Utility of the Identification of Seniors at Risk score to predict short-term adverse outcomes in elderly patients discharged from a short-stay unit
Fernández Alonso C, González Armengol JJ, Perdigones J, Fuentes Ferrer ME, González Del Castillo J, Martín-Sánchez FJ
Affiliation of the authors
Unidad de Corta Estancia, Servicio de Urgencias, Hospital Clínico San Carlos, Madrid, Spain. Unidad de Investigación Servicio de Medicina Preventiva, Hospital Clínico San Carlos, Madrid, Spain. Instituto de Investigación Sanitaria del Hospital San Carlos, Madrid, Spain.
Fernández Alonso C, González Armengol JJ, Perdigones J, Fuentes Ferrer ME, González Del Castillo J, Martín-Sánchez FJ. Utility of the Identification of Seniors at Risk score to predict short-term adverse outcomes in elderly patients discharged from a short-stay unit. Emergencias. 2015;27:181-4
Summary
Objective.
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.
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.
Conclusions.
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.
