Universität zu Köln

Meyer, Anna Maria, Becker, Ingrid ORCID: 0000-0001-5829-3553, Siri, Giacomo ORCID: 0000-0001-8006-0668, Brinkkoetter, Paul Thomas, Benzing, Thomas, Pilotto, Alberto and Polidori, M. Cristina (2019). New associations of the Multidimensional Prognostic Index. Z. Gerontol. Geriatr., 52 (5). S. 460 - 468. HEIDELBERG: SPRINGER HEIDELBERG. ISSN 1435-1269

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Abstract

Background The multidimensional prognostic index (MPI) is a validated, sensitive, and specific prognosis estimation tool based on a comprehensive geriatric assessment (CGA). The MPI accurately predicts mortality after 1 month and 1 year in older, multimorbid patients with acute disease or relapse of chronic conditions. Objective To evaluate whether the MPI predicts indicators of healthcare resources, i.e. grade of care (GC), length of hospital stay (LHS) and destination after hospital discharge in older patients in an acute medical setting. Material and methods In this study 135 hospitalized patients aged 70 years and older underwent a CGA evaluation to calculate the MPI on admission and discharge. Accordingly, patients were subdivided in low (MPI-1, score 0-0.33), moderate (MPI-2, score 0.34-0.66) and high (MPI-3, score 0.67-1) risk of mortality. The GC, LHS and the discharge allocation were also recorded. Results The MPI score was significantly related to LHS (p= 0.011) and to GC (p< 0.001). In addition, MPI-3 patients were significantly more often transferred from other hospital settings (p= 0.007) as well as significantly less likely to be discharged home (p= 0.04) than other groups. Conclusion The CGA-based MPI values are significantly associated with use of indicators of healthcare resources, including GC, LHS and discharge allocation. These findings suggest that the MPI may be useful for resource planning in the care of older multimorbid patients admitted to hospital.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Meyer, Anna Maria UNSPECIFIED UNSPECIFIED UNSPECIFIED Becker, Ingrid UNSPECIFIED orcid.org/0000-0001-5829-3553 UNSPECIFIED Siri, Giacomo UNSPECIFIED orcid.org/0000-0001-8006-0668 UNSPECIFIED Brinkkoetter, Paul Thomas UNSPECIFIED UNSPECIFIED UNSPECIFIED Benzing, Thomas UNSPECIFIED UNSPECIFIED UNSPECIFIED Pilotto, Alberto UNSPECIFIED UNSPECIFIED UNSPECIFIED Polidori, M. Cristina UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-145557
DOI:	10.1007/s00391-018-01471-6
Journal or Publication Title:	Z. Gerontol. Geriatr.
Volume:	52
Number:	5
Page Range:	S. 460 - 468
Date:	2019
Publisher:	SPRINGER HEIDELBERG
Place of Publication:	HEIDELBERG
ISSN:	1435-1269
Language:	English
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language OLDER-PEOPLE; DISCHARGE; MORTALITY Multiple languages Geriatrics & Gerontology; Gerontology Multiple languages
Refereed:	Yes
URI:	http://kups.ub.uni-koeln.de/id/eprint/14555