Vulnerable older people in the community: relationship between the Vulnerable Elders Survey and health service use

Journal of the American Geriatrics Society
Hannah M McGeeDesmond O'Neill

Abstract

The Vulnerable Elders Survey (VES), a recently developed screening tool for at-risk older people in the community, has been validated in the United States. This study evaluated its profile in older Irish people. It assessed whether those categorized as vulnerable according to the VES were likely to use health services more frequently than others. Nationally representative cross-sectional interviews. Private homes in the community. Randomly selected older people (aged > or = 65) (N=2,033; 68% response). Interviews included the 13-item VES and questions on health service use. The proportion scoring as vulnerable was identical to the U.S. sample (32.1% vs 32.3%). At the community healthcare level, participants categorized as vulnerable visited their primary care physician more frequently (mean visits 6.7 vs 4.0, P<.001), had more home-based public health nurse visits (29% vs 5%, P<.001), and were more likely to have had preventive influenza vaccinations (81% vs 72%, P<.001) in the previous year. More-vulnerable older adults did not differ on assessment of blood pressure (97% vs 96%), cholesterol (82% vs 85%), or receipt of smoking advice (66% vs 52%). Vulnerable participants were more likely to have used emergency department (17% ...Continue Reading

References

Mar 15, 1991·Annals of Internal Medicine·D R CalkinsT L Delbanco
Jun 1, 1983·Acta Psychiatrica Scandinavica·A S Zigmond, R P Snaith
Dec 24, 1997·Comprehensive Psychiatry·A PapassotiropoulosW Maier
Jan 16, 2002·The Milbank Quarterly·R E GlasgowE H Wagner
Feb 8, 2002·Journal of Psychosomatic Research·Ingvar BjellandDag Neckelmann
Oct 4, 2002·The New England Journal of Medicine·Thomas M GillAmy Byers
Nov 5, 2003·Annals of Internal Medicine·Neil S WengerPaul G Shekelle
Jan 24, 2004·BMJ : British Medical Journal·Edward H Wagner
Sep 27, 2005·Journal of the American Geriatrics Society·Lillian C MinNeil S Wenger
Mar 23, 2006·Journal of the American Geriatrics Society·Lillian C MinDebra Saliba
Jul 18, 2006·The Medical Clinics of North America·Joris P J Slaets

❮ Previous
Next ❯

Citations

Sep 8, 2012·The Journal of Ambulatory Care Management·Judy H NgArlene S Bierman
Sep 21, 2010·Ageing Research Reviews·N M de VriesM W G Nijhuis-van der Sanden
Jun 22, 2012·Journal of Advanced Nursing·Julianne BallardOrla Dempsey
Jul 23, 2013·Scandinavian Journal of Caring Sciences·Mari KangasniemiAnna-Maija Pietilä
May 13, 2015·Journal of the American Association of Nurse Practitioners·Katie J RoedlJulie Fine
Mar 5, 2013·Revista da Escola de Enfermagem da U S P·Flávia de Oliveira Motta MaiaMaria Lúcia Lebrão
Sep 7, 2016·British Journal of Community Nursing·Elizabeth WeathersD William Molloy
Mar 15, 2019·Annals of Behavioral Medicine : a Publication of the Society of Behavioral Medicine·Affraic McLoughlinCaitriona Cahir
Apr 24, 2008·Journal of the American Psychoanalytic Association·Ruth Stein
Sep 12, 2019·Ciência & saúde coletiva·Juliana Fernandes CabralCleber Nascimento do Carmo
Dec 31, 2019·International Journal of Older People Nursing·Sarah Yeun-Sim JeongMichael David
Sep 25, 2014·The Annals of Pharmacotherapy·Caitriona CahirKathleen Bennett
Apr 11, 2015·Cadernos de saúde pública·Laércio Lima LuzInês Echenique Mattos
Dec 12, 2019·Revista brasileira de enfermagem·Keylla Talitha Fernandes BarbosaMaria das Graças Melo Fernandes

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.