Short- and longer-term predictive capacity of the Multidimensional Prognostic Index

The timing of the assessment is of no consequence

Elisabetta De Luca, Egle Perissinotto, Laura Fabris, Valentina Pengo, Anna Zurlo, Pietro De Toni, Francesca De Zaiacomo, Enzo Manzato, Valter Giantin

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

Background: Several studies have tested the ability of the Multidimensional Prognostic Index (MPI) to predict mortality for acute elderly patients admitted to hospital. We compared the reliability of MPI scores obtained both on admission to, and at discharge from hospital. We tested MPI performance in predicting short- and longer-term mortality grouped into three risk groups and according to single MPI scores. Methods: A longitudinal prospective study was conducted on 699 elderly patients admitted to the Geriatric Unit at Padua General Hospital. MPI scores were obtained on admission and at discharge. In-hospital and one-year mortality was recorded. Adjusted Cox's regression models were used to assess the prognostic value of the MPI scores. Results: 691 were included in the study: 459 (66.4%) women and 232 (33.6%) men, mean age. = 85.2 ± 7.0 years. Patients were grouped as: low risk MPI 12.5%; moderate risk MPI 28.6%; severe risk MPI 58.9%. The cumulative in-hospital mortality rate was 7.4%. In the adjusted model, only MPI score (not MPI risk group) was significantly associated with in-hospital death ([HR]. = 1.22, 95%CI 1.07-1.39).1-Year crude mortality rate: 39.2%. The patients' MPI scores at admission and at discharge were equally predictive of death (adjusted HR of MPI on admission 1.20 [1.15-1.27], p

Original languageEnglish
Pages (from-to)458-463
Number of pages6
JournalArchives of Gerontology and Geriatrics
Volume61
Issue number3
DOIs
Publication statusPublished - Nov 1 2015

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Mortality
mortality
Hospital Mortality
Proportional Hazards Models
General Hospitals
Geriatrics
Longitudinal Studies
Prospective Studies
death
geriatrics
longitudinal study
Group
regression
ability
performance
Values

Keywords

  • Elderly patients
  • MPI
  • Outcome

ASJC Scopus subject areas

  • Ageing
  • Geriatrics and Gerontology
  • Health(social science)
  • Gerontology

Cite this

Short- and longer-term predictive capacity of the Multidimensional Prognostic Index : The timing of the assessment is of no consequence. / De Luca, Elisabetta; Perissinotto, Egle; Fabris, Laura; Pengo, Valentina; Zurlo, Anna; De Toni, Pietro; De Zaiacomo, Francesca; Manzato, Enzo; Giantin, Valter.

In: Archives of Gerontology and Geriatrics, Vol. 61, No. 3, 01.11.2015, p. 458-463.

Research output: Contribution to journalArticle

De Luca, Elisabetta ; Perissinotto, Egle ; Fabris, Laura ; Pengo, Valentina ; Zurlo, Anna ; De Toni, Pietro ; De Zaiacomo, Francesca ; Manzato, Enzo ; Giantin, Valter. / Short- and longer-term predictive capacity of the Multidimensional Prognostic Index : The timing of the assessment is of no consequence. In: Archives of Gerontology and Geriatrics. 2015 ; Vol. 61, No. 3. pp. 458-463.
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