Barthel Index Score at Admission to Predict 1-Month and 1-Year Prognosis in Inpatients Aged ≥ 75 Years With Multimorbidity

IF 2.8 3区医学 Q2 GERIATRICS & GERONTOLOGY

International Journal of Geriatric Psychiatry Pub Date : 2025-08-28 DOI:10.1002/gps.70147

Xin Chen, Chen-lu Zhang, Hua Jiang

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引用次数: 0

Abstract

Objective

To investigate the Barthel Index (BI) score in predicting the 1-month and 1-year prognosis after discharge.

Methods

This was a retrospective observational single-center study. We retrospectively enrolled consecutive inpatients aged ≥ 75 years from a large public hospital. Information of the basic demographic variables, BI score, disease burden, length of hospital stay, medical cost and outcomes of patients were collected. Then we analyzed the association between BI score and clinical outcomes.

Results

A total of 242 subjects were included in this study. The median of BI score was 40 (5, 70). There were 48.76% and 82.23% patients with poor prognosis within 1 month and 1 year after discharge. BI remained an independent predictor of poor outcome within 1 month (P < 0.001) and 1 year (P = 0.027) after adjusting other factors. BI score was negatively correlated with poor outcomes. The calibration of 1-year outcomes was better than that of 1-month outcomes. The ROC analysis showed the AUC of the BI in predicting 1-month and 1-year outcomes were 0.860(P < 0.001) and 0.674(P < 0.001) respectively. The cutoff values for BI to predict 1-month and 1-year outcomes were 42.5 and 52.5.

Conclusions

The BI score at admission was an useful predictor of outcomes within 1 month and 1 year after discharge for very elderly multimorbidity inpatients.

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入院时Barthel指数评分预测≥75岁多病住院患者1个月和1年预后

目的探讨Barthel指数（BI）评分对患者出院后1个月及1年预后的预测价值。方法回顾性观察性单中心研究。我们回顾性地纳入了一家大型公立医院年龄≥75岁的连续住院患者。收集患者基本人口学变量、BI评分、疾病负担、住院时间、医疗费用和转归等信息。然后我们分析了BI评分与临床结果之间的关系。结果本研究共纳入242名受试者。BI评分中位数为40（5,70）。出院后1个月和1年内预后不良的患者分别为48.76%和82.23%。在调整其他因素后，BI仍然是1个月内（P < 0.001）和1年内（P = 0.027）不良预后的独立预测因子。BI评分与预后不良呈负相关。1年预后的校正优于1个月预后的校正。ROC分析显示BI预测1个月和1年预后的AUC分别为0.860（P < 0.001）和0.674（P < 0.001）。BI预测1个月和1年预后的临界值分别为42.5和52.5。结论入院时的BI评分是预测高龄多病住院患者出院后1个月和1年预后的有效指标。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

International Journal of Geriatric Psychiatry 医学-精神病学

CiteScore

6.10

自引率

2.50%

发文量

168

审稿时长

4-8 weeks

期刊介绍： The rapidly increasing world population of aged people has led to a growing need to focus attention on the problems of mental disorder in late life. The aim of the Journal is to communicate the results of original research in the causes, treatment and care of all forms of mental disorder which affect the elderly. The Journal is of interest to psychiatrists, psychologists, social scientists, nurses and others engaged in therapeutic professions, together with general neurobiological researchers. The Journal provides an international perspective on the important issue of geriatric psychiatry, and contributions are published from countries throughout the world. Topics covered include epidemiology of mental disorders in old age, clinical aetiological research, post-mortem pathological and neurochemical studies, treatment trials and evaluation of geriatric psychiatry services.