Hospital Readmission Risks Screening for Older Adult with Stroke: Tools Development and Validation of a Prediction
Open Access
- 1 May 2021
- journal article
- research article
Abstract
Hospital readmission of stroke elderly remains a need for detecting preventable risks. This study aims to develop a Readmission Stroke Screening Tool or RRST. The mixed research design was employed, phase1; systematic reviews from 193 articles extracting to be 14 articles, 9 experts' consensus, and try out the RRST Internal consistency; IOC = .93, ICC = between .93 and .56, phase 2; Data collecting 150 of strokes patients in the stroke units during 2019 to 2020; 30 nurses employed the RRST to screen stroke elderly before discharge. Statistical analysis, Exploring Principal Factor Analysis to test the best predictor factor, and Confirmatory Factor Analysis to test the model identity were employed. Results: The multi-domain RRST; 4 factors: Intra, inter, and external factors of patients can predict the hospital readmission of Stroke elderly at a high level in 28 days. The ADL: Activities in the Daily life domain was the highest level of predicting (Eigen Value = 6.76, 1.15, Variances = 79.19%) significantly. 53.3% of user nurses reflected; the RRST tool's effectiveness was achievable in usefulness, benefit, accuracy, and easy to use; however, the rest users identified to improve the RRST easier and quicker. Conclusion; The new RRST; can predict the high-risk readmission effectively = 92.5%. User nurses satisfied the RRST predicted quality. the multi-domain RRST could be detecting the Thai Stroke's high-risk group for reducing avoidable risks, suggestion; more effort will be investigated prospectively in readmission by expanded volume of the Asian' Stroke elderly for increasing accuracy predicting and extended tool quality utilized standard scored correctlyThis publication has 31 references indexed in Scilit:
- Innovative tools for quality assessment: integrated quality criteria for review of multiple study designs (ICROMS)Public Health, 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.2015
- Towards a better understanding of readmissions after stroke: partnering with stroke survivors and caregiversJournal of Clinical Nursing, 2014
- Factors Associated With 28-Day Hospital Readmission After Stroke in AustraliaStroke, 2013
- Barthel Index for Stroke TrialsStroke, 2011
- Assessing Goodness of Fit: Simple Rules of Thumb Simply Do Not WorkOrganizational Research Methods, 2010
- Medical complications after strokeThe Lancet Neurology, 2010
- Validation of the Triage Risk Stratification Tool to Identify Older Persons at Risk for Hospital Admission and Returning to the Emergency DepartmentJournal of the American Geriatrics Society, 2008
- An Empirical Evaluation of the Use of Fixed Cutoff Points in RMSEA Test Statistic in Structural Equation ModelsSociological Methods & Research, 2008
- Screening for risk of readmission of patients aged 65 years and above after discharge from the emergency department: predictive value of four instrumentsEuropean Journal of Emergency Medicine, 2007