Multidimensional Geriatric Prognostic Index, Based on a Geriatric Assessment, for Long-Term Survival in Older Adults in Korea.
The patient´s survival estimate is important for clinical decision-making, especially in frail patients with multimorbidities. We aimed to develop a multidimensional geriatric prognosis index (GPI) for 3- and 5-year mortality in community-dwelling elderly and to validate the GPI in a separate hospit...
| Main Authors: | , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Public Library of Science (PLoS)
2016-01-01
|
| Series: | PLoS ONE |
| Online Access: | http://europepmc.org/articles/PMC4714804?pdf=render |
| _version_ | 1818175202840805376 |
|---|---|
| author | Hee-Won Jung Jin Won Kim Ji Won Han Kayoung Kim Jee Hyun Kim Kwang-Il Kim Cheol-Ho Kim Ki Woong Kim |
| author_facet | Hee-Won Jung Jin Won Kim Ji Won Han Kayoung Kim Jee Hyun Kim Kwang-Il Kim Cheol-Ho Kim Ki Woong Kim |
| author_sort | Hee-Won Jung |
| collection | DOAJ |
| description | The patient´s survival estimate is important for clinical decision-making, especially in frail patients with multimorbidities. We aimed to develop a multidimensional geriatric prognosis index (GPI) for 3- and 5-year mortality in community-dwelling elderly and to validate the GPI in a separate hospital-based population. The GPI was constructed using data for 988 participants in the Korean Longitudinal Study on Health and Aging (KLoSHA) and cross-validated with 1109 patients who underwent a geriatric assessment at the Seoul National University Bundang Hospital (SNUBH). The GPI, with a total possible score of 8, included age, gender, activities of daily living, instrumental activities of daily living, comorbidities, mood, cognitive function, and nutritional status. During the 5-year observation period, 179 KLoSHA participants (18.1%) and 340 SNUBH patients (30.7%) died. The c-indices for 3- and 5-year mortality were 0.78 and 0.80, respectively, in the KLoSHA group and 0.73 and 0.80, respectively, in the SNUBH group. Positive linear trends were observed for GPI scores and both 3- and 5-year mortality in both groups. In conclusions, using common components of a geriatric assessment, the GPI can stratify the risk of 3- and 5-year mortality in Korean elderly people both in the community and hospital. |
| first_indexed | 2024-12-11T19:56:33Z |
| format | Article |
| id | doaj.art-3cf5d8913257473e8e952446f90dfe24 |
| institution | Directory Open Access Journal |
| issn | 1932-6203 |
| language | English |
| last_indexed | 2024-12-11T19:56:33Z |
| publishDate | 2016-01-01 |
| publisher | Public Library of Science (PLoS) |
| record_format | Article |
| series | PLoS ONE |
| spelling | doaj.art-3cf5d8913257473e8e952446f90dfe242022-12-22T00:52:38ZengPublic Library of Science (PLoS)PLoS ONE1932-62032016-01-01111e014703210.1371/journal.pone.0147032Multidimensional Geriatric Prognostic Index, Based on a Geriatric Assessment, for Long-Term Survival in Older Adults in Korea.Hee-Won JungJin Won KimJi Won HanKayoung KimJee Hyun KimKwang-Il KimCheol-Ho KimKi Woong KimThe patient´s survival estimate is important for clinical decision-making, especially in frail patients with multimorbidities. We aimed to develop a multidimensional geriatric prognosis index (GPI) for 3- and 5-year mortality in community-dwelling elderly and to validate the GPI in a separate hospital-based population. The GPI was constructed using data for 988 participants in the Korean Longitudinal Study on Health and Aging (KLoSHA) and cross-validated with 1109 patients who underwent a geriatric assessment at the Seoul National University Bundang Hospital (SNUBH). The GPI, with a total possible score of 8, included age, gender, activities of daily living, instrumental activities of daily living, comorbidities, mood, cognitive function, and nutritional status. During the 5-year observation period, 179 KLoSHA participants (18.1%) and 340 SNUBH patients (30.7%) died. The c-indices for 3- and 5-year mortality were 0.78 and 0.80, respectively, in the KLoSHA group and 0.73 and 0.80, respectively, in the SNUBH group. Positive linear trends were observed for GPI scores and both 3- and 5-year mortality in both groups. In conclusions, using common components of a geriatric assessment, the GPI can stratify the risk of 3- and 5-year mortality in Korean elderly people both in the community and hospital.http://europepmc.org/articles/PMC4714804?pdf=render |
| spellingShingle | Hee-Won Jung Jin Won Kim Ji Won Han Kayoung Kim Jee Hyun Kim Kwang-Il Kim Cheol-Ho Kim Ki Woong Kim Multidimensional Geriatric Prognostic Index, Based on a Geriatric Assessment, for Long-Term Survival in Older Adults in Korea. PLoS ONE |
| title | Multidimensional Geriatric Prognostic Index, Based on a Geriatric Assessment, for Long-Term Survival in Older Adults in Korea. |
| title_full | Multidimensional Geriatric Prognostic Index, Based on a Geriatric Assessment, for Long-Term Survival in Older Adults in Korea. |
| title_fullStr | Multidimensional Geriatric Prognostic Index, Based on a Geriatric Assessment, for Long-Term Survival in Older Adults in Korea. |
| title_full_unstemmed | Multidimensional Geriatric Prognostic Index, Based on a Geriatric Assessment, for Long-Term Survival in Older Adults in Korea. |
| title_short | Multidimensional Geriatric Prognostic Index, Based on a Geriatric Assessment, for Long-Term Survival in Older Adults in Korea. |
| title_sort | multidimensional geriatric prognostic index based on a geriatric assessment for long term survival in older adults in korea |
| url | http://europepmc.org/articles/PMC4714804?pdf=render |
| work_keys_str_mv | AT heewonjung multidimensionalgeriatricprognosticindexbasedonageriatricassessmentforlongtermsurvivalinolderadultsinkorea AT jinwonkim multidimensionalgeriatricprognosticindexbasedonageriatricassessmentforlongtermsurvivalinolderadultsinkorea AT jiwonhan multidimensionalgeriatricprognosticindexbasedonageriatricassessmentforlongtermsurvivalinolderadultsinkorea AT kayoungkim multidimensionalgeriatricprognosticindexbasedonageriatricassessmentforlongtermsurvivalinolderadultsinkorea AT jeehyunkim multidimensionalgeriatricprognosticindexbasedonageriatricassessmentforlongtermsurvivalinolderadultsinkorea AT kwangilkim multidimensionalgeriatricprognosticindexbasedonageriatricassessmentforlongtermsurvivalinolderadultsinkorea AT cheolhokim multidimensionalgeriatricprognosticindexbasedonageriatricassessmentforlongtermsurvivalinolderadultsinkorea AT kiwoongkim multidimensionalgeriatricprognosticindexbasedonageriatricassessmentforlongtermsurvivalinolderadultsinkorea |