Use of the interRAI CHESS Scale to Predict Mortality among Persons with Neurological Conditions in Three Care Settings
Identifieur interne : 000870 ( Main/Exploration ); précédent : 000869; suivant : 000871Use of the interRAI CHESS Scale to Predict Mortality among Persons with Neurological Conditions in Three Care Settings
Auteurs : John P. Hirdes [Canada] ; Jeffrey W. Poss [Canada] ; Lori Mitchell [Canada] ; Lawrence Korngut [Canada] ; George Heckman [Canada]Source :
- PLoS ONE [ 1932-6203 ] ; 2014.
Abstract
Persons with certain neurological conditions have higher mortality rates than the population without neurological conditions, but the risk factors for increased mortality
Survival analyses were done with interRAI assessments linked to mortality data among persons in home care (n = 359,940), complex continuing care hospitals/units (n = 88,721), and nursing homes (n = 185,309) in seven Canadian provinces/territories.
CHESS was a significant predictor of mortality in all 3 care settings for the 11 neurological diagnostic groups considered after adjusting for age and sex. The distribution of CHESS scores varied between diagnostic groups and within diagnostic groups in different care settings.
CHESS is a valid predictor of mortality in neurological populations in community and institutional care. It may prove useful for several clinical, administrative, policy-development, evaluation and research purposes. Because it is routinely gathered as part of normal clinical practice in jurisdictions (like Canada) that have implemented interRAI assessment instruments, CHESS can be derived without additional need for data collection.
Url:
DOI: 10.1371/journal.pone.0099066
PubMed: 24914546
PubMed Central: 4051671
Affiliations:
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Poss</name><affiliation wicri:level="1"><nlm:aff id="aff1"><addr-line>School of Public Health and Health Systems, University of Waterloo, Waterloo, ON, Canada</addr-line></nlm:aff><country xml:lang="fr">Canada</country><wicri:regionArea>School of Public Health and Health Systems, University of Waterloo, Waterloo, ON</wicri:regionArea><wicri:noRegion>ON</wicri:noRegion></affiliation></author><author><name sortKey="Mitchell, Lori" sort="Mitchell, Lori" uniqKey="Mitchell L" first="Lori" last="Mitchell">Lori Mitchell</name><affiliation wicri:level="1"><nlm:aff id="aff2"><addr-line>Winnipeg Regional Health Authority, Winnipeg, MB, Canada</addr-line></nlm:aff><country xml:lang="fr">Canada</country><wicri:regionArea>Winnipeg Regional Health Authority, Winnipeg, MB</wicri:regionArea><wicri:noRegion>MB</wicri:noRegion></affiliation></author><author><name sortKey="Korngut, Lawrence" sort="Korngut, Lawrence" uniqKey="Korngut L" first="Lawrence" last="Korngut">Lawrence Korngut</name><affiliation wicri:level="4"><nlm:aff id="aff3"><addr-line>Department of Clinical Neurosciences, University of Calgary, Calgary, AB, Canada</addr-line></nlm:aff><country xml:lang="fr">Canada</country><wicri:regionArea>Department of Clinical Neurosciences, University of Calgary, Calgary, AB</wicri:regionArea><orgName type="university">Université de Calgary</orgName><placeName><settlement type="city">Calgary</settlement><region type="state">Alberta</region></placeName></affiliation></author><author><name sortKey="Heckman, George" sort="Heckman, George" uniqKey="Heckman G" first="George" last="Heckman">George Heckman</name><affiliation wicri:level="1"><nlm:aff id="aff1"><addr-line>School of Public Health and Health Systems, University of Waterloo, Waterloo, ON, Canada</addr-line></nlm:aff><country xml:lang="fr">Canada</country><wicri:regionArea>School of Public Health and Health Systems, University of Waterloo, Waterloo, ON</wicri:regionArea><wicri:noRegion>ON</wicri:noRegion></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">24914546</idno><idno type="pmc">4051671</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4051671</idno><idno type="RBID">PMC:4051671</idno><idno type="doi">10.1371/journal.pone.0099066</idno><date