Reliability and validity of a risk assessment tool for patients with kidney failure.
Reliable and valid tools are needed to assist nurses to prospectively identify high-risk patients with kidney failure. Early identification of high-risk patients permits targeting of nursing interventions and resources to improve quality and cost outcomes. A 16-item risk assessment tool Risk for Outcomes Adverse to Dialysis (ROAD), was developed based on a comprehensive review of the literature on risk factors associated with adverse outcomes with kidney failure Reliability and validity of the ROAD was tested on a random sample of 253 participants in the Anemia Management Demonstration Project. High risk scores on the ROAD were significantly associated with hospitalization 1 to 6 months following risk assessment and inversely correlated with physical and mental components of quality of life. The results indicate that the ROAD provides a useful tool to identify patients on hemodialysis at risk of poor outcomes.
Lamb
Gerri
G
University of Arizona, College of Nursing, Member, Case Manager Solutions, LLC, Tucson, AZ, USA.
Kip
Kevin E
KE
Mapes
Donna
D
Burrows-Hudson
Sally
S
Cesta
Toni
T
Zazworsky
Donna
D
D000203:Activities of Daily Living; D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009730:Nursing Assessment / Q000379:methods* / Q000592:standards; D017063:Outcome Assessment, Health Care / Q000379:methods; D010358:Patient Participation; D011237:Predictive Value of Tests; D011788:Quality of Life; D006435:Renal Dialysis / Q000451:nursing; D051437:Renal Insufficiency / Q000451:nursing*; D015203:Reproducibility of Results; D018570:Risk Assessment / Q000379:methods / Q000592:standards; D015431:Weight Loss