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. 2023 Mar;35(3):711-716.
doi: 10.1007/s40520-022-02311-9. Epub 2023 Jan 30.

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

Selma Irmgard Bonnekoh  1 , Anna Maria Meyer  1 , Lena Pickert  1 , Ralf-Joachim Schulz  2 , Ingrid Becker  3 , M Cristina Polidori  4   5
Affiliations

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

Selma Irmgard Bonnekoh et al. Aging Clin Exp Res. 2023 Mar.

Abstract

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.

Keywords: Applied health science; Comprehensive geriatric assessment; Frailty; Health economics; Multidimensional prognostic index; Time resources.

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Conflict of interest statement

None of the authors report a conflict of interest.

Figures

Fig. 1
Fig. 1
Flowchart of the study—design of the feasibility study investigating the time requirements for the performance of the Multidimensional Prognostic Index (MPI)
Fig. 2
Fig. 2
Time needed to perform MPI (min) in the three geriatric departments (cohorts 1–3) as visited en bloc sequentially
See this image and copyright information in PMC

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