000K utf8 1100 2019$c2019-08-14 1500 eng 2050 urn:nbn:de:hbz:464-20191128-151819-4 2051 10.1186/s12877-019-1239-3 3000 Scharf, Anne-Carina 3010 Dahlmann, Christian 3010 Dodel, Richard 3010 Frohnhofen, Helmut 3010 Gerken, Guido 3010 Gronewold, Janine 3010 Hermann, Dirk M. 3010 Kleinschnitz, Christoph 3010 Kribben, Andreas 3010 Rassaf, Tienush 3010 Schlitzer, Jeanina 4000 Health outcome of older hospitalized patients in internal medicine environments evaluated by Identification of Seniors at Risk (ISAR) screening and geriatric assessment. [Scharf, Anne-Carina] 4209 Background: Hospitals are in need of valid and economic screening and assessment tools that help identifying older patients at risk for complications which require intensified support during their hospital stay. Methods: Five hundred forty-seven internal medicine in-patients (mean age 78.14 ± 5.96 years; 54.7% males) prospectively received Identification of Seniors at Risk (ISAR) screening. If screening results were positive (ISAR score ≥ 2), a comprehensive geriatric assessment (CGA) was performed. We explored sensitivity and specificity of different ISAR and CGA cutoffs. Further, we analyzed the risk of falls and how patients got discharged from hospital. Results: ISAR+/CGA abnormal patients spent more days in hospital (16.1 ± 14.5), received more nursing hours per day (3.0 ± 2.3), more hours of physiotherapy during their hospital stay (2.2 ± 3.2), and had more falls (10.1%) compared to ISAR+/CGA normal (10.9 ± 12.3, 2.0 ± 1.2, 1.2 ± 4.3, and 2.8%, respectively, all p ≤ 0.016) and ISAR- (9.6 ± 11.5, 2.3 ± 4.5, 0.7 ± 2.0, and 2.2%, respectively, all p ≤ 0.002) patients. ISAR+/CGA abnormal patients terminated their treatment regularly with being discharged back home less often (59.6%) compared to ISAR+/CGA normal (78.5%, p = 0.002) and ISAR- (78.2%, p = 0.056) patients. ISAR cutoff≥2 and CGA defined as abnormal in case of impairment of ADL plus another CGA domain achieved best sensitivity/specificity. Conclusions: Abnormal geriatric risk screening and assessment are associated with longer hospital stay and higher amount of nursing and physiotherapy during hospital stay, greater risk of falling, and a lower percentage of successfully terminated treatment in older in-patients. 4950 https://doi.org/10.1186/s12877-019-1239-3$xR$3Volltext$534 4950 https://nbn-resolving.org/urn:nbn:de:hbz:464-20191128-151819-4$xR$3Volltext$534 4961 https://duepublico2.uni-due.de/receive/duepublico_mods_00070812 5051 610 5550 Cga 5550 Cutoff 5550 Geriatrics 5550 Internal Medicine 5550 Isar 5550 Older In-patients 5550 Risk Screening 5550 Sensitivity 5550 Specificity