Evaluation of MPI as a prognostic tool among the hospitalized elderly patients at Ain-Shams University hospital

Abstract

AbstractBackground: There is a steady progression in the number of the elderly population, with increase burden of their own problems; one of these problems is hospitalization with its drawbacks. This emerge the importance of developing prognostic tools which predict the outcome of the hospitalized elderly patient, one of these tools is MPI.Aim: To investigate whether the MPI is an effective predictor of intra-hospital functional decline, longer length of hospital stay and intra-hospital mortality after admission to Ain shams university hospital medical wardsMethods: One hundred and sixty elderly were enrolled in the study, they were recruited from Ain Shams University Hospital, the following was done for them after taking consent, Comprehensive Geriatric Assessment, applying MPI toolResults: showed significant relationship between MPI with polypharmacy, cohabitational status, number of drugs, comprehensive geriatric tools, simple basic laboratory data including hemoglobin levels, hematocrit and sodium levels. Age , sex, and cause of admission was found to irrelevant to functional decline and length of hospital stay and multidimensional prognostic index score. Depression and cognitive impairment were closely associated with higher MPI scores, prolonged length of hospital stay and increased incidence of mortality and finally Multidimensional prognostic index was found to be highly related to the outcome of hospitalized elderly patients.Conclusions: Multidimensional prognostic index showed excellent specificity and sensitivity as a prognostic index among hospitalized elderly patients. So its study on larger size of participants is recommended