Evidence map›Paper›PMID 33575976›Full record

Trial reportCJEM2021

Self-assessment of functional status in older emergency department patients: a cross-over randomized pilot trial.

Valérie Boucher, Marie-Eve Lamontagne, Jacques Lee, Marcel Émond

Abstract readRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in CJEM, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact, top 99% 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

2 citing papers in PubMed, 2 citations in OpenAlex.

  1. Patient-Reported Outcome Measures in the Emergency Department: A Scoping Review.Journal of the American College of Emergency Physicians open · 2026
    Review
  2. Article
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

4 authors at 4 institutions in 1 country.

Valérie BoucherAxe Santé des populations et pratiques optimales en santé, Centre de recherche du CHU de Québec-Université Laval, 1401, 18e rue, H-610, Québec, G1J 1Z4, QC, Canada.
Marie-Eve LamontagneFaculté de médecine, Université Laval, Québec, QC, Canada.
Jacques LeeDivision of Emergency Medicine, University of Toronto, Toronto, ON, Canada.
Marcel ÉmondAxe Santé des populations et pratiques optimales en santé, Centre de recherche du CHU de Québec-Université Laval, 1401, 18e rue, H-610, Québec, G1J 1Z4, QC, Canada. marcelemond1@me.com.ORCID 0000-0001-7158-8110
Centre de Santé et de Services Sociaux de la Vieille-Capitale · CACentre for Interdisciplinary Research in Rehabilitation · CAThe Quebec Population Health Research Network · CAUniversity of Toronto · CA

Funding

Fondation CHU de Québec - Université Laval 2853
6 · The paper itself

Abstract

objectiveTo assess the inter-rater reliability and feasibility of the self-assessed Older Americans Resources and Services scale compared to its administration by a research assistant in older Emergency Department (ED) patients.

methodThis is a planned sub-analysis of a single-center randomized cross-over pilot study. A convenience sample of ED patients aged ≥ 65 was constituted at the CHU de Québec-Université Laval (Hôpital de l'Enfant-Jésus) between 2018/05 and 2018/07. Research assistants assessed participants' functional status using the Older Americans Resources and Services scale and patients self-assessed using a modified Older Americans Resources and Services scale. Test administration order was randomized. The main outcome, inter-rater reliability, was measured using intraclass correlation (ICC). Feasibility was measured using self-assessment completion rate.

results67 patients were included and 60 completed self-assessment. Mean age was 74.4 ± 7.6 and 34 (56.7%) participants were women. Mean research assistant-assessed Older Americans Resources and Services scale score was 25.1 ± 3.3, while mean self-assessed Older Americans Resources and Services scale score was 26.4 ± 2.5 [ICC: 0.8 (95% CI: 0.7-0.9)]. Mean activities of daily living scores were 12.5 ± 1.8 for research assistant assessment and 13.5 ± 0.9 for self-assessment [ICC: 0.6 (95% CI: 0.4-0.7)]. Mean instrumental activities of daily living scores were 12.6 ± 1.8 and 12.9 ± 1.8 for research assistant assessment and self-assessment, respectively [ICC: 0.9 (95% CI: 0.8-0.9)].

conclusionOur results indicate that self-assessment of functional status by older ED patients is feasible, and good-to-moderate inter-rater reliability results were obtained. A self-assessed score may identify patients in need of further geriatric/functional assessment who may otherwise have been left unscreened.

Indexed as

Activities of Daily LivingSelf-AssessmentAgedAged, 80 and overEmergency Service, HospitalFemaleFunctional StatusGeriatric AssessmentHumansPilot ProjectsReproducibility of ResultsEmergency departmentFunctional statusPatient-reported outcome measureSelf-assessmentSelf-rated health

Identifiers

PMID33575976
OpenAlexW3126573230

What OpenQuestion holds

Textmetadata
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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.