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Tools that assess functional decline: systematic literature review update
1International Centre for Allied Health Evidence, University of South Australia, Adelaide, Australia. kate.beaton@unisa.edu.au
Clinical Interventions in Aging
|May 11, 2013
Summary
Screening tools for functional decline in the elderly are crucial for early intervention. Seven reliable tools are available, but their real-world application and impact in emergency settings require further investigation.
Area of Science:
- Geriatric Medicine
- Public Health
- Healthcare Management
Background:
- Screening for functional decline in older adults is vital in healthcare to prevent downstream deterioration.
- Effective screening tools require robust psychometric properties and clinical utility.
Purpose of the Study:
- To identify new screening tools for geriatric functional decline published since 2008.
- To evaluate recent research on the psychometric properties of existing tools.
Main Methods:
- An updated systematic literature review was conducted.
- Databases were searched using established terms, and reference lists were hand-searched.
- Screening tools applicable to hospital emergency departments were included.
Main Results:
- Two new tools (Simplified PROFUNCTION index, Brief Risk Identification for Geriatric Health Tool) were identified.
- Six additional papers assessed the psychometric properties of four previously identified tools.
- Seven relevant screening tools demonstrated similar validity and reliability.
Conclusions:
- Multiple screening tools show applicability across diverse older populations and cultures.
- Identification of Seniors at Risk is the most frequently reported tool.
- Further research is needed on the practical application and effectiveness of these tools in emergency departments and community interventions.
