ArticleEuropean geriatric medicine2020
Frailty is associated with hospital readmission in geriatric patients: a prognostic study.
Article in European geriatric medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.
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Who cites it
19 citing papers in PubMed, 1 synthesis or guideline pooled it, 44 citations in OpenAlex.
- Impact of Frailty on Activities of Daily Living in Hospitalized Older Adults: A Systematic Review and Meta-Analysis.Geriatrics & gerontology international · 2026Pooled it
- Perceived Needs of Individuals with Frailty and Their Caregivers During the Transition from Hospital to Home: Protocol of a Qualitative Systematic Review and Evidence Synthesis.Nursing reports (Pavia, Italy) · 2026Article
- Comprehensive Geriatric Assessment and Geriatric Interdisciplinary Team Care Model: An Integrated Model for Older Adults.Journal of multidisciplinary healthcare · 2026Review
- Article
- Phenotyping to predict 12-month health outcomes of older general medicine patients.Aging clinical and experimental research · 2025Article
- Frailty and mobility in hospitalized older adults: an analytical cross sectional study.Revista brasileira de enfermagem · 2025Article
- Absorbent incontinence pad use and the association with urinary tract infection and frailty: A retrospective cohort study.International journal of nursing studies advances · 2023Article
- Predictive Strategies to Reduce the Risk of Rehospitalization with a Focus on Frail Older Adults: A Narrative Review.Epidemiologia (Basel, Switzerland) · 2023Review
- Article
- Multidimensional frailty and quality of life: data from the English Longitudinal Study of Ageing.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2022Article
- The Sex-Specific Impact of the FORTA (Fit-fOR-The-Aged) List on Medication Quality and Clinical Endpoints in Older Hospitalized Patients: Secondary Analysis of a Randomized Controlled Trial.Drugs - real world outcomes · 2022Article
- [Postoperative multiprofessional comprehensive treatment].Der Orthopade · 2022Review
- Adherence to National Antimicrobial Guidelines in Hospitalized Geriatric Patients with Community-Acquired Pneumonia: A Prospective Observational study in a Malaysian Hospital.Antibiotics (Basel, Switzerland) · 2021Article
- A group-based real-time videoconferencing telerehabilitation programme in recently discharged geriatric patients: a feasibility study.European geriatric medicine · 2021Article
- 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
- Use of Multiprognostic Index Domain Scores, Clinical Data, and Machine Learning to Improve 12-Month Mortality Risk Prediction in Older Hospitalized Patients: Prospective Cohort Study.Journal of medical Internet research · 2021Article
- Hospital readmission in stroke survivors one year versus three years after discharge from inpatient rehabilitation: Prevalence and associations in an Asian cohort.Journal of rehabilitation medicine · 2021Article
- Comments to "Frailty is associated with hospital readmission in geriatric patients: a prognostic study" : Assessment of frailty in geriatric patients: let's keep it simple.European geriatric medicine · 2020Article
- Prevalence of Computer Use among Geriatric In- and Outpatients.Gerontology & geriatric medicineArticle
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4 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeTargeting health care interventions requires valid measurements when predicting unplanned hospital readmission. The Multidimensional Prognostic Index (MPI) based on Comprehensive Geriatric Assessment (CGA) enables the prediction of mortality and length of stay (LOS) in older hospitalized patients. Our aim was to validate if the MPI as a frailty tool could predict unplanned hospital readmission in geriatric patients.
methodsThis prognostic study was conducted in geriatric wards. The target population was 65 + -year-old patients hospitalized with acute illness. The MPI tool is derived from eight CGA domains by an interdisciplinary team: social aspects, number of drugs, activities of daily living (ADL), instrumental-ADL, cognitive status, severity of morbidity, risk of developing pressure sores, and nutritional status. Patients assessed were categorized into three groups: non-frail (MPI-1), moderate frail (MPI-2) or severe frail (MPI-3). Primary outcome was 30-day unplanned readmission and secondary LOS and 90-day mortality.
resultsIn total 1467 patients were included from January 1, 2018, to October 1, 2019. Mean age was 84.2 years (± 7.4) and 59% were women. 15.7% were readmitted. Hazard ratio (HR) for readmission in the MPI-2 group (n = 635) was 2.57; 95% confidence interval (CI) 1.25-5.29 (p = 0.01), and 2.60; 95% CI 1.27-5.33 (p = 0.009) in the MPI-3 group (n = 711) compared to the MPI-1 group (n = 121). MPI was a predictor of LOS and mortality.
conclusionUsing the MPI tool to identify the frail and non-frail patients is applicable to predict unplanned hospital readmission in geriatric patients. The MPI is superior to the prognostic value of each single domain. MPI will be of great value to health professionals' decision-making.
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