when="2014">2014</date><idno type="wicri:Area/Pmc/Corpus">000B13</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">000B13</idno><idno type="wicri:Area/Pmc/Curation">000B13</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Curation">000B13</idno><idno type="wicri:Area/Pmc/Checkpoint">000378</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Checkpoint">000378</idno><idno type="wicri:Area/Ncbi/Merge">001789</idno><idno type="wicri:Area/Ncbi/Curation">001789</idno><idno type="wicri:Area/Ncbi/Checkpoint">001789</idno><idno type="wicri:Area/Main/Merge">000871</idno><idno type="wicri:Area/Main/Curation">000870</idno><idno type="wicri:Area/Main/Exploration">000870</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Use of the interRAI CHESS Scale to Predict Mortality among Persons with Neurological Conditions in Three Care Settings</title><author><name sortKey="Hirdes, John P" sort="Hirdes, John P" uniqKey="Hirdes J" first="John P." last="Hirdes">John P. Hirdes</name><affiliation wicri:level="1"><nlm:aff id="aff1"><addr-line>School of Public Health and Health Systems, University of Waterloo, Waterloo, ON, Canada</addr-line></nlm:aff><country xml:lang="fr">Canada</country><wicri:regionArea>School of Public Health and Health Systems, University of Waterloo, Waterloo, ON</wicri:regionArea><wicri:noRegion>ON</wicri:noRegion></affiliation></author><author><name sortKey="Poss, Jeffrey W" sort="Poss, Jeffrey W" uniqKey="Poss J" first="Jeffrey W." last="Poss">Jeffrey W. Poss</name><affiliation wicri:level="1"><nlm:aff id="aff1"><addr-line>School of Public Health and Health Systems, University of Waterloo, Waterloo, ON, Canada</addr-line></nlm:aff><country xml:lang="fr">Canada</country><wicri:regionArea>School of Public Health and Health Systems, University of Waterloo, Waterloo, ON</wicri:regionArea><wicri:noRegion>ON</wicri:noRegion></affiliation></author><author><name sortKey="Mitchell, Lori" sort="Mitchell, Lori" uniqKey="Mitchell L" first="Lori" last="Mitchell">Lori Mitchell</name><affiliation wicri:level="1"><nlm:aff id="aff2"><addr-line>Winnipeg Regional Health Authority, Winnipeg, MB, Canada</addr-line></nlm:aff><country xml:lang="fr">Canada</country><wicri:regionArea>Winnipeg Regional Health Authority, Winnipeg, MB</wicri:regionArea><wicri:noRegion>MB</wicri:noRegion></affiliation></author><author><name sortKey="Korngut, Lawrence" sort="Korngut, Lawrence" uniqKey="Korngut L" first="Lawrence" last="Korngut">Lawrence Korngut</name><affiliation wicri:level="4"><nlm:aff id="aff3"><addr-line>Department of Clinical Neurosciences, University of Calgary, Calgary, AB, Canada</addr-line></nlm:aff><country xml:lang="fr">Canada</country><wicri:regionArea>Department of Clinical Neurosciences, University of Calgary, Calgary, AB</wicri:regionArea><orgName type="university">Université de Calgary</orgName><placeName><settlement type="city">Calgary</settlement><region type="state">Alberta</region></placeName></affiliation></author><author><name sortKey="Heckman, George" sort="Heckman, George" uniqKey="Heckman G" first="George" last="Heckman">George Heckman</name><affiliation wicri:level="1"><nlm:aff id="aff1"><addr-line>School of Public Health and Health Systems, University of Waterloo, Waterloo, ON, Canada</addr-line></nlm:aff><country xml:lang="fr">Canada</country><wicri:regionArea>School of Public Health and Health Systems, University of Waterloo, Waterloo, ON</wicri:regionArea><wicri:noRegion>ON</wicri:noRegion></affiliation></author></analytic><series><title level="j">PLoS ONE</title><idno type="eISSN">1932-6203</idno><imprint><date when="2014">2014</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Background</title><p>Persons with certain neurological conditions have higher mortality rates than the population without neurological conditions, but the risk factors for increased mortality <italic>within</italic> diagnostic groups are less well understood. The interRAI CHESS scale has been shown to be a strong predictor of mortality in the overall population of persons receiving health care in community and institutional settings. This study examines the performance of CHESS as a predictor of mortality among persons with 11 different neurological conditions.