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Aronow HU, Borenstein J, Haus F, et al. Validating SPICES as a Screening Tool for Frailty Risks among Hospitalized Older Adults. Nurs Res Pract. 2014;2014:846759doi: 10.1155/2014/846759.
Aronow, H. U., Borenstein, J., Haus, F., Braunstein, G. D., & Bolton, L. B. (2014). Validating SPICES as a Screening Tool for Frailty Risks among Hospitalized Older Adults. Nursing research and practice, 2014846759. https://doi.org/10.1155/2014/846759
Aronow, Harriet Udin, et al. "Validating SPICES as a Screening Tool for Frailty Risks among Hospitalized Older Adults." Nursing research and practice vol. 2014 (2014): 846759. doi: https://doi.org/10.1155/2014/846759
Aronow HU, Borenstein J, Haus F, Braunstein GD, Bolton LB. Validating SPICES as a Screening Tool for Frailty Risks among Hospitalized Older Adults. Nurs Res Pract. 2014;2014:846759. doi: 10.1155/2014/846759. Epub 2014 Apr 27. PMID: 24876954; PMCID: PMC4020196.
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Nurs Res Pract. 2014;2014:846759. doi: 10.1155/2014/846759. Epub 2014 Apr 27.

Validating SPICES as a Screening Tool for Frailty Risks among Hospitalized Older Adults.

Nursing research and practice

Harriet Udin Aronow, Jeff Borenstein, Flora Haus, Glenn D Braunstein, Linda Burnes Bolton

Affiliations

  1. Cedars-Sinai Medical Center, 8700 Beverly Boulevard, Los Angeles, CA 90048, USA.

PMID: 24876954 PMCID: PMC4020196 DOI: 10.1155/2014/846759

Abstract

Older patients are vulnerable to adverse hospital events related to frailty. SPICES, a common screening protocol to identify risk factors in older patients, alerts nurses to initiate care plans to reduce the probability of patient harm. However, there is little published validating the association between SPICES and measures of frailty and adverse outcomes. This paper used data from a prospective cohort study on frailty among 174 older adult inpatients to validate SPICES. Almost all patients met one or more SPICES criteria. The sum of SPICES was significantly correlated with age and other well-validated assessments for vulnerability, comorbid conditions, and depression. Individuals meeting two or more SPICES criteria had a risk of adverse hospital events three times greater than individuals with either no or one criterion. Results suggest that as a screening tool used within 24 hours of admission, SPICES is both valid and predictive of adverse events.

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