The MDS-CHESS scale: a new measure to predict mortality in institutionalized older people.

The MDS-CHESS scale: a new measure to predict mortality in institutionalized older people. Research Abstract Details 

Research Abstract Table of Contents

Jump to the:

The MDS-CHESS scale: a new measure to predict mortality in institutionalized older people. Abstract Text:

OBJECTIVES: To develop a scale predicting mortality and other adverse outcomes associated with frailty. DESIGN: Observational study based on Minimum Data Set (MDS) 2.0 and mortality data. SETTING: Ontario chronic hospitals. PARTICIPANTS: All chronic hospital patients (N = 28,495) assessed with the MDS 2.0 after mandatory implementation in July 1996 followed until May 1999. MEASUREMENTS: MDS 2.0 assessments done as part of normal practice mainly by registered nurses or multidisciplinary teams in a chronic hospital. Mortality data are available from the accompanying discharge tracking form. RESULTS: The MDS-Changes in Health, End-stage disease and Symptoms and Signs (CHESS) score is a composite measure addressing changes in health, end-stage disease, and symptoms and signs of medical problems. It is a strong predictor of mortality (P <.0001) independent of the effects of age, sex, activities of daily living impairment, cognition, and do-not-resuscitate orders. It is also strongly associated with physician activity, complex medical procedures, and pain (P <.001 for each dependent variable). CONCLUSIONS: The CHESS score provides a useful new MDS-based test to predict mortality and to measure instability in health as a clinical outcome.

The MDS-CHESS scale: a new measure to predict mortality in institutionalized older people. Publishing Authors By Initials

For similar investigative techniques: epidemiologic methods: data collection: health surveys: health status indicators: severity of illness index research abstracts see: investigative techniques: epidemiologic methods: data collection: health surveys: health status indicators: severity of illness index research

PUBMED ID PMID:

MEDLINE DATE:

The MDS-CHESS scale: a new measure to predict mortality in institutionalized older people. Journal Published:

PUBLICATION TYPE: Research Support, Non-U.S. Gov

Journal: Journal of the American Geriatrics Society

VOLUME: 51

Page Numbers: 96-100

Journal Abbreviation: J Am Geriatr Soc

ISSN: 0002-8614

DAY: 10

MONTH: Jan

YEAR: 2003

The MDS-CHESS scale: a new measure to predict mortality in institutionalized older people. Information

Number of References:

LANGUAGE: eng

NlmUniqueID: 7503062

The MDS-CHESS scale: a new measure to predict mortality in institutionalized older people. Keywords Mesh Terms:

KEYWORDS: Severity of Illness Index

MESH TERMS:

Chemical & Substance for Abstract: The MDS-CHESS scale: a new measure to predict mortality in institutionalized older people. Information

Substance Name:

Registry Number:

Grant and Affiliation Information for The MDS-CHESS scale: a new measure to predict mortality in institutionalized older people.

AFFILIATION: Department of Health Studies and Gerontology, University of Waterloo, Waterloo, Ontario, Canada. hirdes@uwaterloo.ca

Country: United States

AGENCY:

GRANT:

ACRONYM:

MEDLINETA: J Am Geriatr Soc

REFSOURCE:

DATABASENAME:

ACCESSION NUMBER:

Number Hits: 0

The MDS-CHESS scale: a new measure to predict mortality in institutionalized older people Related Publications

• A case of beryllium disease.
• Ballbearing-bomb injuries.
• Coronary-artery pathology in sudden death from myocardial ischaemia. A comparison by age-groups.
• Family based studies and genetic epidemiology: theory and practice.
• Medico-legal aspects of abortion.
• Meningitis in a butcher.
• Teachers, look at how your prejudices affect your teaching.
• The MDS-CHESS scale: a new measure to predict mortality in institutionalized older people.