{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,6]],"date-time":"2026-03-06T17:50:49Z","timestamp":1772819449999,"version":"3.50.1"},"reference-count":27,"publisher":"SLACK, Inc.","issue":"8","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Gerontol Nurs"],"published-print":{"date-parts":[[2017,8]]},"abstract":"<jats:p>\n            Following an emergency department (ED) visit, older adults are more likely to experience poorer outcomes than younger adults. It is crucial to identify older patients using a validated tool. One of the most studied tools is the Identification of Seniors at Risk (ISAR), which is used to identify older adults at risk of adverse outcomes after ED admission. The purpose of the current study was to examine the sensitivity, specificity, and interrater reliability of the Portuguese version of the ISAR when considering early (30 days) and late (180 days) outcomes. Four hundred two older adults presenting in EDs from January 2013 to August 2014 were prospectively enrolled and surveyed. The ISAR threshold (cutoff =2) presented a better compromise between sensitivity (81.8% to 88.7%) and specificity (14.7% to 28.1%) when compared to cutoffs =1 or =3, respectively. Interrater reliability results were very good (0.81 to 0.94). Overall, the Portuguese ISAR appears worthwhile for screening older adults at risk in EDs. [\n            <jats:italic>Journal of Gerontological Nursing<\/jats:italic>\n            ,\n            <jats:italic>43<\/jats:italic>\n            (8), 18\u201324.]\n          <\/jats:p>","DOI":"10.3928\/00989134-20170405-02","type":"journal-article","created":{"date-parts":[[2017,4,11]],"date-time":"2017-04-11T18:46:28Z","timestamp":1491936388000},"page":"18-24","source":"Crossref","is-referenced-by-count":1,"title":["Portuguese Older Adults Presenting at the Emergency Department: Predictive Validity of the Identification of Seniors at Risk (ISAR) Tool"],"prefix":"10.3928","volume":"43","author":[{"given":"Jo\u00e3o Paulo","family":"de Almeida Tavares","sequence":"first","affiliation":[]},{"given":"Pedro","family":"Sa-Couto","sequence":"additional","affiliation":[]},{"given":"Marie","family":"Boltz","sequence":"additional","affiliation":[]},{"given":"Elizabeth","family":"Capezuti","sequence":"additional","affiliation":[]}],"member":"2308","reference":[{"key":"e_1_3_1_2_1","first-page":"e7","article-title":"Geriatric emergency department guidelines","volume":"63","author":"American College of Emergency Physicians, American Geriatrics Society, Emergency Nurses Association & Society for Academic Emergency Medicine","year":"2013","unstructured":"American College of Emergency Physicians, American Geriatrics Society, Emergency Nurses Association & Society for Academic Emergency Medicine. 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Lisbon, Portugal: Author."},{"key":"e_1_3_1_18_1","first-page":"1","article-title":"National hospital ambulatory medical care survey: 2007 emergency department summary","volume":"26","author":"Niska R.","year":"2010","unstructured":"Niska R., Bhuiya F., Xu J. (2010). National hospital ambulatory medical care survey: 2007 emergency department summary. National Health Statistics Reports, 26, 1\u201331.","journal-title":"National Health Statistics Reports"},{"key":"e_1_3_1_19_1","doi-asserted-by":"publisher","DOI":"10.1111\/jgs.12072"},{"key":"e_1_3_1_20_1","first-page":"A4828","article-title":"The Identification of Seniors at Risk screening tool is useful for predicting acute readmissions","volume":"61","author":"Rosted E.","year":"2014","unstructured":"Rosted E., Schultz M., Dynesen H., Dahl M., S\u00f8rensen M., Sanders S. (2014). The Identification of Seniors at Risk screening tool is useful for predicting acute readmissions. Danish Medical Journal, 61, A4828.","journal-title":"Danish Medical Journal"},{"key":"e_1_3_1_21_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11739-007-0081-3"},{"key":"e_1_3_1_22_1","doi-asserted-by":"publisher","DOI":"10.1007\/s12603-011-0155-9"},{"key":"e_1_3_1_23_1","doi-asserted-by":"publisher","DOI":"10.1007\/BF03324901"},{"key":"e_1_3_1_24_1","doi-asserted-by":"publisher","DOI":"10.1159\/000358825"},{"key":"e_1_3_1_25_1","first-page":"14","article-title":"Identification of Seniors at Risk in the emergency room: What reality? [article in Portuguese]","volume":"4","author":"Tavares J.P.","year":"2012","unstructured":"Tavares J.P. (2012). Identification of Seniors at Risk in the emergency room: What reality? [article in Portuguese]. Journal of Aging and Innovation, 4, 14\u201325.","journal-title":"Journal of Aging and Innovation"},{"key":"e_1_3_1_26_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00391-014-0852-1"},{"key":"e_1_3_1_27_1","unstructured":"World Health Organization & National Institute of Aging. (2011). Global health and ageing . Retrieved from http:\/\/www.who.int\/ageing\/publications\/global_health.pdf?ua=1"},{"key":"e_1_3_1_28_1","first-page":"4778","article-title":"A systematic review of the Identification of Seniors at Risk (ISAR) tool for the prediction of adverse outcome in elderly patients seen in the emergency department","volume":"8","author":"Yao J.-L.","year":"2015","unstructured":"Yao J.-L., Fang J., Lou Q.-Q., Anderson R.M. (2015). A systematic review of the Identification of Seniors at Risk (ISAR) tool for the prediction of adverse outcome in elderly patients seen in the emergency department. 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