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Comparison of five indices for prediction of adverse outcomes in hospitalised Mexican older adults: A cohort study

dc.rights.licensehttp://creativecommons.org/licenses/by/4.0es_MX
dc.creatorElsa Dentes_MX
dc.creatorMARIO ULISES PEREZ ZEPEDAes_MX
dc.date2015
dc.date.accessioned2021-11-01T18:31:32Z
dc.date.available2021-11-01T18:31:32Z
dc.identifier.urihttp://repositorio.inger.gob.mx/jspui/handle/20.500.12100/17300
dc.descriptionThe aim of this prospective study was to investigate the ability of five indices of risk stratification to predict functional decline and prolonged length of stay (LOS) in older Mexicans hospitalized in the acute care setting. A total of 254 patients aged ≥60 years were followed up. Risk indices were constructed from baseline data collected during the first 48 h of ward admission, and included: Frailty Index (FI), Hospital Admission Risk Profile (HARP), Score Hospitalier d’Evaluation du Risque de Perte d’Autonomie (SHERPA), Acute Physiology and Chronic Health Evaluation II (APACHE II) and Charlson's Co-morbidity Index (CCI). Area Under Receiver Operating Characteristic (auROC) curves was used to compare the ability of risk indices to predict adverse outcome, with outcomes of interest being prolonged LOS, and functional decline, the latter defined as ≥10% drop in Barthel Index score across hospitalization. Mean (SD) FI score was 0.31 (0.14). Effective in predicting long LOS were FI, SHERPA and APACHE II; effective in predicting functional decline were SHERPA and HARP. Indices generally showed high specificity values (most were >80%), although all indices lacked adequate sensitivity values for outcome prediction (<80%). Geriatricians could use information from FI, SHERPA, APACHE II, HARP to guide patient management decisions. However, given that all indices lacked accuracy of prediction, results should be interpreted with caution.es_MX
dc.formatAdobe PDFes_MX
dc.languageenges_MX
dc.publisherElsevieres_MX
dc.relationhttps://www.sciencedirect.com/science/article/abs/pii/S0167494314001782?via%3Dihub#!es_MX
dc.relation.requiresSies_MX
dc.rightsAcceso Abiertoes_MX
dc.sourceArchives of Gerontology and Geriatrics (0167-4943) Vol. 60 (2015)es_MX
dc.subjectMEDICINA Y CIENCIAS DE LA SALUDes_MX
dc.subjectCiencias médicases_MX
dc.subjectCiencias clínicases_MX
dc.subjectGeriatríaes_MX
dc.subjectDeclinación funcionales_MX
dc.subjectEstratificación del riesgoes_MX
dc.subjectPersonas mayoreses_MX
dc.subjectCuidados agudoses_MX
dc.subjectGeriatricses_MX
dc.subjectFunctional declinees_MX
dc.subjectRisk stratificationes_MX
dc.subjectOlder adultses_MX
dc.subjectAcute carees_MX
dc.titleComparison of five indices for prediction of adverse outcomes in hospitalised Mexican older adults: A cohort studyes_MX
dc.typeArtículoes_MX
dc.audienceResearcherses_MX
dc.creator.id0000-0002-4006-3992es_MX
dc.creator.idPEZM760111HDFRPR07es_MX
dc.creator.nameIdentifiercvues_MX
dc.creator.nameIdentifiercurpes_MX


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