Agreement and prognostic accuracy of three ED vulnerability screeners: findings from a prospective multi-site cohort study.

ABSTRACT:

Objectives

To evaluate the agreement between three emergency department (ED) vulnerability screeners, including the InterRAI ED Screener, ER², and PRISMA-7. Our secondary objective was to evaluate the discriminative accuracy of screeners in predicting discharge home and extended ED lengths-of-stay (> 24 h).

Methods

We conducted a nested sub-group study using data from a prospective multi-site cohort study evaluating frailty in older ED patients presenting to four Quebec hospitals. Research nurses assessed patients consecutively with the three screeners. We employed Cohen's Kappa to determine agreement, with high-risk cut-offs of three and four for the PRISMA-7, six for the ER², and five for the interRAI ED Screener. We used logistic regression to evalua

SUBMITTER: Mowbray FI 

PROVIDER: S-EPMC10014815 | biostudies-literature | 2023 Mar

REPOSITORIES: biostudies-literature