</p></sec><sec><title>Methods</title><p>Survival analyses were done with interRAI assessments linked to mortality data among persons in home care (n = 359,940), complex continuing care hospitals/units (n = 88,721), and nursing homes (n = 185,309) in seven Canadian provinces/territories.</p></sec><sec><title>Results</title><p>CHESS was a significant predictor of mortality in all 3 care settings for the 11 neurological diagnostic groups considered after adjusting for age and sex. The distribution of CHESS scores varied between diagnostic groups and within diagnostic groups in different care settings.</p></sec><sec><title>Conclusions</title><p>CHESS is a valid predictor of mortality in neurological populations in community and institutional care. It may prove useful for several clinical, administrative, policy-development, evaluation and research purposes. Because it is routinely gathered as part of normal clinical practice in jurisdictions (like Canada) that have implemented interRAI assessment instruments, CHESS can be derived without additional need for data collection.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Pritchard, C" uniqKey="Pritchard C">C Pritchard</name></author><author><name sortKey="Mayers, A" uniqKey="Mayers A">A Mayers</name></author><author><name sortKey="Baldwin, D" uniqKey="Baldwin D">D Baldwin</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Czira, Me" uniqKey="Czira M">ME Czira</name></author><author><name sortKey="Baune, Bt" uniqKey="Baune B">BT Baune</name></author><author><name sortKey="Roesler, A" uniqKey="Roesler A">A Roesler</name></author><author><name sortKey="Pfadenhauer, K" uniqKey="Pfadenhauer K">K Pfadenhauer</name></author><author><name sortKey="Trenkwalder, C" 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Ga" uniqKey="Heckman G">GA Heckman</name></author><author><name sortKey="Kergoat, Mj" uniqKey="Kergoat M">MJ Kergoat</name></author><author><name sortKey="Patten, S" uniqKey="Patten S">S Patten</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Gambassi, G" uniqKey="Gambassi G">G Gambassi</name></author><author><name sortKey="Landi, F" uniqKey="Landi F">F Landi</name></author><author><name sortKey="Peng, L" uniqKey="Peng L">L Peng</name></author><author><name sortKey="Brostrup Jensen, C" uniqKey="Brostrup Jensen C">C Brostrup-Jensen</name></author><author><name sortKey="Calore, K" uniqKey="Calore K">K Calore</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Sabia, S" uniqKey="Sabia S">S Sabia</name></author><author><name sortKey="Dumurgier, J" uniqKey="Dumurgier J">J Dumurgier</name></author><author><name sortKey="Tavernier, B" uniqKey="Tavernier B">B Tavernier</name></author><author><name sortKey="Head, J" uniqKey="Head J">J Head</name></author><author><name sortKey="Tzourio, C" uniqKey="Tzourio C">C Tzourio</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>Canada</li></country><region><li>Alberta</li></region><settlement><li>Calgary</li></settlement><orgName><li>Université de Calgary</li></orgName></list><tree><country name="Canada"><noRegion><name sortKey="Hirdes, John P" sort="Hirdes, John P" uniqKey="Hirdes J" first="John P." last="Hirdes">John P. Hirdes</name></noRegion><name sortKey="Heckman, George" sort="Heckman, George" uniqKey="Heckman G" first="George" last="Heckman">George Heckman</name><name sortKey="Korngut, Lawrence" sort="Korngut, Lawrence" uniqKey="Korngut L" first="Lawrence" last="Korngut">Lawrence Korngut</name><name sortKey="Mitchell, Lori" sort="Mitchell, Lori" uniqKey="Mitchell L" first="Lori" last="Mitchell">Lori Mitchell</name><name sortKey="Poss, Jeffrey W" sort="Poss, Jeffrey W" uniqKey="Poss J" first="Jeffrey W." last="Poss">Jeffrey W. Poss</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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