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Reliability of an Online Geriatric Assessment Procedure Using the interRAI Acute Care Assessment System
Melinda G Martin-Khan1,2, Helen Edwards3, Richard Wootton4
1Centre for Research in Geriatric Medicine, University of Queensland, Woolloongabba, Queensland, Australia.
Journal of the American Geriatrics Society
|August 24, 2017
Summary
Online geriatric triage decisions using comprehensive geriatric assessment (CGA) are as reliable as traditional face-to-face (FTF) assessments. This study found no significant difference in decision-making accuracy between online and FTF methods for geriatric care.
Area of Science:
- Geriatric Medicine
- Health Informatics
- Clinical Decision Making
Background:
- Traditional face-to-face (FTF) comprehensive geriatric assessment (CGA) is crucial for effective geriatric triage.
- The integration of online assessment tools presents a potential alternative to conventional methods.
- Evaluating the reliability of online CGA is essential for its adoption in clinical practice.
Purpose of the Study:
- To compare the reliability of geriatric triage decisions made via online CGA versus FTF CGA.
- To determine if online comprehensive geriatric assessment (CGA) is non-inferior to face-to-face (FTF) assessments.
Main Methods:
- A multisite, noninferiority prospective cohort study involving two specialist geriatricians.
- Participants underwent sequential assessments: one FTF and one either FTF or online (OL).
- Nurse-administered online CGA utilized the interRAI Acute Care system and online clinical data.
Main Results:
- Overall agreement was high in both groups: 88% for FTF-FTF and 91% for OL-FTF.
- The difference in agreement (-3%) indicated no significant difference between online and FTF assessments.
- Reliability was consistent across both assessment modes for diagnoses, medication management, and prognosis.
Conclusions:
- Online comprehensive geriatric assessment (CGA) is a reliable method for clinical triage decisions.
- Nurse-administered online CGA demonstrates comparable reliability to conventional face-to-face assessments.
- This supports the use of online platforms for geriatric care decision-making.
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