Lack of correlation between physician and nurses’ ability to predict worse hospital outcomes of older medical patients
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It is well known that older adults are at increased risk of worse outcomes when admitted to the hospital for acute medical conditions. To identify and to stratify this risk at admission may lead to various benefits (like proper allocation and more precise treatment plans), but this task is a really difficult one. Indeed, patients might be evaluated with risk assessment models (RAMs) that are specific for a single disease (i.e., the Ranson score for acute pancreatitis), or with physiologic indexes like the Modified Early Warning Score (MEWS), or with even complex scores as the Sequential Organ Failure Assessment (SOFA) or the Acute Physiology and Chronic Health Evaluation II (APACHE II). Physicians are historically confident with this kind of RAMs. However, older medical patients are usually frail and heavily comorbid, and multicomponent, comprehensive evaluation is recommended, because poor functional status is associated with adverse hospital outcomes [1, 2]. Conversely,...
KeywordsAcute Pancreatitis Sequential Organ Failure Assessment Pressure Ulcer Hospital Outcome Internal Medicine Ward
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The Institutional Review Board approved the study, which was carried out and is reported according to the Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) guidelines for observational studies.
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