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The multidimensional prognostic index in hospitalized older adults: practicability with regard to time needs

BACKGROUND: Comprehensive Geriatric Assessment (CGA) is decisive in patient-centered medicine of the aged individual, yet it is not systematically used. AIM: The aim of this study was to provide precise practice-relevant time expenditure data for the Multidimensional Prognostic Index (MPI), a questi...

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Detalles Bibliográficos
Autores principales: Bonnekoh, Selma Irmgard, Meyer, Anna Maria, Pickert, Lena, Schulz, Ralf-Joachim, Becker, Ingrid, Polidori, M. Cristina
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer International Publishing 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10014668/
https://www.ncbi.nlm.nih.gov/pubmed/36717529
http://dx.doi.org/10.1007/s40520-022-02311-9
Descripción
Sumario:BACKGROUND: Comprehensive Geriatric Assessment (CGA) is decisive in patient-centered medicine of the aged individual, yet it is not systematically used. AIM: The aim of this study was to provide precise practice-relevant time expenditure data for the Multidimensional Prognostic Index (MPI), a questionnaire-based frailty assessment tool. METHODS: MPI was determined in ninety older multimorbid adults in three geriatric departments (cohorts 1, 2 and 3). The time needed to perform the MPI (tnpMPI) was recorded in minutes. Follow-up data were collected after 6 months. RESULTS: The median tnpMPI was 15.0 min (IQR 7.0) in the total collective. In the last visited cohort 3, the median was 10.0 min and differed significantly from cohorts 1 and 2 with medians of 15.5 and 15.0 (p < 0.001). CONCLUSION: These findings indicate, that MPI, as a highly informative frailty tool of individualized medicine, can be performed in an adequately practicable time frame. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1007/s40520-022-02311-9.