The pediatric “Spine at Risk” program: 9-year review of a novel safety screening tool

2021 ◽  
Author(s):  
Amanda K. Galambas ◽  
Walter F. Krengel ◽  
Cheryl E. Parker ◽  
Ana Maria Kolenko ◽  
Samuel R. Browd ◽  
...  
Keyword(s):  
At Risk ◽  
Screening Tool ◽  
Pediatric Spine

scholarly journals The South African dysphagia screening tool (SADS): A screening tool for a developing context

2016 ◽  
Vol 63 (1) ◽  
Author(s):  
Calli Ostrofsky ◽  
Jaishika Seedat
Keyword(s):  
At Risk ◽  
Acute Stroke ◽  
South African ◽  
Screening Tool ◽  
Diagnostic Assessment ◽  
The South ◽  
Stroke Patients ◽  
Cohen’S Kappa ◽  
Cohen's Kappa ◽  
Government Hospitals

Background: Notwithstanding its value, there are challenges and limitations to implementing a dysphagia screening tool from a developed contexts in a developing context. The need for a reliable and valid screening tool for dysphagia that considers context, systemic rules and resources was identified to prevent further medical compromise, optimise dysphagia prognosis and ultimately hasten patients’ return to home or work.Methodology: To establish the validity and reliability of the South African dysphagia screening tool (SADS) for acute stroke patients accessing government hospital services. The study was a quantitative, non-experimental, correlational cross-sectional design with a retrospective component. Convenient sampling was used to recruit 18 speech-language therapists and 63 acute stroke patients from three South African government hospitals. The SADS consists of 20 test items and was administered by speech-language therapists. Screening was followed by a diagnostic dysphagia assessment. The administrator of the tool was not involved in completing the diagnostic assessment, to eliminate bias and prevent contamination of results from screener to diagnostic assessment. Sensitivity, validity and efficacy of the screening tool were evaluated against the results of the diagnostic dysphagia assessment. Cohen’s kappa measures determined inter-rater agreement between the results of the SADS and the diagnostic assessment.Results and conclusion: The SADS was proven to be valid and reliable. Cohen’s kappa indicated a high inter-rater reliability and showed high sensitivity and adequate specificity in detecting dysphagia amongst acute stroke patients who were at risk for dysphagia. The SADS was characterised by concurrent, content and face validity. As a first step in establishing contextual appropriateness, the SADS is a valid and reliable screening tool that is sensitive in identifying stroke patients at risk for dysphagia within government hospitals in South Africa.

Evaluation of the Use of a Diabetes Risk Test to Identify Prediabetes in an Employee Wellness Screening

2021 ◽  
pp. 089719002199701
Author(s):  
Eileen D. Ward ◽  
Whitney A. Hopkins ◽  
Kayce Shealy
Keyword(s):  
At Risk ◽  
American Diabetes Association ◽  
Hemoglobin A1c ◽  
Screening Tool ◽  
Screening Program ◽  
Diabetes Risk ◽  
Risk Scores ◽  
Cutoff Score ◽  
Employee Wellness ◽  
History Of

Background: The American Diabetes Association (ADA) Diabetes Risk Test (DRT) is a screening tool to identify people at risk for developing diabetes. Individuals with a DRT score of 5 or higher may have prediabetes or diabetes and should see a healthcare provider. Objective: To determine how many additional employees are identified as being at risk for developing diabetes during an employee wellness screening by using a more stringent DRT cutoff score of 4 instead of 5. Methods: During an annual employee wellness screening event, a hemoglobin A1C (A1c) was drawn for participants with a DRT score of > 4 or by request regardless of risk score. A1C values were classified as normal (<5.7%), prediabetes (>5.7 and <6.5%) or diabetes (>6.5%). Risk scores and A1C values were analyzed using descriptive statistics. Cost of additional laboratory testing was also reviewed. Results: An A1C was collected for 158 participants. Fourteen of 50 (28%) participants with a DRT of 4 had A1c values in the prediabetes range and no history of diabetes or prediabetes. Using the lower DRT score of 4 resulted in an additional expenditure of $305 with $85.40 resulting in the identification of an otherwise unaware person at risk for developing diabetes. Conclusion: Using a DRT cutoff score of 4 as part of an employee wellness screening program resulted in additional laboratory costs to identify persons at risk for developing diabetes but also allowed for earlier education to slow or stop the progression to diabetes which may reduce healthcare costs over time.

