%0 Journal Article
%T Discharge Home From Hospital: How DIRE Can It Be?
%A Priti Flanagan
%A Ronald Kelly
%J Journal of Applied Gerontology
%@ 1552-4523
%D 2019
%R 10.1177/0733464817723089
%X Aim: An easy-to-use ¡°DIRE¡± questionnaire tool was developed to predict an adverse event (AE) within 30 days following discharge from a hospital to the community, among frail elderly individuals aged 65+ years. Methods: Hospital-administered RAI-HC (Residential Assessment Instrument for Home Care) assessment data from 1,433 individuals were used to develop the tool. Results: The DIRE tool outperformed two other instruments that have been used to predict risk in similar populations. Furthermore, the DIRE index was validated on a hold-out sample and in a bootstrapping analysis. Discussion: In addition to its effectiveness in predicting an AE, the added advantages of the DIRE assessment is that only a small amount of data is required and the data are readily available to clinicians at the point of hospital discharge
%K RAI-HC
%K DIRE
%K hospital readmission
%K risk prediction
%K home care
%U https://journals.sagepub.com/doi/full/10.1177/0733464817723089