Value of the PROFUND index in comparison with clinical intuition for the prognosis of multipathological hospitalized patients
Introduction: To study in Pluripathological patients (PP) if the PROFUND index, an objective multidimensional prognostic score, is superior to the intuition of the clinician to predict death during the first year of follow-up after hospitalization in a general ward. Methods: Prospective and observat...
Guardado en:
Autores principales: | , , , , , |
---|---|
Formato: | Artículo revista |
Lenguaje: | Español |
Publicado: |
Universidad Nacional Cba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología
2021
|
Materias: | |
Acceso en línea: | https://revistas.unc.edu.ar/index.php/med/article/view/30189 |
Aporte de: |
id |
I10-R10-article-30189 |
---|---|
record_format |
ojs |
institution |
Universidad Nacional de Córdoba |
institution_str |
I-10 |
repository_str |
R-10 |
container_title_str |
Revistas de la UNC |
language |
Español |
format |
Artículo revista |
topic |
multimorbidity mortality prognostic inpatients multimorbilidad mortalidad pronóstico pacientes hospitalizados multimorbidade mortalidade prognóstico pacientes internados |
spellingShingle |
multimorbidity mortality prognostic inpatients multimorbilidad mortalidad pronóstico pacientes hospitalizados multimorbidade mortalidade prognóstico pacientes internados Moretti, Dino Buncuga, Martin Gonzalo Scolari Pasinato, Carlos Mariano Rossi, Francisco Esteban Quiñones, Nadia Daniela Laudanno, Carlos Dario Value of the PROFUND index in comparison with clinical intuition for the prognosis of multipathological hospitalized patients |
topic_facet |
multimorbidity mortality prognostic inpatients multimorbilidad mortalidad pronóstico pacientes hospitalizados multimorbidade mortalidade prognóstico pacientes internados |
author |
Moretti, Dino Buncuga, Martin Gonzalo Scolari Pasinato, Carlos Mariano Rossi, Francisco Esteban Quiñones, Nadia Daniela Laudanno, Carlos Dario |
author_facet |
Moretti, Dino Buncuga, Martin Gonzalo Scolari Pasinato, Carlos Mariano Rossi, Francisco Esteban Quiñones, Nadia Daniela Laudanno, Carlos Dario |
author_sort |
Moretti, Dino |
title |
Value of the PROFUND index in comparison with clinical intuition for the prognosis of multipathological hospitalized patients |
title_short |
Value of the PROFUND index in comparison with clinical intuition for the prognosis of multipathological hospitalized patients |
title_full |
Value of the PROFUND index in comparison with clinical intuition for the prognosis of multipathological hospitalized patients |
title_fullStr |
Value of the PROFUND index in comparison with clinical intuition for the prognosis of multipathological hospitalized patients |
title_full_unstemmed |
Value of the PROFUND index in comparison with clinical intuition for the prognosis of multipathological hospitalized patients |
title_sort |
value of the profund index in comparison with clinical intuition for the prognosis of multipathological hospitalized patients |
description |
Introduction: To study in Pluripathological patients (PP) if the PROFUND index, an objective multidimensional prognostic score, is superior to the intuition of the clinician to predict death during the first year of follow-up after hospitalization in a general ward.
Methods: Prospective and observational study. Adult pluripathological patients were included. Variables: PROFUND index, subjective prognosis of death (PSM). Do you think this patient will die in the next 12 months?: “yes” PSM (+) “no” PSM (-). Mortality 12 months after discharge.
Results: 92 patients were analyzed. The average age was 75.3 (± 9.5) years and 51.1% male. 47 patients (51.6%) died. The average PROFUND index was 6.9 (± 4.5) points and the PS was (+) at 46.7%. Within follow-up, 65.9% (29 of 44) and 38.3% (18 of 47) of patients with a PROFUND index> 6 and ≤6 points, respectively, died (p = 0.0021). Of the 43 patients with PS (+) 58.1% died and of the 48 with PS (-) 45.8% (p = 0.1003). From the Cox model, the risk of dying is 2 times higher in patients with a PROFUND index> 6 points (HR: 2,269 95% CI: 1,231-4,184). The AUC to predict 12-month mortality from the PROFUND index and PS were: 0.712 (95% CI: 0.607-0.817) and 0.561 (95% CI: 0.458-0.664) respectively (p 0.0212).
