{"title":"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","authors":"Xin Chen, Chen-lu Zhang, Hua Jiang","doi":"10.1002/gps.70147","DOIUrl":null,"url":null,"abstract":"<div>\n \n \n <section>\n \n <h3> Objective</h3>\n \n <p>To investigate the Barthel Index (BI) score in predicting the 1-month and 1-year prognosis after discharge.</p>\n </section>\n \n <section>\n \n <h3> Methods</h3>\n \n <p>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.</p>\n </section>\n \n <section>\n \n <h3> Results</h3>\n \n <p>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 (<i>P</i> < 0.001) and 1 year (<i>P</i> = 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(<i>P</i> < 0.001) and 0.674(<i>P</i> < 0.001) respectively. The cutoff values for BI to predict 1-month and 1-year outcomes were 42.5 and 52.5.</p>\n </section>\n \n <section>\n \n <h3> Conclusions</h3>\n \n <p>The BI score at admission was an useful predictor of outcomes within 1 month and 1 year after discharge for very elderly multimorbidity inpatients.</p>\n </section>\n </div>","PeriodicalId":14060,"journal":{"name":"International Journal of Geriatric Psychiatry","volume":"40 9","pages":""},"PeriodicalIF":2.8000,"publicationDate":"2025-08-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Barthel Index Score at Admission to Predict 1-Month and 1-Year Prognosis in Inpatients Aged ≥ 75 Years With Multimorbidity\",\"authors\":\"Xin Chen, Chen-lu Zhang, Hua Jiang\",\"doi\":\"10.1002/gps.70147\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div>\\n \\n \\n <section>\\n \\n <h3> Objective</h3>\\n \\n <p>To investigate the Barthel Index (BI) score in predicting the 1-month and 1-year prognosis after discharge.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Methods</h3>\\n \\n <p>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.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Results</h3>\\n \\n <p>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 (<i>P</i> < 0.001) and 1 year (<i>P</i> = 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(<i>P</i> < 0.001) and 0.674(<i>P</i> < 0.001) respectively. The cutoff values for BI to predict 1-month and 1-year outcomes were 42.5 and 52.5.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Conclusions</h3>\\n \\n <p>The BI score at admission was an useful predictor of outcomes within 1 month and 1 year after discharge for very elderly multimorbidity inpatients.</p>\\n </section>\\n </div>\",\"PeriodicalId\":14060,\"journal\":{\"name\":\"International Journal of Geriatric Psychiatry\",\"volume\":\"40 9\",\"pages\":\"\"},\"PeriodicalIF\":2.8000,\"publicationDate\":\"2025-08-28\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"International Journal of Geriatric Psychiatry\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://onlinelibrary.wiley.com/doi/10.1002/gps.70147\",\"RegionNum\":3,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q2\",\"JCRName\":\"GERIATRICS & GERONTOLOGY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"International Journal of Geriatric Psychiatry","FirstCategoryId":"3","ListUrlMain":"https://onlinelibrary.wiley.com/doi/10.1002/gps.70147","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"GERIATRICS & GERONTOLOGY","Score":null,"Total":0}
Barthel Index Score at Admission to Predict 1-Month and 1-Year Prognosis in Inpatients Aged ≥ 75 Years With Multimorbidity
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.
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.
求助内容：
应助结果提醒方式：
京公网安备 11010802042870号