Identifying at risk nursing home residents using a polydipsia screening tool

2004 ◽  
Vol 18 (2) ◽  
pp. 60-67 ◽  
Author(s):  
Sheila A Reynolds ◽  
Marlene Wellman Schmid ◽  
Marion E Broome ◽  
Jeanne Beauchamp Hewitt
Keyword(s):  
At Risk ◽  
Nursing Home ◽  
Screening Tool ◽  
Nursing Home Residents

Predictive validity of the Identification of Seniors At Risk (ISAR) screening tool in elderly patients presenting to two Italian Emergency Departments

2009 ◽  
Vol 21 (1) ◽  
pp. 69-75 ◽  
Author(s):  
Fabio Salvi ◽  
Valeria Morichi ◽  
Annalisa Grilli ◽  
Liana Spazzafumo ◽  
Raffaella Giorgi ◽  
...  
Keyword(s):  
At Risk ◽  
Elderly Patients ◽  
Predictive Validity ◽  
Emergency Departments ◽  
Screening Tool

scholarly journals Are intense negative emotions a risk for complex divorces? An examination of the role of emotions in divorced parents and co-parenting concerns

2020 ◽  
pp. 026540752097218
Author(s):  
Heleen S. Koppejan-Luitze ◽  
Reine C. van der Wal ◽  
Esther S. Kluwer ◽  
Margreet M. Visser ◽  
Catrin Finkenauer
Keyword(s):  
At Risk ◽  
Screening Tool ◽  
Negative Emotions ◽  
Self Regulation ◽  
Emotional Distancing

In this study, we examined whether regular divorces can be distinguished from complex divorces by measuring the intensity of negative emotions that divorced parents report when thinking about their ex-partner. We recruited two groups of parents: n = 136 in a regular divorce, and n = 191 in a complex divorce. Based on the existing literature, we predicted that parents in complex divorces experience more intense negative emotions than parents in regular divorces; especially emotions that motivate emotional distancing (contempt, disgust, anger, hatred, and rage) and emotions that impair self-regulation (fear, shame, guilt, and sadness). We also predicted that these emotions would hamper co-parenting, particularly in complex divorces. The results provided support for our predictions, except for fear and sadness. We found that parents in a complex divorce reported more co-parenting concerns than parents in a regular divorce. In contrast to our expectations, the relation between negative emotions and coparenting concerns was stronger among parents in a regular divorce than in a complex divorce. These findings underline the importance of emotions in the divorce trajectory and suggest that especially the intensity of emotional distancing emotions may serve as a screening tool to identify parents at risk for a complex divorce.

scholarly journals Assessing Diet Quality of People with Parkinson's Disease: Dietary Screening Tool Versus HEI-2015

2020 ◽  
Vol 4 (Supplement_2) ◽  
pp. 517-517
Author(s):  
Sarah Dobiszewski ◽  
Leslie Mahler ◽  
Ingrid Lofgren
Keyword(s):  
Parkinson’S Disease ◽  
At Risk ◽  
Parkinson's Disease ◽  
Diet Quality ◽  
Screening Tool ◽  
Healthy Eating Index ◽  
Assessment Tools ◽  
Nutritional Risk ◽  
Not At Risk

Abstract Objectives To assess the diet quality of people with Parkinson's Disease (PwPD) using two assessment tools: Healthy Eating Index (HEI)-2015 and the Dietary Screening Tool (DST). HEI-2015 and DST scores were compared for alignment to explore associations between HEI-2015 and DST total scores and sub-scores. Methods This secondary data analysis utilized a total of 28 participants from two studies examining PwPD and their informal caregivers. Dietary data was collected with two 24-hour recalls using the multiple pass method and entered into the Nutrition Data System for Research (NDSR). SAS Version 9.4 was used to compute HEI-2015 scores to assess diet quality. The HEI-2015 score is a total of 100 points and is based on the Dietary Guidelines for Americans for 2015–2020. Total HEI-2015 scores and 13 component scores were interpreted using the graded approach (grades A-F). Radar graphs provide a visual representation. Participants also completed the DST. The DST is a 25-item questionnaire used to identify dietary patterns and assess nutritional risk. Total scores were categorized into at risk &lt;60, possibly risk 60–75, and not at risk &gt;75. Sub-scores were calculated with point classifications for specific food categories. These sub-scores were divided into tertials of recommended intakes less than 50%, 50–80% and 80–100%, and compared for alignment between DST sub-scores and HEI-2015 sub-scores by assessing total number of pairs per category. Results The mean total score was 59.4 ± 28.6 for DST and 58.7 ± 22.2 for HEI-2015. HEI-2015 scores fell into grades of A (n = 0) B (n = 3) C (n = 3) D (n = 7) F (n = 14). PwPD who were categorized at risk from the DST scores (n = 18) received an HEI grade of D/F. PwPD who were at possible risk (n = 7) received a grade of B/C/D. PwPD who were not at risk (n = 3) received a grade of B/C/D for sub-scores, vegetable intake had a 50% alignment in scores, fat/sugar 43% alignment, whole grains and dairy 46% alignment and fruit 39% alignment. Conclusions There appeared to be partial alignment between the total HEI-2015 scores and DST nutritional risk scores. Sub-scores differ 50% of the time. Due to differences between the assessment tools, more research is needed to validate the DST in PwPD as this can be a less taxing assessment compared with 24-hour recalls. Funding Sources There was no external funding for this study.

