The Performance Assessment of Self-Care Skills to Predict Adverse Events Post-Discharge. (June 2022)

• Record Type: Journal Article
• Authors: Grenier, Ariane; Viscogliosi, Chantal; Delli-Colli, Nathalie; Mortenson, William Ben; Macleod, Heather; Lemieux-Courchesne, Annie-Claude; Provencher, Véronique
• Is Part Of: Canadian journal of occupational therapy. Volume 89:Number 2(2022)
• Page Start: 190
• Page End: 200
• Publication Date: 2022-06
• Subjects: Activities of daily living -- Geriatrics -- Patient discharge -- Risk assessment -- Task performance and analysis; Activités de la vie quotidienne -- congé de l'hôpital -- évaluation du risque -- gériatrie -- performanceet analyse de la tâches; Occupational therapy -- Canada -- Periodicals; Physical therapy -- Canada -- Periodicals; Therapeutics, Physiological -- Canada -- Periodicals; 615.8515
• DOI: 10.1177/00084174221084459
• Languages: English
• ISSNs: 0008-4174

Abstract

Background. The Performance Assessment of Self-Care Skills (PASS) is a standardized assessment of the ability to perform daily activities.Purposes. This preliminary exploratory study aimed to 1) explore the ability of four PASS tasks to predict adverse events (readmissions and injuries) in older adults following hospitalization; 2) compare PASS's predictive validity to that of a generic tool (SMAF) and OT clinical judgement.Method. Twenty-two older patients were assessed in hospital at discharge and at home one week later. Adverse events were documented for six months post-discharge. Sensitivity and specificity analyses (ROC curves, Fisher's exact tests) were performed.Findings. Two PASS tasks (telephone, medication), the SMAF-Social and OT clinical judgement could identify individuals at risk of readmission (AUC > 0.7; p < 0.05).Implications. Using the PASS to assess more cognitively demanding tasks could be a promising way to predict adverse events after discharge, as a complement to clinical judgment.