Screening of community-dwelling older patients by the emergency medical services : An observational retrospective registry study

Show full item record



Permalink

http://hdl.handle.net/10138/336655

Citation

Saario , E L , Mäkinen , M T , Jämsen , E R K , Nikander , P & Castren , M K 2021 , ' Screening of community-dwelling older patients by the emergency medical services : An observational retrospective registry study ' , International Emergency Nursing , vol. 59 , 101078 . https://doi.org/10.1016/j.ienj.2021.101078

Title: Screening of community-dwelling older patients by the emergency medical services : An observational retrospective registry study
Author: Saario, Eeva L.; Mäkinen, Marja T.; Jämsen, Esa R. K.; Nikander, Pia; Castren, Maaret K.
Other contributor: University of Helsinki, Helsinki University Hospital Area
University of Helsinki, University of Helsinki
University of Helsinki, Helsinki University Hospital Area
University of Helsinki, HUS Emergency Medicine and Services





Date: 2021-11
Language: eng
Number of pages: 7
Belongs to series: International Emergency Nursing
ISSN: 1755-599X
DOI: https://doi.org/10.1016/j.ienj.2021.101078
URI: http://hdl.handle.net/10138/336655
Abstract: Background: Inadequate nutrition, falls, and cognitive impairment are common problems among acutely ill older people and are associated with complicated and prolonged health problems and mortality. Objectives: To assess if the emergency medical services can identify patients with nutritional risk, falls risk, and cognitive impairment by using simple screening tools and to assess the prevalence of risks and rate they are reported to the emergency department. Setting: The study was carried out in Espoo, Finland to patients over the age of 70 requiring non-urgent ambulance transfer to the emergency department. Outcome measures: A set of validated electronic screening tools was used to identify patients at nutritional risk, risk of falling and having cognitive impairment. Main results: A total of 488 (8%) out of 5792 patients were screened. Of the patients 60%, (n = 292) had at least one risk: 17% (n = 81) had nutritional risk, 43% (n = 209) falls risk, and 28% (n = 137) cognitive impairment. Twenty-two (5%) were screened positive in all three categories. The observed risk was reported to the emergency department staff in 59% (n = 173) of the patients. Conclusion: The emergency medical services can be used in preventive health care to identify patients having nutritional risk, falls risk, or cognitive impairment.
Subject: Emergency medicine
Risk assessment
Nutritional risk
Falls risk
Cognitive impairment
NUTRITIONAL ASSESSMENT
COGNITIVE IMPAIRMENT
RISK
FALLS
MALNUTRITION
ADULTS
PEOPLE
CARE
TOOL
VALIDATION
3126 Surgery, anesthesiology, intensive care, radiology
316 Nursing
Rights:


Files in this item

Total number of downloads: Loading...

Files Size Format View
1_s2.0_S1755599X21001166_main.pdf 486.3Kb PDF View/Open

This item appears in the following Collection(s)

Show full item record