ArticleBMC geriatrics2022
Predictivity of the comorbidity indices for geriatric syndromes.
Article in BMC geriatrics, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 1 of them a synthesis that pooled it.
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Who cites it
26 citing papers in PubMed, 1 synthesis or guideline pooled it, 41 citations in OpenAlex.
- Association between Comorbidity Indices and Functional Autonomy in Individuals with Cognitive Impairment: A Systematic Review.The journal of prevention of Alzheimer's disease · 2024Pooled it
- Utility of the 4-meter backward walking speed test in older adults with neurodegenerative diseases.Irish journal of medical science · 2026Article
- Frailty as a Key Determinant of In-Hospital Mortality in 58,040 Patients with Community-Acquired Pneumonia: Evidence from a Chilean Cohort.Journal of clinical medicine · 2026Article
- Predicting In-Hospital Mortality in Acute Mesenteric Ischemia: The RADIAL Score.Journal of clinical medicine · 2026Article
- Factors associated with frailty and the effect of frailty on postoperative outcomes in older adults with hip fracture.Ulusal travma ve acil cerrahi dergisi = Turkish journal of trauma & emergency surgery : TJTES · 2025Article
- Textbook outcome following pancreaticoduodenectomy in elderly patients: age-stratified analysis and predictive factors.Updates in surgery · 2025Article
- Approaches to characterising multimorbidity in older people accessing hospital care: a scoping review.European geriatric medicine · 2025Article
- Limited association between multimorbidity and high-sensitive C-reactive protein or gait speed in community-dwelling octogenarians - findings from the BUTTERFLY study.The journal of nutrition, health & aging · 2025Article
- Association of multimorbidity patterns and order of physical frailty and cognitive impairment occurrence: a prospective cohort study.Age and ageing · 2025Article
- Risk of Incident Mild Cognitive Impairment and Dementia Soon After Leaving Incarceration Among a US Veteran Population.Neurology · 2025Article
- An Instant Relationship Between Hyponatremia, Geriatric Syndromes, and Drugs in Older Adults: A Cross-Sectional Analysis from a Single Geriatric Clinic.Diagnostics (Basel, Switzerland) · 2025Article
- Identifying multimorbidity risks in older adults: a cross-sectional study using the RGA screening data.Frontiers in public health · 2025Article
- Sarcopenia in older patients with idiopathic normal pressure hydrocephalus: an observational study from a single geriatric clinic in Turkey.Acta neurologica Belgica · 2024Observational
- Prevalence of Malnutrition in a Group of Institutionalized Psychogeriatric Patients Using Different Diagnostic Criteria.Nutrients · 2024Article
- Which comorbidity index is more appropriate for geriatric patients from the frailty perspective?European geriatric medicine · 2024Article
- Associations of the Charlson comorbidity index with depression and mortality among the U.S. adults.Frontiers in public health · 2024Article
- Multimorbidity patterns in dementia and mild cognitive impairment.Frontiers in psychiatry · 2024Article
- Impact of first eye cataract surgery on falls among patients of advanced age: a comparative study.The Journal of international medical research · 2023Article
- Neuraxial anesthesia for abdominal surgery, beyond the pandemic: a feasibility pilot study of 70 patients in a suburban hospital.Updates in surgery · 2023Article
- The effect of polypharmacy on healthcare services utilization in older adults with comorbidities: a retrospective cohort study.BMC primary care · 2023Article
Corrections and comments
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Authors and funding
5 authors at 4 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe aging population and increasing chronic diseases make a tremendous burden on the health care system. The study evaluated the relationship between comorbidity indices and common geriatric syndromes.
methodsA total of 366 patients who were hospitalized in a university geriatric inpatient service were included in the study. Sociodemographic characteristics, laboratory findings, and comprehensive geriatric assessment(CGA) parameters were recorded. Malnutrition, urinary incontinence, frailty, polypharmacy, falls, orthostatic hypotension, depression, and cognitive performance were evaluated. Comorbidities were ranked using the Charlson Comorbidity Index(CCI), Elixhauser Comorbidity Index(ECM), Geriatric Index of Comorbidity(GIC), and Medicine Comorbidity Index(MCI). Because, the CCI is a valid and reliable tool used in different clinical settings and diseases, patients with CCI score higher than four was accepted as multimorbid. Additionally, the relationship between geriatric syndromes and comorbidity indices was assessed with regression analysis.
resultsPatients' mean age was 76.2 ± 7.25 years(67.8% female). The age and sex of multimorbid patients according to the CCI were not different compared to others. The multimorbid group had a higher rate of dementia and polypharmacy among geriatric syndromes. All four indices were associated with frailty and polypharmacy(p < 0.05). CCI and ECM scores were related to dementia, polypharmacy, and frailty. Moreover, CCI was also associated with separately slow walking speed and low muscle strength. On the other hand, unlike CCI, ECM was associated with malnutrition.
conclusionsIn the study comparing the four comorbidity indices, it is revealed that none of the indices is sufficient to use alone in geriatric practice. New indices should be developed considering the complexity of the geriatric cases and the limitations of the existing indices.
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