P2607Quick nutritional assessment and prognosis in outpatients with heart failure with mid-range ejection fraction

2019 ◽  
Vol 40 (Supplement_1) ◽  
Author(s):  
E Zamora ◽  
B Gonzalez ◽  
C Rivas ◽  
V Diaz ◽  
P Velayos ◽  
...  
Keyword(s):  
Heart Failure ◽  
Body Mass Index ◽  
At Risk ◽  
Ejection Fraction ◽  
Nutritional Status ◽  
Body Mass ◽  
Screening Tool ◽  
Nutritional Assessment ◽  
Functional Class ◽  
Nyha Functional Class

Abstract Background Nutritional status is an important prognostic factor in patients with heart failure (HF) beyond body mass index, although its prognostic value in patients with mid-range left ventricular ejection fraction (HFmrEF) is not completely elucidated. In a pilot study we observed that the Mini Nutritional Assessment Short Form (MNA-SF) was the best approach for the screening of nutritional status in HF outpatients over others screening tools. Purpose To assess the prognostic role of malnutrition or risk of malnutrition in HFmrEF outpatients after the implementation of the MNA-SF screening tool in a routine way in a multidisciplinary HF. Methods The MNA-SF screening tool was administered during the global nurse evaluation of patients. The scoring ranges from 0 to 14, being 0 to7 as malnutrition status, 8 to 11 as at risk of malnutrition and 12 to 14 as normal nutritional status. For the present study those patients with malnutrition and at risk of malnutrition were merged and considered abnormal nutritional status. All-cause death was the primary end-point. Univariate and multivariate (backward conditional stepwise) Cox regression analyses were performed. Results Since October 2016 to November 2017, 153 HFmrEF patients were studied (mean age 68.8±11.7 years, 72.5% men, body mass index 28.4±4.4, LVEF 44% ± 3, NYHA class I 5.9%, II 86.3%, and III 7.8%). According to the MNA-SF 25 patients were (16.3%) fulfilled criteria of malnutrition (4) or where at risk of malnutrition (21). During a mean follow-up of 17.4±6.1 months, 23 patients died (15%). In the univariate analysis, nutritional abnormal status was significantly associated with all-cause death (HR 2.93 [1.23–7], p=0.02). In the multivariate analysis which included age, sex, NYHA functional class, body mass index, ischemic aetiology of HF and years of duration of HF, abnormal nutritional status remained significantly associated with all-cause mortality (HR 3.64 [1.39–9.54], p=0.009), together with NYHA functional class (HR 7.93 [2.69–23.4], p<0.001) and years of HF duration (HR 1.10 [1.04–1.16], p=0.001). Conclusions Nutritional status assessed with the screening MNA-SF was an independent predictor of all-cause death in ambulatory patients with HFmrEF – beyond BMI – together with NYHA functional class and HF duration.

scholarly journals A Modified Alcohol SBI for Use among Older Adults Living with HIV

2020 ◽  
Vol 42 (12) ◽  
pp. 1155-1162
Author(s):  
Annie L. Nguyen ◽  
Jordan E. Lake ◽  
Diane Preciado ◽  
Diana Liao ◽  
Alison A. Moore ◽  
...  
Keyword(s):  
Older Adults ◽  
At Risk ◽  
Alcohol Use ◽  
Risk Evaluation ◽  
Screening Tool ◽  
Hiv Care ◽  
Personalized Feedback ◽  
Evaluation Tool ◽  
Living With Hiv ◽  
Alcohol Risk

Older adults living with HIV may have health conditions that amplify the potentially negative health effects of alcohol use. We adapted the Comorbidity Alcohol Risk Evaluation Tool (CARET) screening tool for at-risk drinking to reflect HIV/AIDS and related conditions, medications, and behaviors. The adapted CARET-HIV along with a brief intervention was administered to 27 older men living with HIV. The CARET-HIV identified the same number of at-risk drinkers as the original CARET (n = 24) but identified more risk domains. Most participants welcomed receiving information about risks associated with their drinking, but some felt “embarrassed” or “guilty” discussing their drinking. This is particularly salient within the context of HIV discourse, which has historically assigned blame of HIV infection on personal choices. The SBI was generally acceptable to participants. The modified CARET can help providers integrate discussion of alcohol use into the context of HIV care for personalized feedback.

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