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    Which part of a short, global risk assessment, the Risk Instrument for Screening in the Community, predicts adverse healthcare outcomes?

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    Authors
    O’Caoimh, Rónán
    FitzGerald, Carol
    Cronin, Una
    Svendrovski, Anton
    Gao, Yang
    Healy, Elizabeth
    O’Connell, Elizabeth
    O’Keeffe, Gabrielle
    O’Herlihy, Eileen
    Weathers, Elizabeth
    Cornally, Nicola
    Leahy-Warren, Patricia
    Orfila, Francesc
    Paúl, Constança
    Clarnette, Roger
    Molloy, D. William
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    Issue Date
    2015
    Keywords
    AGEING
    RISK ASSESSMENT
    COMMUNITY HEALTH
    
    Metadata
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    Citation
    Which Part of a Short, Global Risk Assessment, the Risk Instrument for Screening in the Community, Predicts Adverse Healthcare Outcomes? 2015, 2015:1 Journal of Aging Research
    Publisher
    Journal of Aging Research
    Journal
    Journal of Aging Research
    URI
    http://hdl.handle.net/10147/583475
    DOI
    10.1155/2015/256414
    Additional Links
    http://www.hindawi.com/journals/jar/2015/256414/
    Abstract
    The Risk Instrument for Screening in the Community (RISC) is a short, global risk assessment to identify community-dwelling older adults’ one-year risk of institutionalisation, hospitalisation, and death. We investigated the contribution that the three components of the RISC ( concern , its severity , and the ability of the caregiver network to manage concern) make to the accuracy of the instrument, across its three domains (mental state, activities of daily living (ADL), and medical state), by comparing their accuracy to other assessment instruments in the prospective Community Assessment of Risk and Treatment Strategies study. RISC scores were available for 782 patients. Across all three domains each subtest more accurately predicted institutionalisation compared to hospitalisation or death. The caregiver network’s ability to manage ADL more accurately predicted institutionalisation (AUC 0.68) compared to hospitalisation (AUC 0.57, P = 0.01 ) or death (AUC 0.59, P = 0.046 ), comparing favourably with the Barthel Index (AUC 0.67). The severity of ADL (AUC 0.63), medical state (AUC 0.62), Clinical Frailty Scale (AUC 0.67), and Charlson Comorbidity Index (AUC 0.66) scores had similar accuracy in predicting mortality. Risk of hospitalisation was difficult to predict. Thus, each component, and particularly the caregiver network , had reasonable accuracy in predicting institutionalisation. No subtest or assessment instrument accurately predicted risk of hospitalisation.
    Item Type
    Article
    Language
    en
    ISSN
    2090-2204
    2090-2212
    ae974a485f413a2113503eed53cd6c53
    10.1155/2015/256414
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    St. Finbarr's Hospital

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