Which part of a short, global risk assessment, the Risk Instrument for Screening in the Community, predicts adverse healthcare outcomes?

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dc.contributor.authorO'Caoimh, Rónán
dc.contributor.authorFitzgerald, Carol
dc.contributor.authorCronin, Una
dc.contributor.authorSvendrovski, Anton
dc.contributor.authorGao, Yang
dc.contributor.authorHealy, Elizabeth
dc.contributor.authorO'Connell, Elizabeth
dc.contributor.authorO'Keeffe, Gabrielle
dc.contributor.authorO'Herlihy, Eileen
dc.contributor.authorWeathers, Elizabeth
dc.contributor.authorCornally, Nicola
dc.contributor.authorLeahy-Warren, Patricia
dc.contributor.authorOrfila, Francesc
dc.contributor.authorPaul, Constanca
dc.contributor.authorClarnette, Roger
dc.contributor.authorMolloy, D. William
dc.date.accessioned2019-03-06T16:01:49Z
dc.date.available2019-03-06T16:01:49Z
dc.date.issued2015
dc.date.updated2019-03-06T15:55:20Z
dc.description.abstractThe Risk Instrument for Screening in the Community (RISC) is a short, global risk assessment to identify community-dwelling older adults' one-year risk of institutionalisation, hospitalisation, and death. We investigated the contribution that the three components of the RISC (concern, its severity, and the ability of the caregiver network to manage concern) make to the accuracy of the instrument, across its three domains (mental state, activities of daily living (ADL), and medical state), by comparing their accuracy to other assessment instruments in the prospective Community Assessment of Risk and Treatment Strategies study. RISC scores were available for 782 patients. Across all three domains each subtest more accurately predicted institutionalisation compared to hospitalisation or death. The caregiver network's ability to manage ADL more accurately predicted institutionalisation (AUC 0.68) compared to hospitalisation (AUC 0.57, P=0.01) or death (AUC 0.59, P=0.046), comparing favourably with the Barthel Index (AUC 0.67). The severity of ADL (AUC 0.63), medical state (AUC 0.62), Clinical Frailty Scale (AUC 0.67), and Charlson Comorbidity Index (AUC 0.66) scores had similar accuracy in predicting mortality. Risk of hospitalisation was difficult to predict. Thus, each component, and particularly the caregiver network, had reasonable accuracy in predicting institutionalisation. No subtest or assessment instrument accurately predicted risk of hospitalisation.en
dc.description.statusPeer revieweden
dc.description.versionAccepted Versionen
dc.format.mimetypeapplication/pdfen
dc.identifier.articleid256414
dc.identifier.citationO'Caoimh, R., FitzGerald, C., Cronin, U., Svendrovski, A., Gao, Y., Healy, E., O'Connell, E., O'Keeffe, G., O'Herlihy, E., Weathers, E., Cornally, N., Leahy-Warren, P., Orfila, F., Paúl, C., Clarnette, R. and Molloy, D. W. (2015) 'Which Part of a Short, Global Risk Assessment, the Risk Instrument for Screening in the Community, Predicts Adverse Healthcare Outcomes?', Journal of Aging Research, 2015, 256414 (7 pp). doi: 10.1155/2015/256414en
dc.identifier.doi10.1155/2015/256414
dc.identifier.endpage7en
dc.identifier.issn2090-2204
dc.identifier.journaltitleJournal Of Aging Researchen
dc.identifier.startpage1en
dc.identifier.urihttps://hdl.handle.net/10468/7567
dc.identifier.volume2015en
dc.language.isoenen
dc.publisherHindawi Publishingen
dc.relation.urihttps://www.hindawi.com/journals/jar/2015/256414/cta/
dc.rights© 2015 Rónán O’Caoimh et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.en
dc.subjectAgeden
dc.subjectBarthel indexen
dc.subjectCharlson Comorbidity Indexen
dc.subjectClinical Frailty Scaleen
dc.subjectCommunity assessmenten
dc.subjectControlled studyen
dc.subjectDaily life activityen
dc.subjectHealth care systemen
dc.subjectHigh risk populationen
dc.subjectHospitalizationen
dc.subjectInstitutionalizationen
dc.subjectMedical careen
dc.subjectMental healthen
dc.subjectMortalityen
dc.subjectPredictionen
dc.subjectRisk assessmenten
dc.subjectRisk Instrument for Screening in the Communityen
dc.subjectSensitivity and specificityen
dc.titleWhich part of a short, global risk assessment, the Risk Instrument for Screening in the Community, predicts adverse healthcare outcomes?en
dc.typeArticle (peer-reviewed)en
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