{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,8]],"date-time":"2025-10-08T15:44:23Z","timestamp":1759938263658},"reference-count":39,"publisher":"Hindawi Limited","license":[{"start":{"date-parts":[[2015,1,1]],"date-time":"2015-01-01T00:00:00Z","timestamp":1420070400000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/3.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Journal of Aging Research"],"published-print":{"date-parts":[[2015]]},"abstract":"<jats:p>The Risk Instrument for Screening in the Community (RISC) is a short, global risk assessment to identify community-dwelling older adults\u2019 one-year risk of institutionalisation, hospitalisation, and death. We investigated the contribution that the three components of the RISC (<jats:italic>concern<\/jats:italic>, its<jats:italic>severity<\/jats:italic>, and the ability of the<jats:italic>caregiver network<\/jats:italic>to manage concern) make to the accuracy of the instrument, across its three domains (mental state, activities of daily living (ADL), and medical state), by comparing their accuracy to other assessment instruments in the prospective Community Assessment of Risk and Treatment Strategies study. RISC scores were available for 782 patients. Across all three domains each subtest more accurately predicted institutionalisation compared to hospitalisation or death. The<jats:italic>caregiver network\u2019s<\/jats:italic>ability to manage ADL more accurately predicted institutionalisation (AUC 0.68) compared to hospitalisation (AUC 0.57,<mml:math xmlns:mml=\"http:\/\/www.w3.org\/1998\/Math\/MathML\" id=\"M1\"><mml:mi>P<\/mml:mi><mml:mo>=<\/mml:mo><mml:mn>0.01<\/mml:mn><\/mml:math>) or death (AUC 0.59,<mml:math xmlns:mml=\"http:\/\/www.w3.org\/1998\/Math\/MathML\" id=\"M2\"><mml:mi>P<\/mml:mi><mml:mo>=<\/mml:mo><mml:mn>0.046<\/mml:mn><\/mml:math>), comparing favourably with the Barthel Index (AUC 0.67). The<jats:italic>severity<\/jats:italic>of ADL (AUC 0.63), medical state (AUC 0.62), Clinical Frailty Scale (AUC 0.67), and Charlson Comorbidity Index (AUC 0.66) scores had similar accuracy in predicting mortality. Risk of hospitalisation was difficult to predict. Thus, each component, and particularly the<jats:italic>caregiver network<\/jats:italic>, had reasonable accuracy in predicting institutionalisation. No subtest or assessment instrument accurately predicted risk of hospitalisation.<\/jats:p>","DOI":"10.1155\/2015\/256414","type":"journal-article","created":{"date-parts":[[2015,8,5]],"date-time":"2015-08-05T21:02:41Z","timestamp":1438808561000},"page":"1-7","source":"Crossref","is-referenced-by-count":6,"title":["Which Part of a Short, Global Risk Assessment, the Risk Instrument for Screening in the Community, Predicts Adverse Healthcare Outcomes?"],"prefix":"10.1155","volume":"2015","author":[{"given":"R\u00f3n\u00e1n","family":"O\u2019Caoimh","sequence":"first","affiliation":[{"name":"Centre for Gerontology and Rehabilitation, University College Cork, St. Finbarr\u2019s Hospital, Douglas Road, Cork, Ireland"},{"name":"COLLAGE (Collaboration on Ageing), University College Cork, Cork City and Louth Age Friendly County Initiative, County Louth, Ireland"}]},{"given":"Carol","family":"FitzGerald","sequence":"additional","affiliation":[{"name":"Centre for Gerontology and Rehabilitation, University College Cork, St. Finbarr\u2019s Hospital, Douglas Road, Cork, Ireland"}]},{"given":"Una","family":"Cronin","sequence":"additional","affiliation":[{"name":"Centre for Gerontology and Rehabilitation, University College Cork, St. Finbarr\u2019s Hospital, Douglas Road, Cork, Ireland"}]},{"given":"Anton","family":"Svendrovski","sequence":"additional","affiliation":[{"name":"UZIK Consulting Inc., 86 Gerrard Street E, Unit 12D, Toronto, ON, Canada M5B 2J1"}]},{"given":"Yang","family":"Gao","sequence":"additional","affiliation":[{"name":"Centre for Gerontology and Rehabilitation, University College Cork, St. Finbarr\u2019s Hospital, Douglas Road, Cork, Ireland"}]},{"given":"Elizabeth","family":"Healy","sequence":"additional","affiliation":[{"name":"Centre for Public Health Nursing, Ballincollig and Bishopstown, County Cork, Ireland"}]},{"given":"Elizabeth","family":"O\u2019Connell","sequence":"additional","affiliation":[{"name":"Centre for Public Health Nursing, Mahon and Ballintemple, Cork, Ireland"}]},{"given":"Gabrielle","family":"O\u2019Keeffe","sequence":"additional","affiliation":[{"name":"Health Service Executive, South Lee, St. Finbarr\u2019s Hospital, Cork, Ireland"}]},{"given":"Eileen","family":"O\u2019Herlihy","sequence":"additional","affiliation":[{"name":"Centre for Gerontology and Rehabilitation, University College Cork, St. Finbarr\u2019s Hospital, Douglas Road, Cork, Ireland"}]},{"given":"Elizabeth","family":"Weathers","sequence":"additional","affiliation":[{"name":"Centre for Gerontology and Rehabilitation, University College Cork, St. Finbarr\u2019s Hospital, Douglas Road, Cork, Ireland"},{"name":"School of Nursing & Midwifery, University College Cork, Brookfield Health Sciences Complex, College Road, Cork, Ireland"}]},{"given":"Nicola","family":"Cornally","sequence":"additional","affiliation":[{"name":"Centre for Gerontology and Rehabilitation, University College Cork, St. Finbarr\u2019s Hospital, Douglas Road, Cork, Ireland"},{"name":"School of Nursing & Midwifery, University College Cork, Brookfield Health Sciences Complex, College Road, Cork, Ireland"}]},{"given":"Patricia","family":"Leahy-Warren","sequence":"additional","affiliation":[{"name":"School of Nursing & Midwifery, University College Cork, Brookfield Health Sciences Complex, College Road, Cork, Ireland"}]},{"given":"Francesc","family":"Orfila","sequence":"additional","affiliation":[{"name":"Primary Healthcare University Research Institute, IDIAP Jordi Gol, Barcelona, Spain"}]},{"given":"Constan\u00e7a","family":"Pa\u00fal","sequence":"additional","affiliation":[{"name":"UNIFAI\/ICBAS, Institute of Biomedical Sciences Abel Salazar, University of Porto, 4050-313 Porto, Portugal"}]},{"given":"Roger","family":"Clarnette","sequence":"additional","affiliation":[{"name":"School of Medicine and Pharmacology, University of Western Australia, 35 Stirling Hwy, Crawley, WA 6009, Australia"}]},{"given":"D. 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