Evidence map›Paper›PMID 28320329›Full record

ArticleBMC geriatrics2017

External validation of the Vulnerable Elder's Survey for predicting mortality and emergency admission in older community-dwelling people: a prospective cohort study.

Emma Wallace, Ronald McDowell, Kathleen Bennett, Tom Fahey, Susan M Smith

Open access · goldAbstract read
In one paragraph

Article in BMC geriatrics, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
0.9field-weighted citation impact, top 27% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 15 citations in OpenAlex.

  1. Article
  2. Adverse drug reactions and associated patient characteristics in older community-dwelling adults: a 6-year prospective cohort study.The British journal of general practice : the journal of the Royal College of General Practitioners · 2023
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 1 institution in 1 country.

Emma WallaceHRB Centre for Primary Care Research, Royal College of Surgeons in Ireland (RCSI), 123 Stephen's green, Dublin 2, Ireland. emmawallace@rcsi.ie.
Ronald McDowellHRB Centre for Primary Care Research, Royal College of Surgeons in Ireland (RCSI), 123 Stephen's green, Dublin 2, Ireland.
Kathleen BennettPopulation Health Sciences Division, Royal College of Surgeons of Ireland (RCSI), Dublin 2, Ireland.
Tom FaheyHRB Centre for Primary Care Research, Royal College of Surgeons in Ireland (RCSI), 123 Stephen's green, Dublin 2, Ireland.
Susan M SmithHRB Centre for Primary Care Research, Royal College of Surgeons in Ireland (RCSI), 123 Stephen's green, Dublin 2, Ireland.
Royal College of Surgeons in Ireland · IE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundProspective external validation of the Vulnerable Elder's Survey (VES-13) in primary care remains limited. The aim of this study is to externally validate the VES-13 in predicting mortality and emergency admission in older community-dwelling adults.

methodsDesign: Prospective cohort study with 2 years follow-up (2010-2012).

setting15 General Practices (GPs) in the Republic of Ireland.

participantsn = 862, aged ≥70 years, community-dwellers Exposure: VES-13 calculated at baseline, where a score of ≥3 denoted high risk. OUTCOMES: i) Mortality; ii) ≥1 Emergency admission and ≥1 ambulatory care sensitive (ACS) admission over 2 years. STATISTICAL ANALYSIS: Descriptive statistics, model discrimination (c-statistic) and sensitivity/specificity.

resultsOf 862 study participants, a total of 246 (38%) were classified as vulnerable at baseline. Fifty-three (6%) died during follow-up and 246 (29%) had an emergency admission. At the VES-13 cut-point of ≥3 denoting high-risk model discrimination was poor for mortality (c-statistic: 0.61 (95% CI 0.54, 0.67), ≥1 emergency admission (c-statistic: 0.59 (95% CI 0.56, 0.63) and ≥1 ACS emergency admission (c-statistic: 0.63 (95% CI 0.60, 0.67).

conclusionsIn this study the VES-13 demonstrated relatively limited predictive accuracy in predicting mortality and emergency admission. External validation studies examining the tool in different health settings and healthier populations are needed and represent an interesting area for future research.

Indexed as

HospitalizationAgedAged, 80 and overFemaleHumansIrelandMaleProspective StudiesReproducibility of ResultsRisk AssessmentSensitivity and SpecificitySurveys and Questionnaires

Identifiers

PMID28320329
PMCPMC5359866
OpenAlexW2600804115

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.