File Download

There are no files associated with this item.

  Links for fulltext
     (May Require Subscription)
Supplementary

Article: Development and validation of a prognostic tool for identifying residents at increased risk of death in long-term care facilities

TitleDevelopment and validation of a prognostic tool for identifying residents at increased risk of death in long-term care facilities
Authors
KeywordsCox proportional hazards regression
IRD scale
long-term care facilities
minimum data set
palliative care
Issue Date2019
PublisherMary Ann Liebert, Inc Publishers. The Journal's web site is located at http://www.liebertpub.com/jpm
Citation
Journal of Palliative Medicine, 2019, v. 22 n. 3, p. 258-266 How to Cite?
AbstractTo promote better care at the end stage of life in long-term care facilities, a culturally appropriate tool for identifying residents at the end of life is crucial. Objective: This study aimed to develop and validate a prognostic tool, the increased risk of death (IRD) scale, based on the minimum data set (MDS). Design: A retrospective study using data between 2005 and 2013 from six nursing homes in Hong Kong. Setting/Subjects: A total of 2380 individuals were randomly divided into two equal-sized subsamples: Sample 1 was used for the development of the IRD scale and Sample 2 for validation. Measurements: The measures were MDS 2.0 items and mortality data from the discharge tracking forms. The nine items in the IRD scale (decline in cognitive status, decline in activities of daily living, cancer, renal failure, congestive heart failure, emphysema/chronic obstructive pulmonary disease, edema, shortness of breath, and loss of weight), were selected based on bivariate Cox proportional hazards regression. Results: The IRD scale was a strong predictor of mortality in both Sample 1 (HRsample1 = 1.50, 95% confidence interval [CI]: 1.37-1.65) and Sample 2 (HRsample2 = 1.31, 1.19-1.43), after adjusting for covariates. Hazard ratios (HRs) for residents who had an IRD score of 3 or above for Sample 1 and Sample 2 were 3.32 (2.12-5.21) and 2.00 (1.30-3.09), respectively. Conclusions: The IRD scale is a promising tool for identifying nursing home residents at increased risk of death. We recommend the tool to be incorporated into the care protocol of long-term care facilities in Hong Kong. © Copyright 2019, Mary Ann Liebert, Inc., publishers 2019.
Persistent Identifierhttp://hdl.handle.net/10722/274027
ISSN
2023 Impact Factor: 2.2
2023 SCImago Journal Rankings: 0.794
ISI Accession Number ID

 

DC FieldValueLanguage
dc.contributor.authorLuo, H-
dc.contributor.authorLou, VW-
dc.contributor.authorLi, YK-
dc.contributor.authorChi, I-
dc.date.accessioned2019-08-18T14:53:33Z-
dc.date.available2019-08-18T14:53:33Z-
dc.date.issued2019-
dc.identifier.citationJournal of Palliative Medicine, 2019, v. 22 n. 3, p. 258-266-
dc.identifier.issn1096-6218-
dc.identifier.urihttp://hdl.handle.net/10722/274027-
dc.description.abstractTo promote better care at the end stage of life in long-term care facilities, a culturally appropriate tool for identifying residents at the end of life is crucial. Objective: This study aimed to develop and validate a prognostic tool, the increased risk of death (IRD) scale, based on the minimum data set (MDS). Design: A retrospective study using data between 2005 and 2013 from six nursing homes in Hong Kong. Setting/Subjects: A total of 2380 individuals were randomly divided into two equal-sized subsamples: Sample 1 was used for the development of the IRD scale and Sample 2 for validation. Measurements: The measures were MDS 2.0 items and mortality data from the discharge tracking forms. The nine items in the IRD scale (decline in cognitive status, decline in activities of daily living, cancer, renal failure, congestive heart failure, emphysema/chronic obstructive pulmonary disease, edema, shortness of breath, and loss of weight), were selected based on bivariate Cox proportional hazards regression. Results: The IRD scale was a strong predictor of mortality in both Sample 1 (HRsample1 = 1.50, 95% confidence interval [CI]: 1.37-1.65) and Sample 2 (HRsample2 = 1.31, 1.19-1.43), after adjusting for covariates. Hazard ratios (HRs) for residents who had an IRD score of 3 or above for Sample 1 and Sample 2 were 3.32 (2.12-5.21) and 2.00 (1.30-3.09), respectively. Conclusions: The IRD scale is a promising tool for identifying nursing home residents at increased risk of death. We recommend the tool to be incorporated into the care protocol of long-term care facilities in Hong Kong. © Copyright 2019, Mary Ann Liebert, Inc., publishers 2019.-
dc.languageeng-
dc.publisherMary Ann Liebert, Inc Publishers. The Journal's web site is located at http://www.liebertpub.com/jpm-
dc.relation.ispartofJournal of Palliative Medicine-
dc.rightsJournal of Palliative Medicine. Copyright © Mary Ann Liebert, Inc Publishers.-
dc.subjectCox proportional hazards regression-
dc.subjectIRD scale-
dc.subjectlong-term care facilities-
dc.subjectminimum data set-
dc.subjectpalliative care-
dc.titleDevelopment and validation of a prognostic tool for identifying residents at increased risk of death in long-term care facilities-
dc.typeArticle-
dc.identifier.emailLuo, H: haoluo@hku.hk-
dc.identifier.emailLou, VW: wlou@hku.hk-
dc.identifier.authorityLuo, H=rp02317-
dc.identifier.authorityLou, VW=rp00607-
dc.identifier.doi10.1089/jpm.2018.0219-
dc.identifier.pmid30383467-
dc.identifier.scopuseid_2-s2.0-85062002591-
dc.identifier.hkuros301318-
dc.identifier.volume22-
dc.identifier.issue3-
dc.identifier.spage258-
dc.identifier.epage266-
dc.identifier.isiWOS:000448932700001-
dc.publisher.placeUnited States-
dc.identifier.issnl1557-7740-

Export via OAI-PMH Interface in XML Formats


OR


Export to Other Non-XML Formats