ArticleBMJ open2017
Importance and added value of functional impairment to predict mortality: a cohort study in Swedish medical inpatients.
Article in BMJ open, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.
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Who cites it
12 citing papers in PubMed, 19 citations in OpenAlex.
- Effects of creative expression therapy for older adults with mild cognitive impairment at risk of Alzheimer's disease: a randomized controlled clinical trial.Clinical interventions in aging · 2018Trial
- Real-Time Stream Learning System for Monitoring Activities of Daily Living in Older Adults.Journal of multidisciplinary healthcare · 2026Article
- Article
- Impact of malnutrition evaluated by the mini nutritional assessment on the prognosis of acute hospitalized older adults.Frontiers in nutrition · 2022Article
- Exploring red cell distribution width as a potential risk factor in emergency bowel surgery-A retrospective cohort study.PloS one · 2022Article
- The Role of Frailty in Predicting 3 and 6 Months Functional Decline in Hospitalized Older Adults: Findings from a Secondary Analysis.International journal of environmental research and public health · 2021Article
- Risk Factors for Mortality in Nursing Home Residents: An Observational Study.Geriatrics (Basel, Switzerland) · 2020Article
- Frailty Index and functional level upon admission predict hospital outcomes: an interRAI-based cohort study of older patients in post-acute care hospitals.BMC geriatrics · 2020Article
- The Association of Frailty with Hospitalizations and Mortality among Community Dwelling Older Adults with Diabetes.The Journal of frailty & aging · 2020Article
- Predicting Intracerebral Hemorrhage Patients' Length-of-Stay Probability Distribution Based on Demographic, Clinical, Admission Diagnosis, and Surgery Information.Journal of healthcare engineering · 2019Article
- Hospital Mortality Among Elderly Patients Admitted With Neurological Disorders Was Not Predicted by any Particular Diagnosis in a Tertiary Medical Center.The open neurology journal · 2018Article
- Treatment of Hypertension in Complex Older Adults: How Many Medications Are Needed?Gerontology & geriatric medicineArticle
Corrections and comments
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Authors and funding
4 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundAccurate estimation of prognosis in multimorbid hospital patients could improve quality of care. This study aims to determine the relative importance and added value of a performance-based activities of daily living (ADL) measure with regard to mortality prediction.
methods200 inpatients, aged over 60 years, were recruited at the Department of General Internal Medicine at a tertiary university hospital. Two nested survival models were built, one with established risk factors (age, sex, Charlson comorbidity index, haemoglobin, albumin, body mass index and glomerular filtration rate), and one using the same covariates with the Gottfries-Bråne-Steen (GBS)-ADL measure added. The relative importance of GBS-ADL was evaluated in the full model. The added value of GBS-ADL was determined by comparing the nested models using four approaches: difference in overall χ
resultsIn the full model, GBS-ADL was the single most important predictor of mortality (χ
conclusionsCompared with a set of available clinical risk factors, impairment in ADL was a stronger predictor of all-cause mortality, showing substantial added value. Implementing quantitative ADL measurements could enable more appropriate and individual care for the elderly.
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