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Table 5 Standard Set of Outcome Domains for Older People

From: Standard set of health outcome measures for older persons

Tiers

Outcome Domains

Supporting Information

Suggested Data Sources

Tier 1

Overall Survival

All cause survival

Administartive data

Place of Death

Whether a preferred place to die has been expressed, the patient died in their usual place of residence and whether they died in their preferred place of death (if previously expressed)

Clinical data

Frailty

Tracked via the Canadian Study on Health & Aging Clinical Frailty Scale

Clinical data

Tier 2

PolypharmacyS190-191

Includes the total number of prescribed medications, adverse drug events and whether medications make the patient unwell

Clinical data, Patient reported

FallsS192

How many falls has the patient sustained in the last 12 months and how many falls have resulted in a fracture, need for any professional medical attention and hospitalization

Clinical data, Patient reported

Particiapation in decision making

Includes confidence in; ability to cope with own health, role as participant in care (involved in discussions, planning) and healthcare professionals. Also includes the experience of having been treated with dignity and respect, coordination of care and discharge to place of choice

Patient reported

Time spent in hospital

Number of hospital admissions, readmissions and total time spent in hospital over a year

Administrative data

Tier 3

Loneliness and isolation S193

Tracked via the UCLA- 3-item scale

Patient reported

Activities of daily livingS194-195

Includes mobility and limitations to activities of daily living and tracked via the SF-36 and gait speed

Clinical data, Patient reported

PainS196

Tracked via the SF-36

Patient reported

Mood and emotional healthS197

Tracked via the SF-36

Patient reported

Autonomy and controlS198

How much control the patient has over their daily life tracked via the Adult Social Care Outcomes Toolkit

Patient reported

Carer burdenS199

Carer reported burden tracked via the 4-item screening Zarit Burden Interview

Carer reported

  1. Key to Table 5
  2. UCLA University of California, Los Angeles -3 Item Scale [59]
  3. SF36 Short Form (36) Health Survey [60]
  4. ASCOT Adult Social Care Outcomes Toolkit [61]
  5. ZBI Zarit Burden Interview [62]
  6. CSHACFS Canadian Study of Health and Ageing Clinical Frailty Scale [63]
  7. Polypharmacy
  8. S190. Tjia J, Velten SJ, Parsons C et al. Studies to reduce unnecessary medication use in frail older adults: a systematic review. Drugs Aging 2013;30(5):285-307
  9. S191. Shrank WH, Polinski JM, Avorn J. Quality indicators for medication use in vulnerable elders. J Am Geriatr Soc 2007;55 Suppl 2: S373-82
  10. Falls
  11. S192. Chang JT, Ganz DA. Quality indicators for falls and mobility problems in vulnerable elders. J Am Geriatr Soc 2007;55 Suppl 2: S327-34
  12. Loneliness and isolation
  13. S193. Hughes ME, Waite LJ, Hawkley LC et al. A short scale for measuring loneliness in large surveys: Results from two population-based studies. Res Aging 2004;26(6):655–672
  14. Activities of daily living
  15. S194. 36-Item Short Form Survey (SF-36). Available at http://www.rand.org/health/surveys_tools/mos/36-item-short-form.html Accessed on the 13 November 2016
  16. S7195. Peel NM, Kuys SS, Klein K. Gait speed as a measure in geriatric assessment in clinical settings: a systematic review. J Gerontol A Biol Sci Med Sci 2013;68(1):39-46
  17. Pain
  18. S196. 36-Item Short Form Survey (SF-36). Available at http://www.rand.org/health/surveys_tools/mos/36-item-short-form.html Accessed on the 13 November 2016
  19. Mood and emotional health
  20. S197. 36-Item Short Form Survey (SF-36). Available at: http://www.rand.org/health/surveys_tools/mos/36-item-short-form.html Accessed on the 13 November 2016
  21. Autonomy and control
  22. S198. Available at: http://www.pssru40.org.uk/ascot Accessed on the 13 November 2016
  23. Carer burden
  24. S199. Bedard M, Molloy DW, Squire L et al. The Zarit Burden Interview: a new short version and screening version. Gerontologist 2001;41: 652-657