Background: To validate a predictive scoring system for 1-year mortality among psychogeriatric inpatients admitted for acute psychiatric care. Methods: Computerized data were extracted from the District Health Board D...Background: To validate a predictive scoring system for 1-year mortality among psychogeriatric inpatients admitted for acute psychiatric care. Methods: Computerized data were extracted from the District Health Board Database for a university affiliated general hospital. A geriatric risk scoring system developed in the USA was employed to validate mortality within 1-year of hospital discharge. Results: Among 125 psychogeriatric inpatients who were discharged in 2017, [mean age 82.8 (±8.9) years, 82 (65.6%) women] 33 died within 1-year [26.4% of the sample, mean age, 87.7 (±11.1) years, 25 (75.7%) women]. Levine’s mortality index predicted death. A post hoc probit analysis found two factors significantly associated with predicted mortality: metastatic cancer (Chi-square = 5.6;p Conclusions: A geriatric 1-year mortality scoring system accurately predicted mortality among psychogeriatric inpatients. Predicting psychogeriatric mortality should be considered a guideline for ensuring quality of care and appropriate discharge and advanced care planning.展开更多
文摘Background: To validate a predictive scoring system for 1-year mortality among psychogeriatric inpatients admitted for acute psychiatric care. Methods: Computerized data were extracted from the District Health Board Database for a university affiliated general hospital. A geriatric risk scoring system developed in the USA was employed to validate mortality within 1-year of hospital discharge. Results: Among 125 psychogeriatric inpatients who were discharged in 2017, [mean age 82.8 (±8.9) years, 82 (65.6%) women] 33 died within 1-year [26.4% of the sample, mean age, 87.7 (±11.1) years, 25 (75.7%) women]. Levine’s mortality index predicted death. A post hoc probit analysis found two factors significantly associated with predicted mortality: metastatic cancer (Chi-square = 5.6;p Conclusions: A geriatric 1-year mortality scoring system accurately predicted mortality among psychogeriatric inpatients. Predicting psychogeriatric mortality should be considered a guideline for ensuring quality of care and appropriate discharge and advanced care planning.
