Fernández Alonso Cesáreo, González Armengol Juan Jorge, Perdigones Javier, Fuentes Ferrer Manuel E, González Del Castillo Juan, Martín-Sánchez Francisco Javier
Unidad de Corta Estancia, Servicio de Urgencias, Hospital Clínico San Carlos, Madrid, España. Instituto de Investigación Sanitaria del Hospital San Carlos, Madrid, España.
Instituto de Investigación Sanitaria del Hospital San Carlos, Madrid, España.
Emergencias. 2015 Jun;27(3):181-184.
To determine whether the Identification of Seniors at Risk (ISAR) score predicts short-term adverse outcomes in elderly patients discharged from a short-stay unit.
Prospective, observational analysis of outcomes in a cohort of all patients 75 years or older who were discharged home from a short-stay unit during a 2-month period. The ISAR score was calculated for each patient. The variable of interest was the development of any adverse outcome (acute severe functional deterioration, death, or any-cause readmission) within 30 days of discharge.
One hundred twenty patients (64.2%) with a mean (SD) age of 81.5 (5.4) years were enrolled. An adverse outcome within 30 days of the index event was observed in 36 patients (30%). The ISAR score cut point of 3 had the strongest predictive ability for the composite outcome and for individual components of the composite at 30 days.
An ISAR score of 3 or higher is able to identify elderly individuals at high risk of an adverse outcome within 30 days of discharge from a short-stay unit.
确定老年人风险识别（ISAR）评分能否预测短期住院病房出院的老年患者的短期不良结局。
对所有75岁及以上患者组成的队列进行前瞻性观察分析，这些患者在2个月内从短期住院病房出院回家。计算每位患者的ISAR评分。感兴趣的变量是出院后30天内出现的任何不良结局（急性严重功能恶化、死亡或任何原因的再次入院）。
共纳入120例患者（64.2%），平均（标准差）年龄为81.5（5.4）岁。在36例患者（30%）中观察到索引事件后30天内出现不良结局。ISAR评分为3时，对30天的综合结局及综合结局的各个组成部分具有最强的预测能力。
ISAR评分3分或更高能够识别出短期住院病房出院后30天内出现不良结局高风险的老年人。
