McMaster Institute for Research on Aging, McMaster University, MIP Suite 109A, 1280 Main Street West, Hamilton, ON L8S 4K1, Canada.
Canadian College of Naturopathic Medicine, 1255 Sheppard Ave East, North York, ON M2K1E2, Canada.
Arch Gerontol Geriatr. 2023 Oct;113:105056. doi: 10.1016/j.archger.2023.105056. Epub 2023 May 5.
During the pandemic, the interRAI COVID-19 Vulnerability Screener (CVS) was used to identify community-dwelling older adults or adults with disabilities at risk of negative outcomes and facilitate triage for follow-up with health/social services. The interRAI CVS, a standardized self-report instrument administered virtually by a lay-person, includes COVID-19-related items and psychosocial and physical vulnerability. Our objective was to describe those assessed and identify sub-groups at highest risk of adverse outcomes. Seven community-based organizations in Ontario, Canada, implemented the interRAI CVS. We used descriptive statistics to report results and created a priority indicator for monitoring and/or intervention based on possible COVID-19 symptoms and psychosocial/physical vulnerabilities. We used logistic regression to examine the association between priority level and risk of poor outcomes using fair/poor self-rated health as a proxy measure. The sample included 942 adults assessed (April-November 2020; mean age=79). About 10% of individuals reported potential COVID-19 symptoms and <1% had a positive COVID-19 test/diagnosis. Of those with psychosocial/physical vulnerabilities (73.1%), most common were depressed mood (20.9%), loneliness (21.6%), and limited access to food/medications (7.5%). Overall, 45.7% had a recent doctor or nurse practitioner visit. Odds of fair/poor self-reported health were highest among those who reported both possible symptoms of COVID-19 and psychosocial/physical vulnerabilities (OR 10.9, 95% CI 5.96-20.12) compared to those with neither symptoms nor psychosocial/physical vulnerabilities. The sample represents a population largely unaffected by COVID-19 itself but with identified vulnerabilities. The interRAI CVS allows community providers to stay connected and obtain a better understanding of vulnerable individuals' needs during the pandemic.
在大流行期间，使用 interRAI COVID-19 脆弱性筛查器（CVS）来识别有负面结果风险的社区居住的老年人或残疾成年人，并为与健康/社会服务的后续跟进进行分诊。interRAI CVS 是一种标准化的自我报告工具，由非专业人员通过虚拟方式进行管理，包括与 COVID-19 相关的项目以及心理社会和身体脆弱性。我们的目标是描述接受评估的人群，并确定最有可能出现不良结果的亚组。加拿大安大略省的七个社区组织实施了 interRAI CVS。我们使用描述性统计数据报告结果，并根据可能的 COVID-19 症状和心理社会/身体脆弱性创建一个监测和/或干预的优先级指标。我们使用逻辑回归检查优先级水平与不良结果风险之间的关联，使用健康自评一般/较差作为代理测量。该样本包括 942 名接受评估的成年人（2020 年 4 月至 11 月；平均年龄=79 岁）。约 10%的个体报告了潜在的 COVID-19 症状，<1%的个体 COVID-19 检测/诊断呈阳性。在有心理社会/身体脆弱性的人群中（73.1%），最常见的是情绪低落（20.9%）、孤独（21.6%）和有限获取食物/药物（7.5%）。总体而言，45.7%的人最近看过医生或护士。与既没有症状也没有心理社会/身体脆弱性的人相比，同时报告 COVID-19 可能症状和心理社会/身体脆弱性的个体健康自评一般/较差的可能性最高（OR 10.9，95%CI 5.96-20.12）。该样本代表了受 COVID-19 直接影响较小但存在脆弱性的人群。interRAI CVS 使社区服务提供者能够在大流行期间保持联系，并更好地了解脆弱人群的需求。
