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[SEGA frailty scale in emergency: back to basics].
Abrar-Ahmad Zulfiqar1, Mathieu Fresne2, André Gillibert3
1Département de médecine interne, CHRU Strasbourg, Hôpital Civil, Strasbourg, France.
Summary
The SEGA scale effectively predicts mortality in older adults in the emergency department. A high SEGA score (≥12) indicates a significantly increased risk of death or readmission within one year.
Area of Science:
- Geriatric Medicine
- Emergency Medicine
- Clinical Assessment Tools
Context:
- Older adults frequently present to emergency departments with complex health needs.
- Accurate prognostication is crucial for appropriate patient management and resource allocation.
- Existing tools may not fully capture the frailty and risk profile of this population.
Purpose:
- To evaluate the predictive accuracy of the SEGA (Scale for Elderly General Assessment) score for morbidity and mortality in patients over 65 presenting to the emergency department.
- To compare the prognostic value of the SEGA score against the Charlson Comorbidity Index and admission diagnosis.
Summary:
- A prospective study included 278 patients aged over 65 in the emergency department.
- The SEGA score was calculated, and patient outcomes (death, readmission) were tracked for one year.
- A SEGA score ≥12 was associated with a 31% risk of death and 52.8% risk of death or readmission at 12 months, significantly higher than for lower scores.
Impact:
- The SEGA score offers valuable prognostic information for older adults in the emergency department.
- It can aid clinicians in identifying high-risk individuals who may benefit from targeted interventions.
- Findings suggest the SEGA score provides prognostic insights beyond traditional measures like the Charlson score.
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