Table 3. Comparison of models predicting outcome based on patient factors.
Authors | Tool | Outcome | Variables included in model |
---|---|---|---|
Hirdes et al. | MDS-CHESS | Mortality | Vomiting, dehydration, leaving food uneaten, shortness of breath, decline in cognitive or ADLs status, and end-stage disease |
Flacker and Kiely | MRIS | Mortality | Cancer, shortness of breath, CHF, bedfast status, male sex, unstable condition, >25% food uneaten, low functional ability score, swallowing problem, bowel incontinence, BMI <23 |
Porock et al. | MDS-MRI | Mortality | Cancer, sex, recent admission, shortness of breath, appetite, CHF, weight loss, renal failure, dehydration, age, cognitive deterioration, ADLs status, interactions between cancer and age and between ADL and cognitive deterioration |
Van Dijk et al. | No model name | Mortality | Cancer, dementia, heart failure, renal failure, emphysema/COPD, diabetes mellitus, anemia, and interactions between age and cancer |
Wallace and Prevost | SDI and PDS | Mortality | Poor cognitive status, poor functional status, bedfast, weight loss, fall, bowel incontinence, indwelling catheter, unstable diagnosis, high-stage pressure ulcers, terminal illness, and overall decline in status |
Lee and Rantz | No model name | Functional status | Admission physical function, pressure ulcers, and urinary incontinence |
CHESS = changes in health, end-stage disease, and symptoms and signs; CHF = congestive heart failure; COPD = chronic obstructive pulmonary disease; BMI = body mass index; SDI = summative death index; PDS = probability of death score; MDS-MRI = minimum data set-modified mortality risk index; MRIS = mortality risk index score.
The 28 MDS 2.0 items used have been categorized for ease of comparison with other studies.