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Predicting Hospital Admission for Older Emergency Department Patients: Insights From Machine Learning

Predicting Hospital Admission for Older Emergency Department Patients: Insights From Machine Learning | interRAI | Scoop.it

To the best of our knowledge, this is the first study to predict hospital admission in older ED patients using a series of geriatric syndromes and functional assessments. We were able to predict hospital admission in older ED patients with good accuracy using the items available in the interRAI ED Contact Assessment. This information can be used to inform decision-making about ED disposition and may expedite admission processes and proactive discharge planning.

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Predicting Hospital Admission for Older Emergency Department Patients: Insights From Machine Learning

Predicting Hospital Admission for Older Emergency Department Patients: Insights From Machine Learning | interRAI | Scoop.it

To the best of our knowledge, this is the first study to predict hospital admission in older ED patients using a series of geriatric syndromes and functional assessments. We were able to predict hospital admission in older ED patients with good accuracy using the items available in the interRAI ED Contact Assessment. This information can be used to inform decision-making about ED disposition and may expedite admission processes and proactive discharge planning.

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Frailty Index and functional level upon admission predict hospital outcomes: an interRAI-based cohort study of older patients in post-acute care hospitals | BMC Geriatrics | Full Text

Frailty Index and functional level upon admission predict hospital outcomes: an interRAI-based cohort study of older patients in post-acute care hospitals | BMC Geriatrics | Full Text | interRAI | Scoop.it

Geriatric assessment upon admission may reveal factors that contribute to adverse outcomes in hospitalized older patients. The purposes of this study were to derive a Frailty Index (FI-PAC) from the interRAI Post-Acute Care instrument (interRAI-PAC) and to analyse the predictive ability of the FI-PAC and interRAI scales for hospital outcomes. This retrospective cohort study was conducted by combining patient data from interRAI-PAC with discharge records from two post-acute care hospitals. The FI-PAC was derived from 57 variables that fulfilled the Frailty Index criteria. Associations of the FI-PAC and interRAI-PAC scales (ADLH for activities of daily living, CPS for cognition, DRS for mood, and CHESS for stability of health status) with hospital outcomes (prolonged hospital stay ≥90 days, emergency department admission during the stay, and in-hospital mortality) were analysed using logistic regression and ROC curves. The Frailty Index derived from interRAI-PAC predicts adverse hospital outcomes. Its predictive ability was similar to that of the ADLH scale, whereas other interRAI-PAC scales had less predictive value. In clinical practice, assessment of functional ability is a simple way to assess a patient’s prognosis.

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An Andalusian delegation visits the Basque Country to learn about the political framework and experiences regarding social and healthcare | EUROPEAN INNOVATION PARTNERSHIP

An Andalusian delegation visits the Basque Country to learn about the political framework and experiences regarding social and healthcare | EUROPEAN INNOVATION PARTNERSHIP | interRAI | Scoop.it
An Andalusian delegation visits the Basque Country to learn about the political framework and experiences regarding social and healthcare...
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DIVERT-Collaboration Action Research and Evaluation (CARE) Trial Protocol: a multiprovincial pragmatic cluster randomised trial of cardiorespiratory management in home care | BMJ Open

DIVERT-Collaboration Action Research and Evaluation (CARE) Trial Protocol: a multiprovincial pragmatic cluster randomised trial of cardiorespiratory management in home care | BMJ Open | interRAI | Scoop.it

The pragmatic attitude of the trial towards cluster

selection, cluster assignment, participant selection,

participant recruitment, informed consent and outcome

measurement supports generalisation to other

jurisdictions.

Postrandomisation selection bias is limited by the

use of existing, objective measures of eligibility.

The use of secondary data for baseline data collection

and follow-upmeasurement increases the

a ccuracy of the data collection and limits the loss

to follow-up compared with primary collection

methods.

It is not possible to conceal the treatment assignment,

which exposes half of the primary and secondary outcomes measures to placebo and observer-expectancy effects.

The jurisdictions included in the study used a convenience,

non-probability sampling approach in cluster selection, which may limit external validity.

Sergio Ariño Blasco's insight:

Andrew Costa y su equipo desarrollan un a herramienta de predicción de visitas a urgencias en la población en atención domiciliaria. 

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Validation of the Elderly Risk Assessment Index in the Emergency Department

Validation of the Elderly Risk Assessment Index in the Emergency Department | interRAI | Scoop.it

The Elderly Risk Assessment (ERA) score is a validated index for primary care patients that predict hospitalizations, mortality, and Emergency Department (ED) visits. Thescore incorporates age, prior hospital days, marital status, and comorbidities.

