National Survey of Geriatricians to Define Functional Decline in Elderly People with Minor Trauma
National Survey of Geriatricians to Define Functional Decline in Elderly People with Minor Trauma
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DOI：
10.5770/cgj.19.192
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发表时间：
2016-03-01
影响因子：
3.9
通讯作者：
Brehaut, Jamie
中科院分区：
文献类型：
--
作者：
Abdulaziz, Kasim;Perry, Jeffrey J.;Brehaut, Jamie
BackgroundThis study was designed to determine a clinical significant point drop in function to define functional decline and the required sensitivity for a clinical decision tool to identify elderly patients at high risk of functional decline after a minor injury.MethodsAfter a rigid development process，a survey questionnaire was administered to a random sample of 178 geriatricians selected from those registered in a national medical directory.使用修改后的Dillman technique.ResultsWe分发的调查获得了满意的答复率为70.5%。90%的老年病学家要求临床决策工具的灵敏度为90%或更低，以识别受伤后6个月功能下降的高风险老年人。我们的研究结果表明，90%的受访者认为，在考虑所有14个日常生活活动（ADL）项目时，在日常生活活动（ADL）的功能下降至少2点的临床意义。考虑到只有7个基本的ADL项目，90%的医生认为1点下降为clinical significant.ConclusionsA工具的灵敏度为90%，以检测患者的功能下降的风险，在6个月后轻伤将达到或超过90%的老年专科医生所需的灵敏度。这些发现清楚地定义了什么是“轻微损伤”后的临床显著下降。"
BackgroundThis study was designed to determine a clinically significant point drop in function to define functional decline and the required sensitivity for a clinical decision tool to identify elderly patients at high risk of functional decline following a minor injury.MethodsAfter a rigorous development process, a survey questionnaire was administered to a random sample of 178 geriatricians selected from those registered in a national medical directory. The surveys were distributed using a modified Dillman technique.ResultsWe obtained a satisfactory response rate of 70.5%. Ninety percent of the geriatricians required a sensitivity of 90% or less for a clinical decision tool to identify injured seniors at high risk of functional decline 6 months post injury. Our results indicate that 90% of the respondents considered a drop in function of at least 2 points in activities of daily living (ADL) as clinically significant when considering all 14 ADL items. Considering only the 7 basic ADL items, 90% of physicians considered a 1 point drop as clinically significant.ConclusionsA tool with a sensitivity of 90% to detect patients at risk of functional decline at 6 months post minor injury would meet or exceed the sensitivity required by 90% of geriatric specialists. These findings clearly define what is a clinically significant decline following a "minor injury."