < 0.001.-
dc.description.abstractThe majority of patients in this community sample were perceived to be low risk for adverse outcomes. Frailty, cognitive impairment and functional status were markers of perceived risk. Age, gender and social isolation were not and may not be useful indicators when triaging community dwellers. The RISC now requires validation against adverse outcomes.-
dc.languageENG-
dc.language.isoenen
dc.publisherBMC geriatricsen_GB
dc.rightsArchived with thanks to BMC geriatricsen_GB
dc.subjectOLDER PEOPLE-
dc.subjectSCREENING-
dc.subjectCOMMUNITY CARE-
dc.titleScreening for markers of frailty and perceived risk of adverse outcomes using the Risk Instrument for Screening in the Community (RISC).en_GB
dc.typeArticleen
dc.identifier.journalBMC geriatricsen_GB

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