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首页> 外文期刊>Clinical Interventions in Aging >Additional measures do not improve the diagnostic accuracy of the Hospital Admission Risk Profile for detecting downstream quality of life in community-dwelling older people presenting to a hospital emergency department
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Additional measures do not improve the diagnostic accuracy of the Hospital Admission Risk Profile for detecting downstream quality of life in community-dwelling older people presenting to a hospital emergency department

机译：采取其他措施并不能提高“医院入院风险档案”的诊断准确性，后者无法检测出在医院急诊科就诊的社区老年人的下游生活质量

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Introduction: The Hospital Admission Risk Profile (HARP) instrument is commonly used to assess risk of functional decline when older people are admitted to hospital. HARP has moderate diagnostic accuracy (65%) for downstream decreased scores in activities of daily living. This paper reports the diagnostic accuracy of HARP for downstream quality of life. It also tests whether adding other measures to HARP improves its diagnostic accuracy.Methods: One hundred and forty-eight independent community dwelling individuals aged 65 years or older were recruited in the emergency department of one large Australian hospital with a medical problem for which they were discharged without a hospital ward admission. Data, including age, sex, primary language, highest level of education, postcode, living status, requiring care for daily activities, using a gait aid, receiving formal community supports, instrumental activities of daily living in the last week, hospitalization and falls in the last 12 months, and mental state were collected at recruitment. HARP scores were derived from a formula that summed scores assigned to age, activities of daily living, and mental state categories. Physical and mental component scores of a quality of life measure were captured by telephone interview at 1 and 3 months after recruitment.Results: HARP scores are moderately accurate at predicting downstream decline in physical quality of life, but did not predict downstream decline in mental quality of life. The addition of other variables to HARP did not improve its diagnostic accuracy for either measure of quality of life.Conclusion: HARP is a poor predictor of quality of life.
机译：简介：医院入院风险简介（HARP）仪器通常用于评估老年人入院时功能下降的风险。 HARP对于下游日常活动得分的降低具有中等诊断准确性（65％）。本文报告了HARP对下游生活质量的诊断准确性。方法：在澳大利亚一家大型医院的急诊科中招募了一百四十八名年龄在65岁以上的独立社区居民，他们患有医疗问题。未经医院病房入院出院。数据，包括年龄，性别，主要语言，最高学历，邮政编码，生活状况，需要日常护理，使用步态援助，获得正式的社区支持，上周日常生活的工具性活动，住院和跌倒最近12个月，在招聘时收集了精神状态。 HARP分数来自一个公式，该公式将分配给年龄，日常生活活动和精神状态类别的分数相加。在招聘后的第1和第3个月，通过电话访谈记录了生活质量量度的身体和心理成分得分。结果：HARP得分在预测下游身体生活质量下降方面具有中等准确性，但并未预测心理质量下游下降生活。在HARP中添加其他变量并不能提高其对生活质量衡量的诊断准确性。结论：HARP不能很好地预测生活质量。

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