ArticleJournal of the American Geriatrics Society2018
Minimum Data Set Changes in Health, End-Stage Disease and Symptoms and Signs Scale: A Revised Measure to Predict Mortality in Nursing Home Residents.
Article in Journal of the American Geriatrics Society, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 38 papers, 1 of them a synthesis that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
38 citing papers in PubMed, 1 synthesis or guideline pooled it, 63 citations in OpenAlex.
- A systematic review of reasons and risks for acute service use by older adult residents of long-term care.Journal of clinical nursing · 2025Pooled it
- Pragmatic Trial of Personalized Music for Agitation and Antipsychotic Use in Nursing Home Residents With Dementia.Journal of the American Medical Directors Association · 2022Trial
- Article
- Assessing the feasibility of linking Section G and Section GG measures of function in skilled nursing facilities.The Gerontologist · 2026Article
- An Updated Mortality and Community Discharge Prognostic Model for Older Adults Admitted to Skilled Nursing Facilities for Post-Acute Care.Journal of the American Medical Directors Association · 2026Article
- Evaluating administrative compliance as a predictor of nursing home postdisaster outcomes in the USA.BMJ public health · 2026Article
- Alignment of Minimum Data Set 3.0 Ratings With Staff Care Partner Reports of Symptoms of Distress for Nursing Home Residents.Journal of the American Medical Directors Association · 2025Article
- Association of Clinical Indicators of Acute Deterioration and Morbidity and Mortality in the Residential Aged Care Population: A Retrospective Cohort Study of Routinely Collected Health Data.Journal of evaluation in clinical practice · 2025Article
- Resident and Nursing Home Factors Associated With Adherence to a Personalized Music Intervention: Secondary Analyses From Music & MEmory: A Pragmatic TRial for Nursing Home Residents With ALzheimer's Disease (METRIcAL).Journal of aging research · 2025Article
- Determining the minimum data elements to develop a child malnutrition registry system.BMC medical informatics and decision making · 2024Article
- Predictors of mortality shortly after entering a long-term care facility.Age and ageing · 2024Article
- Factors influencing clinician decision-making about POLST use with nursing facility residents: A qualitative study.Journal of the American Geriatrics Society · 2024Article
- The Burden and Treatment of Chronic Constipation Among US Nursing Home Residents.Journal of the American Medical Directors Association · 2023Article
- Potentially Harmful Medication Prescribing by the Degree of Physician Specialization in Nursing Home Practice: An Observational Study.Journal of the American Medical Directors Association · 2023Observational
- Prediction models of all-cause mortality among older adults in nursing home setting: A systematic review and meta-analysis.Health science reports · 2023Article
- Comparative safety of sulfonylureas among U.S. nursing home residents.Journal of the American Geriatrics Society · 2023Article
- Post-Acute Care Rehabilitation Services and Outcomes in Skilled Nursing Facilities Before and During the COVID-19 Pandemic.JAMA health forum · 2023Article
- Use of antiretroviral therapy in nursing home residents with HIV.Journal of the American Geriatrics Society · 2022Article
- Trajectories of physical frailty and cognitive impairment in older adults in United States nursing homes.BMC geriatrics · 2022Article
- Prevention and Control of COVID-19 Risks for Long-Term Care Facilities Based on the Prospect Theory.Mobile networks and applications : MONET · 2022Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors at 4 institutions in 1 country.
Funding
Abstract
objectivesTo revise the Minimum Data Set (MDS) Changes in Health, End-stage disease and Symptoms and Signs (CHESS) scale, an MDS 2.0-based measure widely used to predict mortality in institutional settings, in response to the release of MDS 3.0.
designDevelopment of a predictive scale using observational data from the MDS and Medicare Master Beneficiary Summary File.
settingAll Centers for Medicare and Medicaid Services (CMS)-certified nursing homes in the United States.
participantsDevelopment cohort of 1.3 million Medicare beneficiaries newly admitted to a CMS-certified nursing home during 2012. Primary validation cohort of 1.2 million Medicare recipients who were newly admitted to a CMS-certified nursing home during 2013. MEASUREMENTS: Items from the MDS 3.0 assessments identified as likely to predict mortality. Death information was obtained from the Medicare Master Beneficiary Summary File.
resultsMDS-CHESS 3.0 scores ranges from 0 (most stable) to 5 (least stable). Ninety-two percent of the primary validation sample with a CHESS scale score of 5 and 15% with a CHESS scale of 0 died within 1 year. The risk of dying was 1.63 times as great (95% CI=1.628-1.638) for each unit increase in CHESS scale score. The MDS-CHESS 3.0 is also strongly related to hospitalization within 30 days and successful discharge to the community. The scale predicted death in long-stay residents at 30 days (C=0.759, 95% confidence interval (CI)=0.756-0.761), 60 days (C=0.716, 95% CI=0.714-0.718) and 1 year (C=0.655, 95% CI=0.654-0.657).
conclusionThe MDS-CHESS 3.0 predicts mortality in newly admitted and long-stay nursing home populations. The additional relationship to hospitalizations and successful discharges to community increases the utility of this scale as a potential risk adjustment tool.
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What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.