Frailty-Focused eConsult Comparison for LTC and Community-Dwelling Older Adults

This study was a retrospective analysis comparing eConsult cases submitted on behalf of LTC residents (“LTC cases”) versus cases submitted on behalf of community-dwelling older adults (“community cases”), using a 1:1 matching design based on patient age and gender. Cases were characterized by 1) a text-parsing computer algorithm to identify frailty-related terms in the text of communication logs, and 2) a clinician-led review of cases to provide clinical judgement of the level of frailty-related content in the eConsult. Study conception, design, and interpretation of findings were conducted with a multidisciplinary team (see "Patient and Public Involvement” in Supplemental Methods).

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Hakimjavadi R., Karunananthan S., Fung C., Levi C., Helmer-Smith M., LaPlante J., Gazarin M., Rahgozar A., Afkham A., Keely E, & Liddy C. (2023). Using electronic consultation (eConsult) to identify frailty in provider-to-provider communication: a feasibility and validation study. BMC Geriatrics, 23, 136.

Publication 2023

Clinical judgement Conception Older adults Patient

Corresponding Organization :

Other organizations : University of Ottawa, Bruyère, Ottawa Hospital, University of British Columbia, Winchester Hospital, Memorial Hospital

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Variable analysis

independent variables

Type of eConsult case (LTC cases vs. community cases)

dependent variables

Frailty-related content in the eConsult, as identified by a text-parsing computer algorithm
Frailty-related content in the eConsult, as assessed by clinician-led review

control variables

Patient age
Patient gender

controls

The study used a 1:1 matching design based on patient age and gender to ensure valid comparisons between LTC cases and community cases.

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