ArticleIrish journal of medical science2023
The Norton scale is an important predictor of in-hospital mortality in internal medicine patients.
Article in Irish journal of medical science, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 8 papers.
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8 citing papers in PubMed, 10 citations in OpenAlex.
- High Bed Occupancy Rates in Internal Medicine Departments Are Associated with Lower Hand Hygiene Compliance.Medicina (Kaunas, Lithuania) · 2026Article
- Development and validation of a novel frailty model for the patients with newly diagnosed multiple myeloma.European journal of medical research · 2025Article
- Social Support and 10-Year Mortality Following Acute Myocardial Infarction.Journal of cardiovascular development and disease · 2025Article
- Risk factors for readmission of COVID-19 ICU survivors: A three-year follow up.The Indian journal of medical research · 2025Observational
- The Role of Nutrition in the Nursing Management of Pressure Ulcers in Adult Community Settings: A Systematic Review Protocol.Diseases (Basel, Switzerland) · 2024Article
- Outcomes of in-hospital cardiac arrest managed with and without a specialized code team: A retrospective observational study.PloS one · 2024Observational
- The Artificial Neural Network as a Diagnostic Tool of the Risk ofJournal of clinical medicine · 2023Article
- Nursing interventions in preventing pressure injuries in acute inpatient care: a cross-sectional national study.BMC nursing · 2023Article
Corrections and comments
- Erratum issued
Authors and funding
5 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe Norton scale, a marker of patient frailty used to predict the risk of pressure ulcers, but the predictive value of the Norton scale for in-hospital mortality after adjustment for a wide range of demographic, and abnormal admission laboratory test results shown in themselves to have a high predictive value for in-hospital mortality is unclear.
aimThe study aims to determine the value of the Norton scale and the presence of a urinary catheter in predicting in hospital mortality.
methodsThe study population included all acutely admitted adult patients in 2020 through October 2021 to one of three internal medicine departments at the Laniado Hospital, a regional hospital with 400 beds in Israel. The main objective was to (a) identify the variables associated with the Norton Scale and (b) determine whether it predicts in-hospital mortality after adjustment for these variables.
resultsThe Norton scale was associated with an older age, female gender, presence of a urinary catheter, and abnormal laboratory tests. The odds of in-hospital mortality in those with intermediate, high, and very high Norton scale risk groups were 3.10 (2.23-3.56), 6.48 (4.02-10.46), and 12.27 (7.37-20.44), respectively, after adjustment for the remaining predictors. Adding the Norton scale and the presence of a urinary catheter to the prediction logistic regression model that included age, gender, and abnormal laboratory test results increased the c-statistic from 0.870 (0.864-0.876) to 0.908 (0.902-0.913).
conclusionsThe Norton scale and presence of a urinary catheter are important predictors of in-hospital mortality in acutely hospitalized adults in internal medicine departments.
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