Using the Bergman-Paris Question to screen seniors in the emergency department.
| Title: | Using the Bergman-Paris Question to screen seniors in the emergency department. |
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| Authors: | Laguë A; Axe Santé des populations et pratiques optimales en santé,CHU de Québec Hôpital de l'Enfant-Jésus,Québec,QC.; Voyer P; Axe Santé des populations et pratiques optimales en santé,CHU de Québec Hôpital de l'Enfant-Jésus,Québec,QC.; Ouellet MC; Axe Santé des populations et pratiques optimales en santé,CHU de Québec Hôpital de l'Enfant-Jésus,Québec,QC.; Boucher V; Axe Santé des populations et pratiques optimales en santé,CHU de Québec Hôpital de l'Enfant-Jésus,Québec,QC.; Giroux M; Axe Santé des populations et pratiques optimales en santé,CHU de Québec Hôpital de l'Enfant-Jésus,Québec,QC.; Pelletier M; †Université Laval,Québec,QC.; Gouin É; ǁCentre Hospitalier Régional de Trois-Rivières,Trois-Rivières,QC.; Daoust R; Centre de recherche de l'Hôpital du Sacré-Cœur de Montréal,Montréal,QC.; Berthelot S; Axe Santé des populations et pratiques optimales en santé,CHU de Québec Hôpital de l'Enfant-Jésus,Québec,QC.; Morin M; Axe Santé des populations et pratiques optimales en santé,CHU de Québec Hôpital de l'Enfant-Jésus,Québec,QC.; Minh Vu TT; ††Centre de recherche du Centre hospitalier de l'Université de Montréal,Montréal,QC.; Lee J; ¶¶Sunnybrook Health Sciences Centre,Toronto,ON.; Brousseau AA; ǁǁDepartment of Family and Community Medicine,University of Toronto,Toronto,ON.; Sirois MJ; Axe Santé des populations et pratiques optimales en santé,CHU de Québec Hôpital de l'Enfant-Jésus,Québec,QC.; Émond M; Axe Santé des populations et pratiques optimales en santé,CHU de Québec Hôpital de l'Enfant-Jésus,Québec,QC. |
| Source: | CJEM [CJEM] 2018 Sep; Vol. 20 (5), pp. 753-761. Date of Electronic Publication: 2017 Oct 16. |
| Publication Type: | Journal Article; Multicenter Study |
| Language: | English |
| Journal Info: | Publisher: Springer Country of Publication: England NLM ID: 100893237 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1481-8043 (Electronic) Linking ISSN: 14818035 NLM ISO Abbreviation: CJEM Subsets: MEDLINE |
| Imprint Name(s): | Publication: 2021- : [London] : Springer; Original Publication: Ottawa : Canadian Medical Association, c1999- |
| MeSH Terms: | Emergency Service, Hospital* ; Health Status*; Delirium/*diagnosis ; Geriatric Assessment/*methods; Cognition Disorders/diagnosis ; Hospitalization/statistics & numerical data ; Aged ; Aged, 80 and over ; Female ; Frail Elderly ; Humans ; Independent Living ; Male ; Prognosis ; Prospective Studies ; Risk Assessment ; Sensitivity and Specificity |
| Abstract: | Objectives: In the fast pace of the Emergency Department (ED), clinicians are in need of tailored screening tools to detect seniors who are at risk of adverse outcomes. We aimed to explore the usefulness of the Bergman-Paris Question (BPQ) to expose potential undetected geriatric syndromes in community-living seniors presenting to the ED.; Methods: This is a planned sub-study of the INDEED multicentre prospective cohort study, including independent or semi-independent seniors (≥65 years old) admitted to hospital after an ED stay ≥8 hours and who were not delirious. Patients were assessed using validated screening tests for 3 geriatric syndromes: cognitive and functional impairment, and frailty. The BPQ was asked upon availability of a relative at enrolment. BPQ's sensitivity and specificity analyses were used to ascertain outcomes.; Results: A response to the BPQ was available for 171 patients (47% of the main study's cohort). Of this number, 75.4% were positive (suggesting impairment), and 24.6% were negative. To detect one of the three geriatric syndromes, the BPQ had a sensitivity of 85.4% (95% CI [76.3, 92.0]) and a specificity of 35.4% (95% CI [25.1, 46.7]). Similar results were obtained for each separate outcome. Odds ratio demonstrated a higher risk of presence of geriatric syndromes.; Conclusion: The Bergman-Paris Question could be an ED screening tool for possible geriatric syndrome. A positive BPQ should prompt the need of further investigations and a negative BPQ possibly warrants no further action. More research is needed to validate the usefulness of the BPQ for day-to-day geriatric screening by ED professionals or geriatricians. |
| Contributed Indexing: | Keywords: cognitive impairment; frailty; functional impairment; geriatric syndromes; seniors |
| Entry Date(s): | Date Created: 20171017 Date Completed: 20190905 Latest Revision: 20190906 |
| Update Code: | 20260130 |
| DOI: | 10.1017/cem.2017.412 |
| PMID: | 29032788 |
| Database: | MEDLINE |
Journal Article; Multicenter Study