Characterization of patients admitted to specialized geriatric acute care hospital units with the German version of the Standardized Evaluation and Intervention for Seniors at Risk (SEISAR) screening-instrument: a cross-sectional study

BMC Geriatrics

Research

M. Musolf¹  M. Djukic²  H. J. Heppner³  Rainer Wirth⁴  U. S. Trampisch⁴  A. Zinke⁵  M. Jamour⁶  H. Frohnhofen⁷  M. Denkinger⁸  M. Meisel⁹  J. Verdon^1,10 

[1] Department of Geriatric Medicine, Ev. Amalie Sieveking-Krankenhaus, Hamburg, Germany;Department of Geriatric Medicine, Evangelisches Krankenhaus Göttingen-Weende, Göttingen, Germany;Department of Geriatric Medicine, Klinikum Bayreuth, Bayreuth, Germany;Department of Geriatric Medicine, Marien Hospital Herne, Ruhr-Universität Bochum, Herne, Germany;Department of Geriatric Medicine, St. Marien- und St. Annastiftskrankenhaus, Ludwigshafen, Germany;Department of Internal and Geriatric Medicine, Alb-Donau-Klinikum, Ehingen, Germany;Department of Orthopedics and Traumasurgery, Heinrich Heine University, Düsseldorf, Germany;Department of Health, University Witten-Herdecke, Witten, Germany;Geriatric Centre Ulm, Agaplesion Bethesda Clinic, Ulm University, Ulm, Germany;MEDICLIN Heart-Center, Coswig, Germany;McGill University Health Center, Royal Victoria Hospital, Montreal, QC, Canada;

关键词: Geriatric assessment;    Screening;    Allocation;    Rehabilitation;   

DOI  :  10.1186/s12877-023-04338-7

 received in 2023-03-08, accepted in 2023-09-21,  发布年份 2023

来源: Springer

【 摘 要 】

BackgroundThe Standardized Evaluation and Intervention for Seniors at Risk (SEISAR) screening tool records major geriatric problems, originally applied in the emergency department. Particularly, the distinction of compensated and uncompensated problems is an interesting and new approach. Therefore, we translated the SEISAR in German language and used it to characterize patients in specialized geriatric hospital wards in Germany and to gather initial experience regarding its usability and practicability.MethodsThe tool was translated by three independent specialists in geriatric medicine and backtranslated for quality-assurance by a non-medical English native speaker. In a second step, 8 acute care geriatric hospital departments used the translated version to characterize all consecutive patients admitted over a period of one month between December 2019 and May 2020 at time of admission.ResultsMost of the 756 patients (78%) lived in an own apartment or house prior to hospital admission. Participants had on average 4 compensated and 6 uncompensated problems, a Barthel-Index of 40 pts. on admission with a median increase of 15 points during hospital stay, and a median length of stay of 16 days in the geriatric hospital department.ConclusionSEISAR is an interesting standardized brief comprehensive geriatric assessment tool for the identification of compensated and uncompensated health problems in older persons. The data of this study highlights the number, variability, and complexity of geriatric problems in patients treated in specialized acute care geriatric hospital wards in Germany.Trial registrationGerman Clinical trial register (DRKS-ID: DRKS00031354 on 27.02.2023).

【 授权许可】

CC BY   
© BioMed Central Ltd., part of Springer Nature 2023

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