住院老年患者的多维预后指数：时间需求的实用性。
The multidimensional prognostic index in hospitalized older adults: practicability with regard to time needs.
机构信息
Ageing Clinical Research, Department II of Internal Medicine and Center for Molecular Medicine Cologne, Faculty of Medicine and University Hospital Cologne, Cologne, Germany.
Clinic of Geriatrics, St. Marien Hospital Cologne, Cologne, Germany.
出版信息
Aging Clin Exp Res. 2023 Mar;35(3):711-716. doi: 10.1007/s40520-022-02311-9. Epub 2023 Jan 30.
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.
背景
综合老年评估（CGA）对个体化老年医学至关重要，但并未系统应用。
目的
本研究旨在为基于问卷的衰弱评估工具多维预后指数（MPI）提供精确的、与实践相关的时间消耗数据。
方法
在三个老年医学科（队列 1、2 和 3）中，对 90 名患有多种合并症的老年人进行 MPI 测定。记录完成 MPI 所需的时间（tnpMPI），以分钟为单位。6 个月后收集随访数据。
结果
总队列的中位 tnpMPI 为 15.0 分钟（IQR 7.0）。在最后一次访问的队列 3 中，中位值为 10.0 分钟，与队列 1 和 2 的中位值 15.5 和 15.0 相比存在显著差异（p < 0.001）。
结论
这些发现表明，MPI 作为个体化医学中一种极具信息量的衰弱工具，可以在合理可行的时间内完成。
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