Jurnal internasional afrika vol.10 issue 4 2020
African Journal of Emergency Medicine
Frailty screening of Tunisian older adults: feasibility and usefulness in the Emergency Department
Dublin Core
Title
Jurnal internasional afrika vol.10 issue 4 2020
African Journal of Emergency Medicine
Frailty screening of Tunisian older adults: feasibility and usefulness in the Emergency Department
African Journal of Emergency Medicine
Frailty screening of Tunisian older adults: feasibility and usefulness in the Emergency Department
Subject
ADL index
Elderly
Emergency Department
ISAR scale
Outcomes
Elderly
Emergency Department
ISAR scale
Outcomes
Description
Introduction: Frail older adults are at an increased risk for adverse outcomes after an Emergency Department
(ED) visit. Several tools exist for the screening of frailty among these patients. However, no tool has been
validated in Tunisia. This study aims to evaluate the usefulness of frailty screening in predicting the outcome of
older adults presenting to the ED.
Methods: This is a prospective, monocentric study. We evaluated the eligible patients at the ED and after their
discharge. Follow-up phone calls were scheduled at 1, 2, 3, and 6 months after the ED visit. All patients aged
65 years or older; and visiting the ED during the inclusion period were involved. We used the ADL index and
ISAR scale for assessing frailty.
Results: We enrolled 184 patients; they were living alone in 25% of cases. Half of them had medical care in-
surance. The ADL index was maximum (6 = total dependency) in 20% of cases. The ISAR score was above 1
point in 38%. Unplanned hospitalizations have accounted for 34%. In univariate analysis, the ADL index and
ISAR score were statistically higher in the group of “unplanned hospitalization”. In multivariate analysis, the
ISAR score and ADL index have not been associated with unplanned hospitalization.
Conclusion: Our results did not demonstrate the relevance of the ISAR or ADL scales in predicting the mortality
or the need for unplanned hospitalization in multivariate analysis. This study did indicate an increased mortality
in the “frail” patients in the univariate analysis. Further studies with larger samples and different tools are
necessary.
(ED) visit. Several tools exist for the screening of frailty among these patients. However, no tool has been
validated in Tunisia. This study aims to evaluate the usefulness of frailty screening in predicting the outcome of
older adults presenting to the ED.
Methods: This is a prospective, monocentric study. We evaluated the eligible patients at the ED and after their
discharge. Follow-up phone calls were scheduled at 1, 2, 3, and 6 months after the ED visit. All patients aged
65 years or older; and visiting the ED during the inclusion period were involved. We used the ADL index and
ISAR scale for assessing frailty.
Results: We enrolled 184 patients; they were living alone in 25% of cases. Half of them had medical care in-
surance. The ADL index was maximum (6 = total dependency) in 20% of cases. The ISAR score was above 1
point in 38%. Unplanned hospitalizations have accounted for 34%. In univariate analysis, the ADL index and
ISAR score were statistically higher in the group of “unplanned hospitalization”. In multivariate analysis, the
ISAR score and ADL index have not been associated with unplanned hospitalization.
Conclusion: Our results did not demonstrate the relevance of the ISAR or ADL scales in predicting the mortality
or the need for unplanned hospitalization in multivariate analysis. This study did indicate an increased mortality
in the “frail” patients in the univariate analysis. Further studies with larger samples and different tools are
necessary.
Creator
Olfa Chakroun-Walh, Adel Walh, Haifa Bradai, Abdennour Nasri, Rim Karray, Mouna Jerbi,Rahma Trabelsi, Noureddine Rekik
Source
https://doi.org/10.1016/j.afjem.2020.07.014
Date
29 July 2020
Contributor
peri irawan
Format
pdf
Language
english
Type
text
Files
Citation
Olfa Chakroun-Walh, Adel Walh, Haifa Bradai, Abdennour Nasri, Rim Karray, Mouna Jerbi,Rahma Trabelsi, Noureddine Rekik, “Jurnal internasional afrika vol.10 issue 4 2020
African Journal of Emergency Medicine
Frailty screening of Tunisian older adults: feasibility and usefulness in the Emergency Department,” Repository Horizon University Indonesia, accessed November 21, 2024, https://repository.horizon.ac.id/items/show/1830.
African Journal of Emergency Medicine
Frailty screening of Tunisian older adults: feasibility and usefulness in the Emergency Department,” Repository Horizon University Indonesia, accessed November 21, 2024, https://repository.horizon.ac.id/items/show/1830.