The Multidimensional Prognostic Index Predicts in-hospital length of stay in older patients: A multicentre prospective study

A. Pilotto, Daniele Sancarlo, Fabio Pellegrini, Franco Rengo, Niccolò Marchionni, Stefano Volpato, L. Ferrucci

Research output: Contribution to journalArticle

Abstract

Background: prediction of length of stay (LOS) may be useful to optimise care plans to reduce the negative outcomes related to hospitalisation. Objective: to evaluate whether the Multidimensional Prognostic Index (MPI), based on a Comprehensive Geriatric Assessment (CGA), may predict LOS in hospitalised older patients. Design: prospective multicentre cohort study. Setting: twenty Geriatrics Units. Participants: patients aged 65 and older consecutively admitted to Geriatrics Units. Measurement: at admission, the CGA-based MPI was calculated by using a validated algorithm that included information on basal and instrumental activities of daily living, cognitive status, nutritional status, the risk of pressures sores, co-morbidity, number of drugs and co-habitation status. According to validated cut-offs, subjects were divided into three groups of risk, i.e. MPI-1 low risk (value ≤0.33), MPI-2 moderate risk (value 0.34-0.66) and MPI-3 severe risk of mortality (value ≥0.67). Results: two thousand and thirty-three patients were included; 1,159 were women (57.0%). Age- and sex-adjusted mean LOS in patients divided according to the MPI grade was MPI-1 = 10.1 (95% CI 8.6-11.8), MPI-2 = 12.47 (95% CI 10.7-14.68) and MPI-3 = 13.41 (95% CI 11.5-15.7) days (P for trend

Original languageEnglish
Article numberafv167
Pages (from-to)90-96
Number of pages7
JournalAge and Ageing
Volume45
Issue number1
DOIs
Publication statusPublished - Jan 1 2016

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Multicenter Studies
Length of Stay
Prospective Studies
Geriatric Assessment
Geriatrics
Pressure Ulcer
Activities of Daily Living
Nutritional Status
Hospitalization
Cohort Studies
Morbidity
Mortality
Pharmaceutical Preparations

Keywords

  • Length of stay
  • Mortality
  • Multidimensional Prognostic Index
  • Older people

ASJC Scopus subject areas

  • Ageing
  • Geriatrics and Gerontology

Cite this

The Multidimensional Prognostic Index Predicts in-hospital length of stay in older patients : A multicentre prospective study. / Pilotto, A.; Sancarlo, Daniele; Pellegrini, Fabio; Rengo, Franco; Marchionni, Niccolò; Volpato, Stefano; Ferrucci, L.

In: Age and Ageing, Vol. 45, No. 1, afv167, 01.01.2016, p. 90-96.

Research output: Contribution to journalArticle

Pilotto, A. ; Sancarlo, Daniele ; Pellegrini, Fabio ; Rengo, Franco ; Marchionni, Niccolò ; Volpato, Stefano ; Ferrucci, L. / The Multidimensional Prognostic Index Predicts in-hospital length of stay in older patients : A multicentre prospective study. In: Age and Ageing. 2016 ; Vol. 45, No. 1. pp. 90-96.
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