Results suggest that as a screening tool used within 24 hours of admission, SPICES is both valid and predictive of adverse events.Older adult inpatients admitted to acute hospital are particularly vulnerable to adverse hospital events associated with factors related to frailty [1, 2].
While the former is a primary aim of research-led studies largely designed to evaluate the efficacy of new treatments, the latter is the primary clinical objective in the day-to-day management of asthma.
Phase 1 was to develop the tool based on a literature review and on consultation with qualitative researchers.
Phase 2 was an inter-rater reliability test in which 40 health professionals participated.
Composite outcome measures that incorporate a range of endpoints in a single definition allow a range of important disease characteristics to be taken into account.
In chronic obstructive pulmonary disease this type of composite measure has been shown to have superior predictive properties, compared to the individual endpoints comprising the composite [Our aim was to validate two guideline-based measures of asthma control.
A support organization working with the SCAT will identify appropriate indicators, develop an appropriate scoring nomenclature, and begin to develop a strategy for implementing a program of organizational capacity assessments.