National Survey of Geriatricians to Define Functional Decline in Elderly People with Minor Trauma

Authors

  • Kasim Abdulaziz Department of Emergency Medicine, University of Ottawa
  • Jeffrey J. Perry University of Ottawa; Ottawa Hospital Research Institute
  • Monica Taljaard University of Ottawa; Ottawa Hospital Research Institute
  • Marcel Émond Université Laval; Unité de recherche en traumatologie-urgence-soins intensifs du Centre de recherche FRQ-S du CHA de Québec
  • Jacques S. Lee University of Toronto, Clinical Epidemiology Unit, Sunnybrook Health Sciences Center
  • Laura Wilding University of Ottawa
  • Marie-Josée Sirois Université Laval; Unité de recherche en traumatologie-urgence-soins intensifs du Centre de recherche FRQ-S du CHA de Québec
  • Jamie Brehaut University of Ottawa; Ottawa Hospital Research Institute

DOI:

https://doi.org/10.5770/cgj.19.192

Keywords:

activities of daily living (ADL), clinical decision rules, functional decline, geriatric assessment, Older Americans Resources and Services (OARS)

Abstract

Background

This 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.

Methods

After 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.

Results

We 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.

Conclusions

A 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.”

 

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Published

2015-12-21

How to Cite

1.
Abdulaziz K, Perry JJ, Taljaard M, Émond M, Lee JS, Wilding L, Sirois M-J, Brehaut J. National Survey of Geriatricians to Define Functional Decline in Elderly People with Minor Trauma. Can Geriatr J [Internet]. 2015 Dec. 21 [cited 2022 May 22];19(1):2-8. Available from: https://cgjonline.ca/index.php/cgj/article/view/192

Issue

Section

Original Research