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

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

Nursing Research and Practice, 2014, vol. 2014, 1-5

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.

Date: 2014
References: View complete reference list from CitEc
Citations: View citations in EconPapers (1)

Downloads: (external link)
http://downloads.hindawi.com/journals/NRP/2014/846759.pdf (application/pdf)
http://downloads.hindawi.com/journals/NRP/2014/846759.xml (text/xml)

Related works:
This item may be available elsewhere in EconPapers: Search for items with the same title.

Export reference: BibTeX RIS (EndNote, ProCite, RefMan) HTML/Text

Persistent link: https://EconPapers.repec.org/RePEc:hin:jnlnrp:846759

DOI: 10.1155/2014/846759

Access Statistics for this article

More articles in Nursing Research and Practice from Hindawi
Bibliographic data for series maintained by Mohamed Abdelhakeem ().