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Which Part of a Short, Global Risk Assessment, the Risk Instrument for Screening in the Community, Predicts Adverse Healthcare Outcomes?
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 sever...
Autores principales: | , , , , , , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Hindawi Publishing Corporation
2015
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4540996/ https://www.ncbi.nlm.nih.gov/pubmed/26346934 http://dx.doi.org/10.1155/2015/256414 |
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author | 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 |
author_facet | 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 |
author_sort | O'Caoimh, Rónán |
collection | PubMed |
description | 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. |
format | Online Article Text |
id | pubmed-4540996 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2015 |
publisher | Hindawi Publishing Corporation |
record_format | MEDLINE/PubMed |
spelling | pubmed-45409962015-09-06 Which Part of a Short, Global Risk Assessment, the Risk Instrument for Screening in the Community, Predicts Adverse Healthcare Outcomes? 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 J Aging Res Research Article 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. Hindawi Publishing Corporation 2015 2015-08-05 /pmc/articles/PMC4540996/ /pubmed/26346934 http://dx.doi.org/10.1155/2015/256414 Text en Copyright © 2015 Rónán O'Caoimh et al. https://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Research Article 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 Which Part of a Short, Global Risk Assessment, the Risk Instrument for Screening in the Community, Predicts Adverse Healthcare Outcomes? |
title | Which Part of a Short, Global Risk Assessment, the Risk Instrument for Screening in the Community, Predicts Adverse Healthcare Outcomes? |
title_full | Which Part of a Short, Global Risk Assessment, the Risk Instrument for Screening in the Community, Predicts Adverse Healthcare Outcomes? |
title_fullStr | Which Part of a Short, Global Risk Assessment, the Risk Instrument for Screening in the Community, Predicts Adverse Healthcare Outcomes? |
title_full_unstemmed | Which Part of a Short, Global Risk Assessment, the Risk Instrument for Screening in the Community, Predicts Adverse Healthcare Outcomes? |
title_short | Which Part of a Short, Global Risk Assessment, the Risk Instrument for Screening in the Community, Predicts Adverse Healthcare Outcomes? |
title_sort | which part of a short, global risk assessment, the risk instrument for screening in the community, predicts adverse healthcare outcomes? |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4540996/ https://www.ncbi.nlm.nih.gov/pubmed/26346934 http://dx.doi.org/10.1155/2015/256414 |
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