Concordance in mSEGA Tool to Frailty Diagnosis between Medical Doctors and Nurses

<b>Introduction:</b> It is currently considered that screening for frailty in elderly subjects is a major public health issue. <b>Methods:</b> a cross-sectional pilot study involving elderly subjects (over 75 years of age) admitted at the emergency department of the hospital...

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Autores principales:	Abrar-Ahmad Zulfiqar, Ibrahima Amadou Dembélé
Formato:	article
Lenguaje:	EN
Publicado:	MDPI AG 2021
Materias:	frailty mSEGA grid elderly subjects emergency department concordance study Medicine R
Acceso en línea:	https://doaj.org/article/f60fb08734594f839fa9d4bc09b87d1c
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spelling	oai:doaj.org-article:f60fb08734594f839fa9d4bc09b87d1c2021-11-25T18:19:18ZConcordance in mSEGA Tool to Frailty Diagnosis between Medical Doctors and Nurses10.3390/medicines81100632305-6320https://doaj.org/article/f60fb08734594f839fa9d4bc09b87d1c2021-10-01T00:00:00Zhttps://www.mdpi.com/2305-6320/8/11/63https://doaj.org/toc/2305-6320<b>Introduction:</b> It is currently considered that screening for frailty in elderly subjects is a major public health issue. <b>Methods:</b> a cross-sectional pilot study involving elderly subjects (over 75 years of age) admitted at the emergency department of the hospital of Troyes, France in the period from 24 August to 30 August 2017 was conducted. The patients were screened for frailty using the modified SEGA (Short Emergency Geriatric Assessment) (part A) grid (mSEGA), correlated with the subjective opinion of the triage nurse and the senior physician. <b>Results:</b> 100 patients were included during the pilot study period, the mean age was 84.34 years (range: 75–97), 56 patients (56%) were female, and the average CHARLSON score was 4.28 (range: 0–11). The patients’ previous medical histories were remarkable for cardiovascular diseases. The main reason for hospital admission was fall (26 subjects, 26%). Hospitalization was required for 52 subjects (52%). The average mSEGA score was 6.3 +/− 3.59. The completion time for the SEGAm (part A) score was about 5 minutes. According to Cohen’s kappa, the concordance between the subjective opinion of the triage nurse and the mSEGA grid was average, while the concordance between the subjective opinions of the senior physicians was good. <b>Conclusion:</b> The mSEGA score appears to be well-suited and useful in the emergency department. It is easy to use, allows an overall evaluation of the patient, and is not time-consuming.Abrar-Ahmad ZulfiqarIbrahima Amadou DembéléMDPI AGarticlefrailtymSEGA gridelderly subjectsemergency departmentconcordance studyMedicineRENMedicines, Vol 8, Iss 63, p 63 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	frailty mSEGA grid elderly subjects emergency department concordance study Medicine R
spellingShingle	frailty mSEGA grid elderly subjects emergency department concordance study Medicine R Abrar-Ahmad Zulfiqar Ibrahima Amadou Dembélé Concordance in mSEGA Tool to Frailty Diagnosis between Medical Doctors and Nurses
description	<b>Introduction:</b> It is currently considered that screening for frailty in elderly subjects is a major public health issue. <b>Methods:</b> a cross-sectional pilot study involving elderly subjects (over 75 years of age) admitted at the emergency department of the hospital of Troyes, France in the period from 24 August to 30 August 2017 was conducted. The patients were screened for frailty using the modified SEGA (Short Emergency Geriatric Assessment) (part A) grid (mSEGA), correlated with the subjective opinion of the triage nurse and the senior physician. <b>Results:</b> 100 patients were included during the pilot study period, the mean age was 84.34 years (range: 75–97), 56 patients (56%) were female, and the average CHARLSON score was 4.28 (range: 0–11). The patients’ previous medical histories were remarkable for cardiovascular diseases. The main reason for hospital admission was fall (26 subjects, 26%). Hospitalization was required for 52 subjects (52%). The average mSEGA score was 6.3 +/− 3.59. The completion time for the SEGAm (part A) score was about 5 minutes. According to Cohen’s kappa, the concordance between the subjective opinion of the triage nurse and the mSEGA grid was average, while the concordance between the subjective opinions of the senior physicians was good. <b>Conclusion:</b> The mSEGA score appears to be well-suited and useful in the emergency department. It is easy to use, allows an overall evaluation of the patient, and is not time-consuming.
format	article
author	Abrar-Ahmad Zulfiqar Ibrahima Amadou Dembélé
author_facet	Abrar-Ahmad Zulfiqar Ibrahima Amadou Dembélé
author_sort	Abrar-Ahmad Zulfiqar
title	Concordance in mSEGA Tool to Frailty Diagnosis between Medical Doctors and Nurses
title_short	Concordance in mSEGA Tool to Frailty Diagnosis between Medical Doctors and Nurses
title_full	Concordance in mSEGA Tool to Frailty Diagnosis between Medical Doctors and Nurses
title_fullStr	Concordance in mSEGA Tool to Frailty Diagnosis between Medical Doctors and Nurses
title_full_unstemmed	Concordance in mSEGA Tool to Frailty Diagnosis between Medical Doctors and Nurses
title_sort	concordance in msega tool to frailty diagnosis between medical doctors and nurses
publisher	MDPI AG
publishDate	2021
url	https://doaj.org/article/f60fb08734594f839fa9d4bc09b87d1c
work_keys_str_mv	AT abrarahmadzulfiqar concordanceinmsegatooltofrailtydiagnosisbetweenmedicaldoctorsandnurses AT ibrahimaamadoudembele concordanceinmsegatooltofrailtydiagnosisbetweenmedicaldoctorsandnurses
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Concordance in mSEGA Tool to Frailty Diagnosis between Medical Doctors and Nurses

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