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Predictive validity of PRISMA-7 as a screening instrument for frailty in a hospital setting
- Source :
- BMJ Open, BMJ Open, Vol 10, Iss 10 (2020), Hoffmann, S, Wiben, A, Kruse, M, Jacobsen, K K, Lembeck, M A & Holm, E A 2020, ' Predictive validity of PRISMA-7 as a screening instrument for frailty in a hospital setting ', BMJ Open, vol. 10, no. 10, e038768 . https://doi.org/10.1136/bmjopen-2020-038768
- Publication Year :
- 2020
-
Abstract
- ObjectivesFrailty is a major clinical geriatric syndrome associated with serious adverse events including functional disability, falls, hospitalisation, increased morbidity and mortality. The aim of this study was to study the associations between frailty defined as Program of Research to Integrate Services for the Maintenance of Autonomy (PRISMA-7) score ≥3 and use of healthcare resources in hospital and in the municipality as well as association between frailty and mortality.DesignRegister-based retrospective study.SettingThe target population consists of patients aged 75 years or above who, during hospital stay, were assessed by a physiotherapist, and at discharge from hospital were prescribed further physical training in the community.Participants973 individuals aged 75+ years were included.Outcome measuresWe examined associations between frailty and use of healthcare resources in hospital and in the municipality as well as the association between frailty and mortality.Results973 individuals aged 75+ years were included. Of these, 63.9% had a PRISMA-7 score ≥3 and were thus defined as frail. Frail individuals were older compared with non-frail with mean ages of 84.6 and 80.4 years, respectively, p>0.001. Age and gender-adjusted mortality after 1 year was higher among the frail (OR 2.46, 95% CI 1.53 to 3.97). Use of healthcare services in the municipality as well as hospital admissions was significantly higher among frail individuals.ConclusionsBased on these findings we consider PRISMA-7 to be useful in an in-hospital setting as a screening tool to identify frail elderly patients who may profit from further geriatric assessment during hospital stay.Trial registration numberID REG-070-2017.
- Subjects :
- Gerontology
Predictive validity
Male
medicine.medical_specialty
Hospital setting
Frail Elderly
Geriatric Medicine
Epidemiology
Health care
Medicine
Humans
Adverse effect
Screening instrument
Geriatric Assessment
Aged
Retrospective Studies
Geriatrics
Aged, 80 and over
Frailty
geriatric medicine
business.industry
rehabilitation medicine
Retrospective cohort study
General Medicine
Hospitals
internal medicine
Female
epidemiology
business
Subjects
Details
- ISSN :
- 20446055
- Volume :
- 10
- Issue :
- 10
- Database :
- OpenAIRE
- Journal :
- BMJ open
- Accession number :
- edsair.doi.dedup.....ae8b5e1436d53012b8007ffdd5bae4eb