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Abdulaziz K, Perry JJ, Taljaard M, et al. National Survey of Geriatricians to Define Functional Decline in Elderly People with Minor Trauma. Can Geriatr J. 2016;19(1):2-8doi: 10.5770/cgj.19.192.
Abdulaziz, K., Perry, J. J., Taljaard, M., Émond, M., Lee, J. S., Wilding, L., Sirois, M. J., & Brehaut, J. (2016). National Survey of Geriatricians to Define Functional Decline in Elderly People with Minor Trauma. Canadian geriatrics journal : CGJ, 19(1), 2-8. https://doi.org/10.5770/cgj.19.192
Abdulaziz, Kasim, et al. "National Survey of Geriatricians to Define Functional Decline in Elderly People with Minor Trauma." Canadian geriatrics journal : CGJ vol. 19,1 (2016): 2-8. doi: https://doi.org/10.5770/cgj.19.192
Abdulaziz K, Perry JJ, Taljaard M, Émond M, Lee JS, Wilding L, Sirois MJ, Brehaut J. National Survey of Geriatricians to Define Functional Decline in Elderly People with Minor Trauma. Can Geriatr J. 2016 Mar 31;19(1):2-8. doi: 10.5770/cgj.19.192. eCollection 2016 Mar. PMID: 27076859; PMCID: PMC4815935.
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Can Geriatr J. 2016 Mar 31;19(1):2-8. doi: 10.5770/cgj.19.192. eCollection 2016 Mar.

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

Canadian geriatrics journal : CGJ

Kasim Abdulaziz, Jeffrey J Perry, Monica Taljaard, Marcel Émond, Jacques S Lee, Laura Wilding, Marie-Josée Sirois, Jamie Brehaut

Affiliations

  1. Department of Epidemiology and Community Medicine, University of Ottawa, Ottawa, ON;; Clinical Epidemiology Program, Ottawa Hospital Research Institute, Ottawa, ON;
  2. Department of Epidemiology and Community Medicine, University of Ottawa, Ottawa, ON;; Clinical Epidemiology Program, Ottawa Hospital Research Institute, Ottawa, ON;; Department of Emergency Medicine, University of Ottawa, Ottawa, ON;
  3. Department of Family and Emergency Medicine, Université Laval, Laval, QC;; Unité de recherche en traumatologie-urgence-soins intensifs du Centre de recherche FRQ-S du CHA de Québec, Laval, QC;
  4. Department of Emergency Medicine, University of Toronto, Clinical Epidemiology Unit, Sunnybrook Health Sciences Center, Toronto.
  5. Department of Emergency Medicine, University of Ottawa, Ottawa, ON;
  6. Département de réadaptation, Université Laval, Laval, QC;; Unité de recherche en traumatologie-urgence-soins intensifs du Centre de recherche FRQ-S du CHA de Québec, Laval, QC;

PMID: 27076859 PMCID: PMC4815935 DOI: 10.5770/cgj.19.192

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."

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

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