Prediction of 6-month survival of nursing home residents with advanced dementia using ADEPT vs hospice eligibility guidelines.

ABSTRACT:

Context

Estimating life expectancy is challenging in advanced dementia, potentially limiting the use of hospice care in these patients.

Objective

To prospectively validate and compare the performance of the Advanced Dementia Prognostic Tool (ADEPT) and hospice eligibility guidelines to estimate 6-month survival in nursing home residents with advanced dementia.

Design, setting, and participants

A prospective cohort study conducted in 21 nursing homes in Boston, Massachusetts, of 606 residents with advanced dementia who were recruited between November 1, 2007, and July 30, 2009. Data were ascertained at baseline to determine the residents' ADEPT score (range, 1.0-32.5; higher scores indicate worse prognosis) and whether they met Medicare hospice eligibility guidelines.

SUBMITTER: Mitchell SL 

PROVIDER: S-EPMC3017367 | biostudies-literature | 2010 Nov

REPOSITORIES: biostudies-literature