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interRAI

interRAI | interRAI | Scoop.it
Read more » Latest News December 2019 interRAI Annual Report 2018/19 Read more » Read our latest Annual Report 2018/19 here.   interRAI Data Visualisation interRAI assessments produce a wealth of information about the health of older people. VIEW View all » Newsletters
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The Minimum Data Set Agitated and Reactive Behavior Scale: Measuring Behaviors in Nursing Home Residents With Dementia

The Minimum Data Set Agitated and Reactive Behavior Scale: Measuring Behaviors in Nursing Home Residents With Dementia | interRAI | Scoop.it
Interventions aimed at managing agitated and aggressive behaviors in dementia without
the use of antipsychotics are currently being tested in nursing homes (NHs). Researchers
and clinicians require a measure that can capture the severity of residents’ behaviors.
We test the internal consistency and construct validity of the Agitated and Reactive
Behavior Scale (ARBS), a measure created using data from mandatory NH assessments.
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The Minimum Data Set Agitated and Reactive Behavior Scale: Measuring Behaviors in Nursing Home Residents With Dementia

The Minimum Data Set Agitated and Reactive Behavior Scale: Measuring Behaviors in Nursing Home Residents With Dementia | interRAI | Scoop.it
Interventions aimed at managing agitated and aggressive behaviors in dementia without
the use of antipsychotics are currently being tested in nursing homes (NHs). Researchers
and clinicians require a measure that can capture the severity of residents’ behaviors.
We test the internal consistency and construct validity of the Agitated and Reactive
Behavior Scale (ARBS), a measure created using data from mandatory NH assessments.
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Physician Views on the Resident Assessment Instrument for Home Care Information Exchange

Physician Views on the Resident Assessment Instrument for Home Care Information Exchange | interRAI | Scoop.it

Use of a system-wide standardized clinical assessment to facilitate information-sharing is an essential component of an integrated healthcare system. The Resident Assessment
Instrument for Home Care (interRAI-HC) is a standardized clinical assessment and decisions support instrument used to assess complex and vulnerable clients in home care. It provides reliable and valid screeners, risk stratification algorithms, outcome measures, and clinical recommendations for common and important conditions.

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Fall Risk Classification in Community-Dwelling Older Adults Using a Smart Wrist-Worn Device and the Resident Assessment Instrument-Home Care: Prosp... - PubMed - NCBI

Fall Risk Classification in Community-Dwelling Older Adults Using a Smart Wrist-Worn Device and the Resident Assessment Instrument-Home Care: Prosp... - PubMed - NCBI | interRAI | Scoop.it
PubMed comprises more than 30 million citations for biomedical literature from MEDLINE, life science journals, and online books. Citations may include links to full-text content from PubMed Central and publisher web sites.
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Protocol of a case-control longitudinal study (fraXity) assessing frailty and complexity among Swiss home service recipients using interRAI-HC asse... - PubMed - NCBI

Protocol of a case-control longitudinal study (fraXity) assessing frailty and complexity among Swiss home service recipients using interRAI-HC asse... - PubMed - NCBI | interRAI | Scoop.it
PubMed comprises more than 30 million citations for biomedical literature from MEDLINE, life science journals, and online books. Citations may include links to full-text content from PubMed Central and publisher web sites.
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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 department - ScienceDirect

The predictive validity of the interRAI ED screener for predicting re-presentation within 28 days for older adults at a regional hospital emergency department - ScienceDirect | interRAI | Scoop.it
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 eval…
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Trajectories of Care: Seminar online –

Trajectories of Care: Seminar online – | interRAI | Scoop.it
Watch the seminar Professor Heather McLeod presented her research yesterday in our first Zoom seminar. We recorded it so that those of you who couldn't zoom in can still have access to her talk.To recap, Heather presented her research that uses linked data from New Zealand's National Collections,...
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Old and New Geriatric Screening Tools in a Belgian Emergency Department: A Diagnostic Accuracy Study - Heeren - - Journal of the American Geriatrics Society

Old and New Geriatric Screening Tools in a Belgian Emergency Department: A Diagnostic Accuracy Study - Heeren - - Journal of the American Geriatrics Society | interRAI | Scoop.it

OBJECTIVES To compare the diagnostic accuracy of the Identification of Seniors at Risk, the Flemish version of Triage Risk Screening Tool, and the interRAI Emergency Department

for predicting prolonged emergency department (ED) length of stay, hospitalization (following index ED stay), and unplanned ED readmission at 30 and 90 days among older (aged 70 years) community-dwelling adults admitted to the ED.

Sergio Ariño Blasco's insight:

Authors conclusion, this study reported that diagnostic charac teristics of ISAR, fTRST, and iEDS are comparable and that none of these tools accurately predicts prolonged ED LOS, hospitalization, and unplanned ED readmission at 30 and 90 days, when used as a stand-alone index.

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DIVERT | covid toolkit

DIVERT | covid toolkit | interRAI | Scoop.it
Download this DIVERT Scale SQL script and share with your IM/IT staff to generate reports to target patients using based on their most recent interRAI-HC.
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Predictors of Functional Decline in Nursing Home Residents: The Shelter Project 

Predictors of Functional Decline in Nursing Home Residents: The Shelter Project  | interRAI | Scoop.it

Fedecostante M, Onder G, Eusebi P, Dell'Aquila G, Zengarini E, Carrieri B, et al. Predictors of functional decline in nursing home residents: the Shelter project. J Gerontol A Biol Sci Med Sci. 2019.

