The Multidimensional Prognostic Index predicts in-hospital length of stay in older patients: a multicentre prospective study.

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 <0.001). The overall accuracy of the MPI to predict LOS was good (C-statistic 0.74, 95% CI 0.72-0.76). Moreover, a statistically significant trend of LOS means was found even in patients stratified according to their International Classification of Diseases, 9th revision, Clinical Modification (ICD-9-CM) main diagnosis.

Conclusions

the MPI is an accurate predictor of LOS in older patients hospitalised with the most frequent diseases.

SUBMITTER: Pilotto A 

PROVIDER: S-EPMC4711657 | biostudies-literature | 2016 Jan

REPOSITORIES: biostudies-literature