修订后的急诊科老年人风险识别工具中文版的跨文化适应与验证

IF 2.5 3区医学 Q3 GERIATRICS & GERONTOLOGY

Geriatric Nursing Pub Date : 2025-05-01 DOI:10.1016/j.gerinurse.2025.04.011

Lanxin Ouyang, Di Liu, Wei Jiang, Yangyujing Li, Yin Lin, Peiwen Zhang, Lei Wang, Mengmeng Wu

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引用次数: 0

摘要

目的采用简体中文版的《危重老年人识别》（ISAR-R）工具识别急诊科出院后存在不良结局风险的老年患者，并对其进行改进和验证。方法采用布里斯林双向翻译法进行准确性检测。本前瞻性队列研究纳入1324例65岁以上的患者在中国中部的三级医院的三个急诊科。出院前给予ISAR-R，并通过随访评估30天的结果。结果该工具具有良好的内容效度（CVI=0.92）。在1324例患者中，37.5%处于高风险（ISAR-R≥2）。Logistic回归表明，年龄越大、轮椅/救护车到达和严重分诊级别显著增加高危分类。主要终点发生在53.6%的患者在30天。ISAR-R评分的AUC为0.663。结论简体中文ISAR-R工具可有效识别急诊科中存在不良结局风险的老年患者，并根据不同情况设置合适的临界值。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Cross-cultural adaptation and validation of the Chinese version of the Revised Identification of Seniors At Risk tool in the emergency department

Objective

To adapt and validate the Simplified Chinese version of the Revised Identification of Seniors At Risk (ISAR-R) tool for identifying older patients at risk of adverse outcomes post-discharge in emergency departments.

Methods

Brislin's bidirectional translation was used for accuracy. This prospective cohort study involved 1324 patients aged 65+ in three EDs of a tertiary hospital in central China. ISAR-R was administered before discharge, and 30-day outcomes were assessed via follow-up.

Results

The tool showed good content validity (CVI=0.92). Among 1324 patients, 37.5 % were at high risk (ISAR-R ≥ 2). Logistic regression indicated that older age, wheelchair/ambulance arrival, and severe triage levels significantly increased high-risk classification. The primary endpoint occurred in 54.6 % of patients at 30 days. The ISAR-R score's AUC was 0.663.

Conclusions

The Simplified Chinese ISAR-R tool effectively identified older patients at risk of adverse outcomes in EDs, with appropriate cut-off values for different settings.

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来源期刊

Geriatric Nursing 医学-护理

CiteScore

3.80

自引率

7.40%

发文量

257

审稿时长

>12 weeks

期刊介绍： Geriatric Nursing is a comprehensive source for clinical information and management advice relating to the care of older adults. The journal''s peer-reviewed articles report the latest developments in the management of acute and chronic disorders and provide practical advice on care of older adults across the long term continuum. Geriatric Nursing addresses current issues related to drugs, advance directives, staff development and management, legal issues, client and caregiver education, infection control, and other topics. The journal is written specifically for nurses and nurse practitioners who work with older adults in any care setting.