ArticleAge and ageing2016
The Multidimensional Prognostic Index predicts in-hospital length of stay in older patients: a multicentre prospective study.
Article in Age and ageing, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.
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Who cites it
13 citing papers in PubMed, 1 synthesis or guideline pooled it, 32 citations in OpenAlex.
- Hospital length of stay prediction tools for all hospital admissions and general medicine populations: systematic review and meta-analysis.Frontiers in medicine · 2023Pooled it
- Effects of oral amino acid supplementation on Multidimensional Prognostic Index in hospitalized older patients: a multicenter randomized, double-blind, placebo-controlled pilot study.Clinical interventions in aging · 2018Trial
- Article
- Exploring Frailty Status and Blood Biomarkers: A Multidimensional Approach to Alzheimer's Diagnosis.Geriatrics (Basel, Switzerland) · 2025Article
- Phenotyping to predict 12-month health outcomes of older general medicine patients.Aging clinical and experimental research · 2025Article
- Association Between the Multidimensional Prognostic Index and Mortality During 15 Years of Follow-up in the InCHIANTI Study.The journals of gerontology. Series A, Biological sciences and medical sciences · 2021Article
- The challenge of the multifaceted prognosis in the older people and the Multidimensional Prognostic Index.European geriatric medicine · 2021Article
- IL-6 Levels Influence 3-Month All-Cause Mortality in Frail Hospitalized Older Patients.Aging and disease · 2021Article
- Executive Function, Dexterity, and Discharge Disposition in Older Intensive Care Unit Survivors.American journal of critical care : an official publication, American Association of Critical-Care Nurses · 2020Article
- A multidimensional approach to frailty in older people.Ageing research reviews · 2020Review
- An analysis of the costs of treating aged patients in a large clinical hospital in Poland under the pressure of recent demographic trends.Archives of medical science : AMS · 2020Article
- Validation and Adaptation of the Multidimensional Prognostic Index in an Older Australian Cohort.Journal of clinical medicine · 2019Article
- Barthel Index at hospital admission is associated with mortality in geriatric patients: a Danish nationwide population-based cohort study.Clinical epidemiology · 2018Article
Corrections and comments
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Authors and funding
8 authors at 5 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundprediction of length of stay (LOS) may be useful to optimise care plans to reduce the negative outcomes related to hospitalisation.
objectiveto evaluate whether the Multidimensional Prognostic Index (MPI), based on a Comprehensive Geriatric Assessment (CGA), may predict LOS in hospitalised older patients.
designprospective multicentre cohort study.
settingtwenty Geriatrics Units.
participantspatients aged 65 and older consecutively admitted to Geriatrics Units. MEASUREMENT: at admission, the CGA-based MPI was calculated by using a validated algorithm that included information on basal and instrumental activities of daily living, cognitive status, nutritional status, the risk of pressures sores, co-morbidity, number of drugs and co-habitation status. According to validated cut-offs, subjects were divided into three groups of risk, i.e. MPI-1 low risk (value ≤0.33), MPI-2 moderate risk (value 0.34-0.66) and MPI-3 severe risk of mortality (value ≥0.67).
resultstwo thousand and thirty-three patients were included; 1,159 were women (57.0%). Age- and sex-adjusted mean LOS in patients divided according to the MPI grade was MPI-1 = 10.1 (95% CI 8.6-11.8), MPI-2 = 12.47 (95% CI 10.7-14.68) and MPI-3 = 13.41 (95% CI 11.5-15.7) days (P for trend <0.001). The overall accuracy of the MPI to predict LOS was good (C-statistic 0.74, 95% CI 0.72-0.76). Moreover, a statistically significant trend of LOS means was found even in patients stratified according to their International Classification of Diseases, 9th revision, Clinical Modification (ICD-9-CM) main diagnosis.
conclusionsthe MPI is an accurate predictor of LOS in older patients hospitalised with the most frequent diseases.
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