Development and evaluation of the GEMS (gait, eyesight, mental state, sedation) tool as an aid to predict outcome after hospitalization.

摘要: Aim:  Discharge planning can be a lengthy process. Prediction of patient's rehabilitation potential and likely discharge destination, early on in their admission, could useful guide for medics, therapists, patients carers. Reliable prediction used to improve efficiency planning. The aim the present study was identify factors linked residential or nursing home placement develop tool requirements. Methods:  This three-phase prospective observational with blinded end-point evaluation two non-acute hospitals. recruited 1174 admitted rehabilitation, over 65 years age. Phase 1 evaluated 200 predisposing institutional discharge. GEMS (gait, eyesight, mental state, sedation) formulated validated ward which it developed (phase 2a) other wards at same hospital 2b). In phase 3, remotely. Results:  Patients discharged were significantly more have abnormal vision (P = 0.01, 95% confidence interval [CI] = 0.18–0.81), impaired cognitive function (P = 0.012, CI = 0.19–0.81), gait abnormalities CI = 0.18–0.79), taking tranquillizers (sedation) (P = 0.0001, CI = 0.01–0.45). Over three phases, had sensitivity 61.4–88.1% specificity 28.9–61.0%. Conclusion:  A score 2 is associated placement. aid direct service provision. Geriatr Gerontol Int 2011; 11: 8–15.