Umegaki et al identified risk factors associated with discontinuation of home medical care for an older adult in Japan. These can help to identify a patient who may benefit from more aggressive management. The authors are from Nagoya University in Japan.
Patient selection: older adult
Outcome : discontinuation of home care (hospital admission, institutionalization, death)
Parameters:
(1) hemoglobin in g/dL
(2) serum albumin in g/dL
(3) Charlson Comorbidity index
(4) Mini-Nutritional Assessment Short Form score (MNA-SF), from 0 to 14
Parameter
Finding
Points
hemoglobin
>= 11 g/dL
0
< 11 g/dL
1
serum albumin
>= 3.0 g/dL
0
< 3.0 g/dL
1
Charlson Comorbidity Index
low
0
higher
1
MNA-SF
>= 7
0
< 7
1
score =
= SUM(points for all 4 parameters)
Interpretation:
• minimum score: 0
• maximum score: 4
• The higher the score the greater the risk of home care discontinuation.
To read more or access our algorithms and calculators, please log in or register.
