Development and validation of a nursing home mortality index to identify nursing home residents nearing the end of life in dental clinics.
Xi ChenDaniel J CaplanCarissa L ComnickJennifer E HartshornStephen K ShumanXian-Jin XiePublished in: Special care in dentistry : official publication of the American Association of Hospital Dentists, the Academy of Dentistry for the Handicapped, and the American Society for Geriatric Dentistry (2022)
One-year mortalities were 21% and 26% in the development and validation cohorts, respectively. Predictors included age, gender, communication capacity, physical mobility, congestive heart failure, peripheral vascular disease, cancer, cerebrovascular disease, chronic renal disease and liver disease. AUCs for the development and validation models were 0.73 and 0.68, respectively. For the validation cohort, the sensitivity and specificity were 0.79 and 0.53, respectively. The estimated 1-year mortality risks for three risk groups were 0%-10%, 11%-19%, and ≥20%, respectively CONCLUSION: The high mortality rate of NH residents following a dental exam highlighted a need to incorporate patients' prognoses in treatment planning along with normative needs and patients' preferences. The NHMI provides a practical way to guide treatment decisions for end-of-life NH residents.
Keyphrases
- end stage renal disease
- heart failure
- newly diagnosed
- ejection fraction
- cardiovascular events
- chronic kidney disease
- prognostic factors
- primary care
- risk factors
- peritoneal dialysis
- squamous cell carcinoma
- physical activity
- atrial fibrillation
- young adults
- room temperature
- climate change
- risk assessment
- perovskite solar cells