دورية أكاديمية
The interRAI COVID-19 vulnerability screener: Results of a health surveillance initiative for vulnerable adults in the community during the COVID-19 pandemic.
| العنوان: | The interRAI COVID-19 vulnerability screener: Results of a health surveillance initiative for vulnerable adults in the community during the COVID-19 pandemic. |
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| المؤلفون: | Hogeveen S; McMaster Institute for Research on Aging, McMaster University, MIP Suite 109A, 1280 Main Street West, Hamilton, ON L8S 4K1, Canada. Electronic address: hogevees@mcmaster.ca., Donaghy-Hughes M; Canadian College of Naturopathic Medicine, 1255 Sheppard Ave East, North York, ON M2K1E2, Canada. Electronic address: mdonaghyhughes@ndnet.ccnm.edu., Nova A; School of Public Health Sciences, University of Waterloo, 200 University Ave. W, Waterloo, ON N2L 3G1, Canada. Electronic address: aanova@uwaterloo.ca., Saari M; SE Research Centre, 90 Allstate Parkway, Suite 300, Markham, Ontario L3R 6H3, Canada. Electronic address: margaret.saari@utoronto.ca., Sinn CJ; McMaster Institute for Research on Aging, McMaster University, MIP Suite 109A, 1280 Main Street West, Hamilton, ON L8S 4K1, Canada. Electronic address: sinnc1@mcmaster.ca., Northwood M; Faculty of Nursing, McMaster University, 1280 Main Street West, Hamilton, ON L8S 4K1, Canada. Electronic address: northwm@mcmaster.ca., Heckman G; School of Public Health Sciences, University of Waterloo, 200 University Ave. W, Waterloo, ON N2L 3G1, Canada. Electronic address: ggheckman@uwaterloo.ca., Geffen L; Samson Institute for Ageing Research, 9 Gorge Road, Vredehoek 8001, South Africa. Electronic address: lgeffen@sifar.org.za., Hirdes JP; School of Public Health Sciences, University of Waterloo, 200 University Ave. W, Waterloo, ON N2L 3G1, Canada. Electronic address: hirdes@uwaterloo.ca. |
| المصدر: | Archives of gerontology and geriatrics [Arch Gerontol Geriatr] 2023 Oct; Vol. 113, pp. 105056. Date of Electronic Publication: 2023 May 05. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Elsevier Biomedical Press Country of Publication: Netherlands NLM ID: 8214379 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1872-6976 (Electronic) Linking ISSN: 01674943 NLM ISO Abbreviation: Arch Gerontol Geriatr Subsets: MEDLINE |
| أسماء مطبوعة: | Original Publication: Amsterdam : Elsevier Biomedical Press, c1982- |
| مواضيع طبية MeSH: | COVID-19*/epidemiology, Humans ; Aged ; Pandemics ; Self Report ; Loneliness/psychology ; Independent Living |
| مستخلص: | During the pandemic, the interRAI COVID-19 Vulnerability Screener (CVS) was used to identify community-dwelling older adults or adults with disabilities at risk of negative outcomes and facilitate triage for follow-up with health/social services. The interRAI CVS, a standardized self-report instrument administered virtually by a lay-person, includes COVID-19-related items and psychosocial and physical vulnerability. Our objective was to describe those assessed and identify sub-groups at highest risk of adverse outcomes. Seven community-based organizations in Ontario, Canada, implemented the interRAI CVS. We used descriptive statistics to report results and created a priority indicator for monitoring and/or intervention based on possible COVID-19 symptoms and psychosocial/physical vulnerabilities. We used logistic regression to examine the association between priority level and risk of poor outcomes using fair/poor self-rated health as a proxy measure. The sample included 942 adults assessed (April-November 2020; mean age=79). About 10% of individuals reported potential COVID-19 symptoms and <1% had a positive COVID-19 test/diagnosis. Of those with psychosocial/physical vulnerabilities (73.1%), most common were depressed mood (20.9%), loneliness (21.6%), and limited access to food/medications (7.5%). Overall, 45.7% had a recent doctor or nurse practitioner visit. Odds of fair/poor self-reported health were highest among those who reported both possible symptoms of COVID-19 and psychosocial/physical vulnerabilities (OR 10.9, 95% CI 5.96-20.12) compared to those with neither symptoms nor psychosocial/physical vulnerabilities. The sample represents a population largely unaffected by COVID-19 itself but with identified vulnerabilities. The interRAI CVS allows community providers to stay connected and obtain a better understanding of vulnerable individuals' needs during the pandemic. Competing Interests: Declaration of Competing Interest None. (Copyright © 2023. Published by Elsevier B.V.) |
| فهرسة مساهمة: | Keywords: COVID-19; Older adults; Screening; Surveillance; Vulnerability; interRAI |
| تواريخ الأحداث: | Date Created: 20230519 Date Completed: 20230807 Latest Revision: 20230807 |
| رمز التحديث: | 20230807 |
| مُعرف محوري في PubMed: | PMC10159666 |
| DOI: | 10.1016/j.archger.2023.105056 |
| PMID: | 37207541 |
| قاعدة البيانات: | MEDLINE |
Full Text via ClinicalKey 
Full Text Finder | تدمد: | 1872-6976 |
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| DOI: | 10.1016/j.archger.2023.105056 |