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Validating SPICES as a Screening Tool for Frailty Risks among Hospitalized Older Adults

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  • Harriet Udin Aronow
  • Jeff Borenstein
  • Flora Haus
  • Glenn D. Braunstein
  • Linda Burnes Bolton

Abstract

Older patients are vulnerable to adverse hospital events related to frailty. SPICES, a common screening protocol to identify risk factors in older patients, alerts nurses to initiate care plans to reduce the probability of patient harm. However, there is little published validating the association between SPICES and measures of frailty and adverse outcomes. This paper used data from a prospective cohort study on frailty among 174 older adult inpatients to validate SPICES. Almost all patients met one or more SPICES criteria. The sum of SPICES was significantly correlated with age and other well-validated assessments for vulnerability, comorbid conditions, and depression. Individuals meeting two or more SPICES criteria had a risk of adverse hospital events three times greater than individuals with either no or one criterion. Results suggest that as a screening tool used within 24 hours of admission, SPICES is both valid and predictive of adverse events.

Suggested Citation

  • Harriet Udin Aronow & Jeff Borenstein & Flora Haus & Glenn D. Braunstein & Linda Burnes Bolton, 2014. "Validating SPICES as a Screening Tool for Frailty Risks among Hospitalized Older Adults," Nursing Research and Practice, Hindawi, vol. 2014, pages 1-5, April.
    • Handle: RePEc:hin:jnlnrp:846759
    DOI: 10.1155/2014/846759
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    Cited by:

    1. Michele McGrath & Mari Botti & Bernice Redley, 2017. "Clinicians’ perceptions and recognition of practice improvement strategies to prevent harms to older people in acute care hospitals," Journal of Clinical Nursing, John Wiley & Sons, vol. 26(23-24), pages 4936-4944, December.

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