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The Vulnerable Elders-13 survey predicts 5-year functional decline and mortality outcomes in older ambulatory care patients.
- Source :
-
Journal of the American Geriatrics Society . Nov2009, Vol. 57 Issue 11, p2070-2076. 7p. - Publication Year :
- 2009
-
Abstract
- OBJECTIVES: To test the predictive properties of the Vulnerable Elders-13 Survey (VES-13) a short tool that predicts functional decline and mortality over a 1- to 2-year followup interval over a 5-year interval. DESIGN: Longitudinal evaluation with mean follow-up of 4.5 years. SETTING: Two managed-care organizations. PARTICIPANTS: Six hundred forty-nine communitydwelling older adults (>/=75) enrolled in the Assessing Care of Vulnerable Elders observational study who screened positive for symptoms of falls or fear of falling, bothersome urinary incontinence, or memory problems. MEASUREMENTS: VES-13 score (range 1--10, higher score indicates worse prognosis), functional decline (decline in count of 5 activities of daily living or nursing home entry), and deaths. RESULTS: Higher VES-13 scores were associated with greater predicted probability of death and decline in older patients over a mean observation period of 4.5 years. For each additional VES-13 point, the odds of the combined outcome of functional decline or death was 1.37 (95% confidence interval (CI)=1.25--1.50), and the area under the receiver operating curve was 0.75 (95% CI=0.71-- 0.80). In the Cox proportional hazards model predicting time to death, the hazard ratio was 1.23 (95% CI=1.19-- 1.27) per additional VES-13 point. CONCLUSION: This study extends the utility of the VES-13 to clinical decisions that require longer-term prognostic estimates of functional status and survival. [ABSTRACT FROM AUTHOR]
Details
- Language :
- English
- ISSN :
- 00028614
- Volume :
- 57
- Issue :
- 11
- Database :
- Academic Search Index
- Journal :
- Journal of the American Geriatrics Society
- Publication Type :
- Academic Journal
- Accession number :
- 105236306
- Full Text :
- https://doi.org/10.1111/j.1532-5415.2009.02497.x