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National Survey of Physicians on the Need for and Required Sensitivity of a Clinical Decision Rule to Identify Elderly Patients at High Risk of Functional Decline Following a Minor Injury

Many elderly patients visiting the emergency department for minor injuries are not assessed for functional status and experience functional decline 6 months post injury. Identifying such high-risk patients can allow for interventions to prevent or minimize adverse health outcomes including loss of independence.
For the purpose of a planned clinical decision rule to identify elderly patients at high risk of functional decline a survey of physicians was conducted. A random sample of 534 Canadian geriatricians, emergency and family physicians was selected with half randomly selected to receive an incentive.
A response rate of 57.0% was obtained with 90% of physicians considering a drop in function of at least 2 points on the 28-point OARS ADL scale as clinically significant. A sensitivity of 90% would meet or exceed 90% of physicians' requirements for a clinical decision rule to identify injured seniors at high risk of functional decline 6 months post injury.

Identiferoai:union.ndltd.org:uottawa.ca/oai:ruor.uottawa.ca:10393/30439
Date January 2014
CreatorsAbdulaziz, Kasim
ContributorsPerry, Jeffrey, Brehaut, Jamie
PublisherUniversité d'Ottawa / University of Ottawa
Source SetsUniversité d’Ottawa
LanguageEnglish
Detected LanguageEnglish
TypeThesis

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