The Vulnerable Elders Survey: A Tool for Identifying Vulnerable Older People in the Community

Saliba, Debra; Elliott, Marc N.; Rubenstein, Laurence Z.; Solomon, David H.; Young, Roy T.; Kamberg, Caren; Roth, RN Carol; MacLean, Catherine H.; Shekelle, Paul G; Sloss, Elizabeth M.; Wenger, Neil S.

doi:10.1046/j.1532-5415.2001.49281.x

Cited by 936 publications

(717 citation statements)

References 53 publications

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“…In addition, we are gathering data on patient-level process of care and outcomes tied to the CHAMP FDP course session objectives by linking to the ongoing University of Chicago Hospitalist Project, a large clinical research project that enrolls general medicine inpatients in a study examining the quality of care and resource allocation for these patients. 50 Because the ultimate goal of CHAMP is to improve the quality of care and outcomes for elderly hospitalized patients, the University of Chicago Hospitalist Project infrastructure was modified by the incorporation of the Vulnerable Elder Survey-13 51 and a process-of-care chart audit specifically based on the Assessing Care of the Vulnerable Elders Hospital Quality Indicators. 52 Preliminary work included testing and validating these measures.…”

Section: Discussionmentioning

confidence: 99%

The Curriculum for the Hospitalized Aging Medical Patient program: A collaborative faculty development program for hospitalists, general internists, and geriatricians

Podrazik

Levine

Smith

et al. 2008

Journal of Hospital Medicine

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BACKGROUND:The University of Chicago Curriculum for the Hospitalized Aging Medical Patient (CHAMP) faculty development program (FDP) is targeted at hospitalists and other internists who teach residents and students in the hospital setting. The aim of CHAMP is to increase the quantity and quality of teaching of geriatric medicine pertinent to the inpatient setting.METHODS:Hospitalist and general internist faculty members who attend on the University of Chicago Medicine teaching service were invited to participate. The CHAMP FDP consisted of twelve 4‐hour sessions. Two hours of each session covered inpatient geriatrics content, and 2 hours addressed improving clinical teaching (both general teaching skills and challenges specific to the inpatient wards) and teaching the Accreditation Council for Graduate Medical Education core competencies with geriatrics content. The evaluation included a self‐report survey of the impact on the graduates' teaching and clinical practice.RESULTS:The FDP was piloted in early 2004 with a core group of geriatrics and hospitalist faculty. Three subsequent cohorts totaling 29 hospitalist and general internal medicine faculty members completed the FDP by the fall of 2006. Faculty participants evaluated the program positively, and significant improvements in knowledge, attitudes to geriatrics, and perceived behavior in teaching and practicing geriatrics skills were found.CONCLUSIONS:The integration of teaching techniques and geriatrics content was enthusiastically accepted by University of Chicago hospitalists and general internists who teach residents and medical students in the inpatient setting. The program has potential for widespread suitability to all teaching faculty who care for the older hospitalized patient. Journal of Hospital Medicine 2008. © 2008 Society of Hospital Medicine.

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Section: Discussionmentioning

confidence: 99%

The Curriculum for the Hospitalized Aging Medical Patient program: A collaborative faculty development program for hospitalists, general internists, and geriatricians

Podrazik

Levine

Smith

et al. 2008

Journal of Hospital Medicine

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“…[2][3][4][5][6][7] As a result, medical treatment guidelines are increasingly based on prognostic information rather than on arbitrary agebased cutoffs. [8][9][10][11] In addition, prognosis impacts the likelihood of benefits and harms arising from tests or treatments with up-front harms and delayed benefits, such as cancer screenings 12,13 or medications targeted at risk factor reduction.…”

Section: Introductionmentioning

confidence: 99%

“Knowing is Better”: Preferences of Diverse Older Adults for Discussing Prognosis

et al. 2011

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“…The MCVE was determined based on the risk score derived from the Vulnerable Elders Survey of the HOS (VES‐HOS) version 2.0 instrument 10, 11. Adults aged 65+ with a VES‐HOS 2.0 Risk Score greater than or equal to 3 points were defined as the MCVE.…”

Section: Methodsmentioning

confidence: 99%

Prevalence, management and outcomes of medically complex vulnerable elderly patients with urinary incontinence in the United States

et al. 2015

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SummaryObjectivesTo assess the prevalence, patient–physician communication, treatment and health outcomes associated with urinary incontinence (UI) among the medically complex vulnerable elderly (MCVE) in the United States (US).MethodsData from the 2006 to 2012 Medicare Health Outcomes Survey (HOS) were used. MCVE patients were aged 65+ years with a HOS VE score ≥ 3. UI was reported as a small, big or no problem. Descriptive statistics were used to assess patient–physician communication and treatment. Multivariable regression analyses were performed to assess the association of small or big UI problems with various outcomes.ResultsThe annual UI prevalence increased among MCVE [from 35.8% (2006) to 38.6% (2012)]. MCVE with big UI problems communicated with their physicians more often than those with small UI problems (77.9% and 49.6%, respectively); however, treatment of UI remained low (48.5% and 29.1%, respectively). Physical component summary (PCS) and mental component summary (MCS) scores were lower among MCVE with small or big UI problems compared with those with no UI problems, respectively. The decrements in PCS and MCS scores associated with big UI problems were greater than the decrements associated with any of the other assessed conditions. MCVE with small or big UI problems, respectively, were more likely to report past falls, depression and activity daily living limitations vs. those without UI. The odds of having experienced these outcomes were greater for those with big UI vs. small UI problems.ConclusionsUrinary incontinence prevalence in the USA increased among MCVE from 2006 to 2012, although treatment of UI remained low. UI problems, particularly big UI problems, adversely impact health outcomes. Efforts to better identify and manage UI among the MCVE are needed.

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The Vulnerable Elders Survey: A Tool for Identifying Vulnerable Older People in the Community

Cited by 936 publications

References 53 publications

The Curriculum for the Hospitalized Aging Medical Patient program: A collaborative faculty development program for hospitalists, general internists, and geriatricians

The Curriculum for the Hospitalized Aging Medical Patient program: A collaborative faculty development program for hospitalists, general internists, and geriatricians

“Knowing is Better”: Preferences of Diverse Older Adults for Discussing Prognosis

Prevalence, management and outcomes of medically complex vulnerable elderly patients with urinary incontinence in the United States

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