Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2021 Dec;33(12):3363-3369.
doi: 10.1007/s40520-021-01871-6. Epub 2021 May 18.

Validation and implementation of telephone-administered version of the Multidimensional Prognostic Index (TELE-MPI) for remote monitoring of community-dwelling older adults

Carlo Custodero  1 , Barbara Senesi  2 , Alessandra Pinna  2 , Annarosa Floris  2 , Martina Vigo  2 , Marcella Fama  2 , Valeria Mastropierro  1 , Carlo Sabbà  1 , Camilla Prete  2 , Alberto Pilotto  3   4
Affiliations

Validation and implementation of telephone-administered version of the Multidimensional Prognostic Index (TELE-MPI) for remote monitoring of community-dwelling older adults

Carlo Custodero et al. Aging Clin Exp Res. 2021 Dec.

Abstract

Background: During the recent lockdown measures adopted by national authorities to contain the COVID-19 pandemic, many vulnerable older patients with chronic conditions, normally followed in ambulatory setting, needed to be monitored and managed in alternative ways, including telemedicine.

Aims: In the framework of a telemedicine program, we aimed to validate and implement a telephone-administered version of the Multidimensional Prognostic Index (TELE-MPI) among community-dwelling older outpatients.

Method: From March 9 to May 11, 2020, 131 older patients (82.1 years; 74% females) were interviewed using a telephone-based survey to calculate the TELE-MPI. The standard MPI was performed face-to-face three months apart. The Bland-Altman methodology measured the agreement between the two tools. Multivariate logistic regression models were built to ascertain the prognostic value of TELE-MPI and TELE-MPI classes (low, moderate, or severe risk) on negative outcomes occurring during the lockdown period.

Results: Mean MPI and TELE-MPI values were 0.523 and 0.522, respectively. Lower and upper 95% limits of agreement were - 0.122 and + 0.124, respectively, with only 4.6% of observations outside the limits. Each 0.1 increase of TELE-MPI score was significantly correlated with higher incidence of psychiatric disorders [odd ratio (OR): 1.57; 95% confidence interval (CI) 1.27, 1.95] and falls (OR: 1.41; 95% CI 1.08, 1.82) in community-dwelling-older adults.

Discussion: TELE-MPI showed a strong agreement with the standard MPI and was able to predict psychiatric disorders and falls during lockdown period.

Conclusion: TELE-MPI may represent a useful way to follow by remote the health status of older adults.

Keywords: COVID-19; Comprehensive Geriatric Assessment (CGA); Falls; Multidimensional Prognostic Index; Psychiatric disorders; Telemedicine.

PubMed Disclaimer

Conflict of interest statement

The authors have no conflicts of interest to declare that are relevant to the content of this article.

Figures

Fig. 1
Fig. 1
Bland–Altman plot of agreement between MPI and TELE-MPI
See this image and copyright information in PMC

Similar articles

See all similar articles

Cited by

See all "Cited by" articles

References

    1. World Health Organization . Telemedicine: opportunities and developments in member states: report on the second Global survey on eHealth. Global observatory for eHealth series. Geneva: World Health Organization; 2010.
    1. Guler NF, Ubeyli ED. Theory and applications of telemedicine. J Med Syst. 2002;26:199–220. doi: 10.1023/a:1015010316958. - DOI - PubMed
    1. Batsis JA, DiMilia PR, Seo LM et al (2019) Effectiveness of ambulatory telemedicine care in older adults: a systematic review. J Am Geriatr Soc 67:1737–1749. 10.1111/jgs.15959 - PMC - PubMed
    1. Greenwald P, Stern ME, Clark S et al (2018) Older adults and technology: in telehealth, they may not be who you think they are. Int J Emerg Med 11:2. 10.1186/s12245-017-0162-7 - PMC - PubMed
    1. Betkus G, Freeman S, Martin-Khan M, et al. Comparison of in-person and telegeriatric follow-up consultations. J Telemed Telecare. 2020 doi: 10.1177/1357633X20965416. - DOI - PubMed