ISAR (medicine)

The ISAR test ( Identification of Seniors at Risk ) is a widely used tool in medicine for assessing the risk of seniors aged 75 and over at hospital admission. It is part of the geriatric assessment. In particular, it should be clarified at the time of admission whether the patient needs additional help at discharge. The questionnaire should be completed by the staff together with the patient or their caregiver and contains six questions, each of which can be answered with yes or no:

1. Need for help	Did you need regular help before the illness or injury that brought you to the clinic?
2. Acute change in the need for help	Have you needed more help in the past 24 hours than before?
3. Hospitalization	Have you been in hospital for one or more days in the last 6 months?
4. Sensory restriction	Under normal circumstances, do you have significant vision problems that cannot be corrected with glasses?
5. Cognitive limitation	Do you have serious memory problems?
6. Multimorbidity	Are you taking six or more different medications per day?

From two points onwards, there is a high probability that a special geriatric action is required. The ISAR test is recommended by the German Society for Geriatrics , but the validity is assessed differently in the literature.

See also

• ASA classification

Individual evidence

1. ↑ Jane McCusker, Francois Bellavance, Sylvie Cardin, Sylvain Trepanier, Josee Verdon and Orly Ardman: Detection of Older People at Increased Risk of Adverse Health Outcomes After an Emergency Visit: The ISAR Screening Tool. In: Journal of the American Geriatrics Society. Volume 47, 1999, pp. 1229-1237, doi: 10.1111 / j.1532-5415.1999.tb05204.x
2. ↑ https://www.dggeriatrie.de/presse/pressemmeldung/1288-pm-geriatrische-patienten-in-der-notaufnahme-–-mit-sechs-fragen-identifikation-und-prognose-verbessern
3. ↑ Rose Galvin, Yannick Gilleit, Emma Wallace, Gráinne Cousins, Manon Bolmer, Timothy Rainer, Susan M. Smith, Tom Fahey: Adverse outcomes in older adults attending emergency departments: a systematic review and meta-analysis of the Identification of Seniors At Risk (ISAR) screening tool. In: Age and Aging. Volume 46, No. 2, March 2017, pp. 179–186, doi: 10.1093 / aging / afw233

This article is about a health issue. It is not used for self-diagnosis and does not replace a diagnosis by a doctor. Please note the information on health issues !