Frailty assessment in older hospitalized patients

Title

Frailty assessment by using the Multidimensional Prognostic Index in older hospitalized patients    

Aim

Targeting health care interventions requires valid measurements when predicting unplanned hospital readmission. The Multidimensional Prognostic Index (MPI) based on Comprehensive Geriatric Assessment (CGA) enables prediction of mortality and length of stay (LOS) in older hospitalized patients. Our aim is to validate if the MPI as a frailty tool can predict unplanned hospital readmission in older patients with acute illness.

Methods

The MPI tool is derived from eight CGA-domains by an interdisciplinary team: social aspects, number of drugs, activities of daily living (ADL), instrumental-ADL, cognitive status, severity of morbidity, risk of developing pressure sores, and nutritional status. Patients assessed are categorized into three groups: non-frail (MPI-1), moderate frail (MPI-2) or severe frail (MPI-3).

Design

A prognostic study.

Setting

Emergency wards and geriatric wards.

Population

The target population is 65+ year old patients hospitalized with acute illness

Outcome

30-day unplanned readmission.

Perspective

As more hospital departments incorporate CGA into their assessment of older patients, a systematic tool such as the MPI could be of great value to health professionals’ decision making. Also in research, MPI may be used to identify a homogeneous group of older patients at risk of adverse outcomes. The results of the project would primarily be generalizable to inpatients.

Conflicts of interest

None.

Collaborators

Department of Geriatrics and the Municipality of Aarhus

Contact