دورية أكاديمية
The predictive value of the 'VMS frail older patients' for adverse outcomes in geriatric inpatients.
| العنوان: | The predictive value of the 'VMS frail older patients' for adverse outcomes in geriatric inpatients. |
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| المؤلفون: | Oud FMM; Department of geriatrics, Gelre Ziekenhuizen, the Netherlands; Universitair Medisch Centrum Groningen, the Netherlands. Electronic address: f.m.m.oud@umcg.nl., Wolzak NK; Department of geriatrics, Gelre Ziekenhuizen, the Netherlands., Spies PE; Department of geriatrics, Gelre Ziekenhuizen, the Netherlands., Zaag-Loonen HJV; Universitair Medisch Centrum Groningen, the Netherlands., van Munster BC; Universitair Medisch Centrum Groningen, the Netherlands. |
| المصدر: | Archives of gerontology and geriatrics [Arch Gerontol Geriatr] 2021 Nov-Dec; Vol. 97, pp. 104514. Date of Electronic Publication: 2021 Aug 31. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Elsevier Biomedical Press Country of Publication: Netherlands NLM ID: 8214379 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1872-6976 (Electronic) Linking ISSN: 01674943 NLM ISO Abbreviation: Arch Gerontol Geriatr Subsets: MEDLINE |
| أسماء مطبوعة: | Original Publication: Amsterdam : Elsevier Biomedical Press, c1982- |
| مواضيع طبية MeSH: | Frail Elderly* , Malnutrition*/diagnosis , Malnutrition*/epidemiology, Aged ; Aged, 80 and over ; Geriatric Assessment ; Humans ; Inpatients ; Male ; Retrospective Studies |
| مستخلص: | Background/objective: The Dutch Safety Management system (VMS) screening for frail older patients is used as a predictor for adverse outcomes. We aimed to determine the predictive value of the VMS for adverse outcomes in geriatric inpatients. Design: Retrospective cohort study in geriatric inpatients. Outcomes were institutionalization, readmission and mortality (3- and 12-months). Logistic regression analysis was performed to assess the predictive value of the number of positive VMS domains, a VMS score ≥1, and individual domains for adverse outcomes. Results: We included 477 patients. Median age was 85 years (54-99) and 37% were male. Eighty-seven % scored positive on delirium risk, 57% on fall risk, 39% on malnutrition and 64% on physical impairment. One-hundred-thirty-five patients (28%) were institutionalized, 78 patients (16%) were readmitted and mortality rate was 127(27%) at 3 months and 184 (39%) at one year. The VMS was not predictive for readmission (OR 1.6; 95%-CI 0.2-13.7) and mortality, (OR 0.6 95%-CI 0.2-2.0 and OR 1.1; 95%-CI 0.3-3.7). For institutionalization, delirium risk (OR 2.2; 95%-CI 1.1-4.4), physical impairment (OR 1.8; 95%-CI 1.1-2.9) and a positive score on all four domains were predictive (OR 12.1 95%-CI-1.4-101.7). Malnutrition was predictive for readmission (OR 1.74; 95%-CI 1.05-2.91) and three-month mortality (OR 1.69; 95%-CI 1.11-2.57), delirium risk for one -year mortality (OR 2.0; 95%-CI 1.0-4.0) . Conclusions: Almost all geriatric inpatients scored positive on at least one domain of the VMS. The number of positive VMS domains had some predictive value for institutionalization. Individual domains were able to predict adverse outcomes. (Copyright © 2021 The Authors. Published by Elsevier B.V. All rights reserved.) |
| فهرسة مساهمة: | Keywords: Institutionalization; Mortality; Prediction; Readmission; Vulnerable |
| تواريخ الأحداث: | Date Created: 20210927 Date Completed: 20211025 Latest Revision: 20211025 |
| رمز التحديث: | 20221213 |
| DOI: | 10.1016/j.archger.2021.104514 |
| PMID: | 34571343 |
| قاعدة البيانات: | MEDLINE |
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Full Text Finder | تدمد: | 1872-6976 |
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| DOI: | 10.1016/j.archger.2021.104514 |