 

The aim of our study was to identify independent predictors of functional decline in older nursing home (NH) residents, taking into account both resident and facility characteristics.

 
Methods

Longitudinal observational study involving 1,760 older (≥65 y) residents of NH participating in the SHELTER* study (57 NH in eight countries). All residents underwent a comprehensive geriatric assessment using the interRAI LTCF. Functional decline was defined as an increase of at least one point in the MDS Long Form ADL scale during a 1 year follow-up. Facility and country effects were taken into account.

 
Results

During the study period 891 (50.6%), NH residents experienced ADL decline. Residents experiencing ADL decline were older, had lower disability at baseline, were more frequently affected by severe dementia and by urinary incontinence, and used more antipsychotics. In the mixed-effect logistic regression model, factors independently associated with a higher risk of functional decline were dementia and urinary incontinence, whereas the presence of a geriatrician was a protective factor.

 
Conclusions

Both resident and facility characteristics are associated with the risk of functional decline in NH residents. Increasing the quality of healthcare by involving a geriatrician in residents’ care might be an important strategy to improve the outcome of this vulnerable population.

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Moving Towards Common Data Elements and Core Outcome Measures in Frailty Research

Moving Towards Common Data Elements and Core Outcome Measures in Frailty Research | interRAI | Scoop.it
With aging populations around the world, frailty is becoming more prevalent increasing the need for health systems and social systems to deliver optimal evidence based care. However, in spite of the...
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Examining the relationship between triage acuity and frailty to inform the care of older emergency department patients: Findings from a large Canadian multisite cohort study | Canadian Journal of E...

Examining the relationship between triage acuity and frailty to inform the care of older emergency department patients: Findings from a large Canadian multisite cohort study - Fabrice Mowbray, Audrey-Anne Brousseau, Eric Mercier, Don Melady, Marcel Émond, Andrew P.
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New directions in aged care in Australia –

New directions in aged care in Australia – | interRAI | Scoop.it
Comparisons with international systems and innovations in aged care has identified many opportunities for improvement in Australia, according to researchers at Flinders University.Flinders University experts …...
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Does This Patient Have Parkinson Disease or Essential Tremor?

Does This Patient Have Parkinson Disease or Essential Tremor? | interRAI | Scoop.it

In the elderly patient with tremor, the differential diagnosis is usually between essential tremor (ET) and Parkinson disease (PD). A careful history and examination are the keys to the diagnosis. Essential tremor is a bilateral action tremor of the upper limbs whereas PD begins unilaterally and is a rest tremor. A handwriting sample can usually distinguish PD from ET as the former is small (micrographic) but atremulous whereas writing in ET is tremulous but normal sized. In ET, there are no signs aside from tremor but in PD, the tremor is accompanied by bradykinesia and rigidity.

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The Minimum Data Set Agitated and Reactive Behavior Scale: Measuring Behaviors in Nursing Home Residents With Dementia

The Minimum Data Set Agitated and Reactive Behavior Scale: Measuring Behaviors in Nursing Home Residents With Dementia | interRAI | Scoop.it

Interventions aimed at managing agitated and aggressive behaviors in dementia without the use of antipsychotics are currently being tested in nursing homes (NHs). Researchers and clinicians require a measure that can capture the severity of residents’ behaviors.
We test the internal consistency and construct validity of the Agitated and Reactive Behavior Scale (ARBS), a measure created using data from mandatory NH assessments.

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BLOG: In the light of experience - InterRAI and the final 1,000 days of life | SCADR

BLOG: In the light of experience - InterRAI and the final 1,000 days of life | SCADR | interRAI | Scoop.it
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Unplanned readmission prevention by a geriatric emergency network for transitional care (URGENT): a prospective before-after study. - PubMed - NCBI

Unplanned readmission prevention by a geriatric emergency network for transitional care (URGENT): a prospective before-after study. - PubMed - NCBI | interRAI | Scoop.it
PubMed comprises more than 30 million citations for biomedical literature from MEDLINE, life science journals, and online books. Citations may include links to full-text content from PubMed Central and publisher web sites.
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A Case-Mix System for Adults with Developmental Disabilities. - PubMed - NCBI

A Case-Mix System for Adults with Developmental Disabilities. - PubMed - NCBI | interRAI | Scoop.it
PubMed comprises more than 30 million citations for biomedical literature from MEDLINE, life science journals, and online books. Citations may include links to full-text content from PubMed Central and publisher web sites.
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World interRAI 2020 - Call for Abstracts

World interRAI 2020 - Call for Abstracts | interRAI | Scoop.it

Abstract submission deadline: August 31, 2019

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