Discharge Home From Hospital: How DIRE Can It Be?

被引：1

作者：

Flanagan, Priti ^{[1
]}

Kelly, Ronald ^{[1
]}

机构：

[1] Fraser Hlth Author, Burnaby, BC, Canada

来源：

JOURNAL OF APPLIED GERONTOLOGY | 2019年 / 38卷 / 04期

关键词：

RAI-HC; DIRE; hospital readmission; risk prediction; home care; EMERGENCY-DEPARTMENT; ALZHEIMERS-DISEASE; RISK; CARE; INSTITUTIONALIZATION; PLACEMENT; COGNITION; ADL;

D O I：

10.1177/0733464817723089

中图分类号：

R4 [临床医学]; R592 [老年病学];

学科分类号：

1002 ; 100203 ; 100602 ;

摘要：

Aim: An easy-to-use "DIRE" questionnaire tool was developed to predict an adverse event (AE) within 30 days following discharge from a hospital to the community, among frail elderly individuals aged 65+ years. Methods: Hospital-administered RAI-HC (Residential Assessment Instrument for Home Care) assessment data from 1,433 individuals were used to develop the tool. Results: The DIRE tool outperformed two other instruments that have been used to predict risk in similar populations. Furthermore, the DIRE index was validated on a hold-out sample and in a bootstrapping analysis. Discussion: In addition to its effectiveness in predicting an AE, the added advantages of the DIRE assessment is that only a small amount of data is required and the data are readily available to clinicians at the point of hospital discharge.

引用

页码：530 / 552

页数：23

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