Classifying home care clients' risk of unplanned hospitalization with the resident assessment instrument.

ABSTRACT:

Purpose

To identify predictive case finding tools for classifying the risk of unplanned hospitalization among home care clients utilizing the Resident Assessment Instrument-Home Care (RAI-HC), with special interest in the Detection of Indicators and Vulnerabilities for Emergency Room Trips (DIVERT) Scale.

Methods

A register-based, retrospective study based on the RAI-HC assessments of 3,091 home care clients (mean age 80.9 years) in the City of Tampere, Finland, linked with hospital discharge records. The outcome was an unplanned hospitalization within 180 days after RAI-HC assessment. The Area Under the Curve (AUC) and the sensitivity and specificity were determined for the RAI-HC scales: DIVERT, Activities of Daily Living Hierarchy (ADLh), Cognitive Performance Scale (CPS)

SUBMITTER: Ronneikko JK 

PROVIDER: S-EPMC9553799 | biostudies-literature | 2022 Oct

REPOSITORIES: biostudies-literature