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العنوان
Usefulness of the Multidimensional Prognostic Index (MPI) as a Prognostic Tool among Elderly Patients Admitted to Ain Shams University Hospitals/
المؤلف
El Seaidy, Mohamed Azzam Abdelrahman Ali.
هيئة الاعداد
باحث / Mohamed Azzam Abdelrahman Ali El Seaidy
مشرف / Somaia Mohamed Ebeid
مشرف / Salma Mohamed Samir El Said
تاريخ النشر
2019.
عدد الصفحات
125 p. :
اللغة
الإنجليزية
الدرجة
ماجستير
التخصص
طب الشيخوخة وعلم الشيخوخة
تاريخ الإجازة
1/1/2019
مكان الإجازة
جامعة عين شمس - كلية الطب - طب وصحة المسنين وعلوم الاعمار
الفهرس
Only 14 pages are availabe for public view

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Abstract

The elderly population numbers are increasing in all over the world and especially in developing countries including Egypt as their life expectancy is increasing due the development of the health services provided. Elderly population are higher risk in developing health problems than other population groups so addressing the complicated health needs for elderly patients through a multidisciplinary team is crucial for early identifying and planning for the needed health care service for the acutely hospitalized elderly.
One of the major complications in the hospitalization of elderly patients is the rapid decline in functional level due to their major health complaint and decreased functional reserve and poor nutritional status. So, taking in consideration these factors is crucial in the process of planning the course of hospitalization for elderly patients.
Different prognostic indices have been implemented to predict the length of hospital stay and mortality in acutely ill patients. The multi-dimensional prognostic index a one of the newer prognostic indices with more generalized approach and based on the comprehensive geriatric assessment shown a lot of potential importance in predicting the trajectory hospitalized elderly with excellent specificity and sensitivity as shown in the current study.
In this study 160 patients were included from the medical wards in Ain Shams university hospitals in the study followed up during their hospital admission where the multi-dimensional prognostic tool was applied to them at admission and at discharge, our aim was to prove whether the multidimensional prognostic index was an effective tool in predicting the length of hospital stay and mortality.
The participants were divided into three groups according to their MPI score. The MPI-III with the highest score was associated with increased length of hospital stay and increased rates of mortality.
Multidimensional prognostic index was found to be highly related to the outcome of hospitalized elderly patients.
In the study, Multidimensional prognostic index showed excellent specificity and sensitivity. So, in the future the multidimensional prognostic index application should be implemented on wider scale as it shown high sensitivity and specificity.