Observational studyBMC geriatrics2014
Comorbidity and prognostic indices do not improve the 5-year mortality prediction of components of comprehensive geriatric assessment in hospitalized older patients.
Observational study in BMC geriatrics, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.
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Who cites it
19 citing papers in PubMed.
- Approaches to characterising multimorbidity in older people accessing hospital care: a scoping review.European geriatric medicine · 2025Article
- Which comorbidity index is more appropriate for geriatric patients from the frailty perspective?European geriatric medicine · 2024Article
- Comparison of two different frailty scales in the longitudinal Swedish Adoption/Twin Study of Aging (SATSA).Scandinavian journal of public health · 2023Article
- A nomogram for predicting risk of death during hospitalization in elderly patients with Alzheimer's disease at the time of admission.Frontiers in neurology · 2023Article
- Predictivity of the comorbidity indices for geriatric syndromes.BMC geriatrics · 2022Article
- Functional Status Geriatric Scores: Single-Handed Tools for 30-Day Mortality Risk After Hip Fracture.Clinical interventions in aging · 2021Observational
- SARC-F Predicts Mortality Risk of Older Adults during Hospitalization.The journal of nutrition, health & aging · 2021Article
- Association between number of medications and mortality in geriatric inpatients: a Danish nationwide register-based cohort study.European geriatric medicine · 2020Article
- Craniocervical trauma above the age of 90: are current prognostic scores sufficient?Neurosurgical review · 2020Article
- Article
- Relationship between frailty, polypharmacy, and underprescription in older adults living in nursing homes.European journal of clinical pharmacology · 2018Article
- Barthel Index at hospital admission is associated with mortality in geriatric patients: a Danish nationwide population-based cohort study.Clinical epidemiology · 2018Article
- Prognosis of Treatment Outcomes by Cognitive and Physical Scales.Open medicine (Warsaw, Poland) · 2018Article
- Determinants of invasive strategy in elderly patients with non-ST elevation myocardial infarction.Journal of geriatric cardiology : JGC · 2017Article
- Association of Hospital Admission Risk Profile Score with Mortality in Hospitalized Older Adults.Innovation in aging · 2017Article
- Comparing the predictive accuracy of frailty, comorbidity, and disability for mortality: a 1-year follow-up in patients hospitalized in geriatric wards.Clinical interventions in aging · 2017Article
- Use of preoperative performance status and hemoglobin concentration to predict overall survival for patients aged ≥ 75 years after radical cystectomy for treatment of bladder cancer.International journal of clinical oncology · 2016Article
- External validation of the Hospital-patient One-year Mortality Risk (HOMR) model for predicting death within 1 year after hospital admission.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2015Article
- Comprehensive geriatric assessment predicts mortality and adverse outcomes in hospitalized older adults.BMC geriatrics · 2014Observational
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3 authors.
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Abstract
backgroundAdvancing age is associated with increased vulnerability to chronic health problems. Identifying factors that predict oldest-old status is vital for developing effective clinical interventions and public health strategies.
methodsObservational prospective study of patients aged 75 years and older consecutively admitted to an Acute Geriatric Ward of a tertiary hospital. After a comprehensive geriatric assessment all patients were assessed for five comorbidity indices and two prognostic models. Univariate and multivariate logistic regression models were fitted to assess the association between each score and 5-year mortality. The ability of each score to predict mortality was assessed using the area under the receiver operating characteristic curve.
results122 patients were enrolled. All patients were followed up for five years. 90 (74%) of them died during the study period. In the logistic regression analyses, apart from age, cognitive impairment and Barthel Index, three indices were identified as statistically associated with 5-year mortality: the Geriatric Index of Comorbidity and the two prognostic indices. The multivariate model that combined age, sex, cognitive impairment and Barthel showed a good discriminate ability (AUC = 0.79), and it did not improve substantially after adding individually any of the indices.
conclusionsSome prognostic models and the Geriatric Index of Comorbidity are better than other widely used indices such as the Charlson Index in predicting 5-year mortality in hospitalized older patients, however, none of these indices is superior to some components of comprehensive geriatric assessment.
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