Related Experiment Video
Updated: Jan 21, 2026
09:43
Databases to Efficiently Manage Medium Sized, Low Velocity, Multidimensional Data in Tissue Engineering
Published on: November 22, 2019
6.8K
The Multidimensional Prognostic Index in general practice: One-year follow-up study
Anna Maria Meyer1, Giacomo Siri2, Ingrid Becker3
1Ageing Clinical Research, Department II of Internal Medicine and Center for Molecular Medicine Cologne, Faculty of Medicine and University Hospital Cologne, University of Cologne, Cologne, Germany.
International Journal of Clinical Practice
|August 14, 2019
Summary
The Multidimensional Prognostic Index (MPI) effectively predicts adverse health outcomes and healthcare utilization in older adults within general practice settings. Early MPI assessment can guide personalized care and improve resource efficiency.
Area of Science:
- Geriatrics
- Primary Care Medicine
- Health Services Research
Background:
- Older patients often present with complex health issues not fitting single disease categories.
- A shift towards goal-oriented, personalized care is crucial for clinical decision-making in geriatrics.
- General practice (GP) settings require tools to manage the multifaceted health needs of elderly patients.
Purpose of the Study:
- To evaluate the predictive capability of the comprehensive geriatric assessment (CGA)-based Multidimensional Prognostic Index (MPI).
- To assess MPI's association with key healthcare indicators in a general practice context over a 12-month period.
- To determine the prognostic value of MPI for older patients managed in primary care.
Main Methods:
- A cohort of 125 patients aged 70+ in a GP setting were followed for one year.
- Comprehensive Geriatric Assessment (CGA) was performed to calculate the MPI, categorizing patients into low, moderate, and severe risk groups.
- Data collected included Grade of Care (GC), hospitalization, mortality, nursing home admission, home care use, falls, GP contacts (GPC), geriatric resources (GR), and geriatric syndromes (GS).
Main Results:
- The MPI demonstrated significant associations with the number of geriatric syndromes (GS), geriatric resources (GR), and grade of care (GC).
- MPI also correlated significantly with the average number of general practitioner contacts (GPC) per year.
- Clinical judgment by general practitioners showed similar predictive power for adverse outcomes as the MPI.
Conclusions:
- The MPI is a strong predictor of adverse outcomes and healthcare utilization, specifically general practitioner contacts, in older primary care patients.
- The feasibility and robust clinimetric properties of the MPI support its early implementation.
- Encouraging early MPI collection can identify at-risk individuals, facilitate tailored preventive strategies, and enhance healthcare cost-effectiveness.
Related Concept Videos
01:16Characteristics of Practical Op Amps
835
A difference amplifier, a crucial component in numerous electronic devices, ideally amplifies only the difference-mode signal, which is the difference between two input signals. However, in practical circuits, the output voltage depends on both the differential gain and the common-mode gain.
The ratio of differential gain to the common-mode gain is defined as the common-mode rejection ratio (CMRR). This ratio quantifies the ability of operational amplifiers (op-amps) to reject common-mode...
The ratio of differential gain to the common-mode gain is defined as the common-mode rejection ratio (CMRR). This ratio quantifies the ability of operational amplifiers (op-amps) to reject common-mode...
835
01:30Theoretical Foundations of Nursing Practice
17.2K
Theories play an essential role in organizing patient care. Theories refer to a proposed or followed belief, policy, or procedure that is the basis for action. Nursing theories are knowledge-based concepts that guide nurses' actions, influence nursing education and practice, and allow nurses to care for their patients.
Theories provide a perspective to assess patients' conditions and organize data and methods. They also assist in analyzing and interpreting information. They represent a...
Theories provide a perspective to assess patients' conditions and organize data and methods. They also assist in analyzing and interpreting information. They represent a...
17.2K
01:28Equivalent Circuits for Practical Transformers
1.4K
The practical equivalent circuits of single-phase two-winding transformers exhibit significant deviations from their idealized versions due to the inherent properties of winding resistance and finite core permeability. These properties result in real and reactive power losses, affecting the transformer's performance. Understanding these deviations is crucial for designing more efficient transformers.
In a practical transformer, each winding exhibits resistance and leakage reactance. The...
In a practical transformer, each winding exhibits resistance and leakage reactance. The...
1.4K
01:22Case Studies
13.3K
There are many research methods available to psychologists in their efforts to understand, describe, and explain behavior and the cognitive and biological processes that underlie it.
13.3K
01:28Imaging Studies I: Kidney, Ureter, and Bladder Studies
288
Kidney, Ureter, and Bladder (KUB) StudiesKidney, Ureter, and Bladder (KUB) studies are standard diagnostic imaging procedures used to assess the anatomy of the urinary system. They are commonly utilized for patients experiencing abdominal pain or urinary symptoms. By using a simple X-ray of the abdomen, KUB studies can reveal structural and pathological abnormalities within the kidneys, ureters, and bladder. These studies are particularly valuable in diagnosing kidney stones, urinary...
288
01:26Longitudinal Studies
481
Longitudinal studies are also widely used in other medical and social science fields. For instance, in cardiovascular research, they can monitor patients' health over decades to identify risk factors for heart disease, such as high cholesterol or smoking, and evaluate the long-term effectiveness of preventive measures. Similarly, in mental health studies, researchers might follow individuals from adolescence into adulthood to understand the development and progression of conditions like...
481