Conclusion: In hospitalized patients with pluripathology, the PROFUND index exceeds the 12-month mortality prognostic capacity of the treating clinician. |
publisher |
Universidad Nacional Cba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología |
publishDate |
2021 |
url |
https://revistas.unc.edu.ar/index.php/med/article/view/30189 |
work_keys_str_mv |
AT morettidino valueoftheprofundindexincomparisonwithclinicalintuitionfortheprognosisofmultipathologicalhospitalizedpatients AT buncugamartingonzalo valueoftheprofundindexincomparisonwithclinicalintuitionfortheprognosisofmultipathologicalhospitalizedpatients AT scolaripasinatocarlosmariano valueoftheprofundindexincomparisonwithclinicalintuitionfortheprognosisofmultipathologicalhospitalizedpatients AT rossifranciscoesteban valueoftheprofundindexincomparisonwithclinicalintuitionfortheprognosisofmultipathologicalhospitalizedpatients AT quinonesnadiadaniela valueoftheprofundindexincomparisonwithclinicalintuitionfortheprognosisofmultipathologicalhospitalizedpatients AT laudannocarlosdario valueoftheprofundindexincomparisonwithclinicalintuitionfortheprognosisofmultipathologicalhospitalizedpatients AT morettidino valordelindiceprofundencomparacionconlaintuicionclinicaparaelpronosticodepacientespluripatologicosinternados AT buncugamartingonzalo valordelindiceprofundencomparacionconlaintuicionclinicaparaelpronosticodepacientespluripatologicosinternados AT scolaripasinatocarlosmariano valordelindiceprofundencomparacionconlaintuicionclinicaparaelpronosticodepacientespluripatologicosinternados AT rossifranciscoesteban valordelindiceprofundencomparacionconlaintuicionclinicaparaelpronosticodepacientespluripatologicosinternados AT quinonesnadiadaniela valordelindiceprofundencomparacionconlaintuicionclinicaparaelpronosticodepacientespluripatologicosinternados AT laudannocarlosdario valordelindiceprofundencomparacionconlaintuicionclinicaparaelpronosticodepacientespluripatologicosinternados AT morettidino valordoindiceprofundemcomparacaocomaintuicaoclinicaparaoprognosticodepacientesmultipatologicoshospitalizados AT buncugamartingonzalo valordoindiceprofundemcomparacaocomaintuicaoclinicaparaoprognosticodepacientesmultipatologicoshospitalizados AT scolaripasinatocarlosmariano valordoindiceprofundemcomparacaocomaintuicaoclinicaparaoprognosticodepacientesmultipatologicoshospitalizados AT rossifranciscoesteban valordoindiceprofundemcomparacaocomaintuicaoclinicaparaoprognosticodepacientesmultipatologicoshospitalizados AT quinonesnadiadaniela valordoindiceprofundemcomparacaocomaintuicaoclinicaparaoprognosticodepacientesmultipatologicoshospitalizados AT laudannocarlosdario valordoindiceprofundemcomparacaocomaintuicaoclinicaparaoprognosticodepacientesmultipatologicoshospitalizados |
first_indexed |
2022-08-20T01:27:34Z |
last_indexed |
2022-08-20T01:27:34Z |
_version_ |
1770719078977110016 |
spelling |
I10-R10-article-301892021-12-30T13:39:00Z Value of the PROFUND index in comparison with clinical intuition for the prognosis of multipathological hospitalized patients Valor del índice PROFUND en comparación con la intuición clínica para el pronóstico de pacientes pluripatológicos internados Valor do índice PROFUND em comparação com a intuição clínica para o prognóstico de pacientes multipatológicos hospitalizados Moretti, Dino Buncuga, Martin Gonzalo Scolari Pasinato, Carlos Mariano Rossi, Francisco Esteban Quiñones, Nadia Daniela Laudanno, Carlos Dario multimorbidity mortality prognostic inpatients multimorbilidad mortalidad pronóstico pacientes hospitalizados multimorbidade mortalidade prognóstico pacientes internados Introduction: To study in Pluripathological patients (PP) if the PROFUND index, an objective multidimensional prognostic score, is superior to the intuition of the clinician to predict death during the first year of follow-up after hospitalization in a general ward. Methods: Prospective and observational study. Adult pluripathological patients were included. Variables: PROFUND index, subjective prognosis of death (PSM). Do you think this patient will die in the next 12 months?: “yes” PSM (+) “no” PSM (-). Mortality 12 months after discharge. Results: 92 patients were analyzed. The average age was 75.3 (± 9.5) years and 51.1% male. 47 patients (51.6%) died. The average PROFUND index was 6.9 (± 4.5) points and the PS was (+) at 46.7%. Within follow-up, 65.9% (29 of 44) and 38.3% (18 of 47) of patients with a PROFUND index> 6 and ≤6 points, respectively, died (p = 0.0021). Of the 43 patients with PS (+) 58.1% died and of the 48 with PS (-) 45.8% (p = 0.1003). From the Cox model, the risk of dying is 2 times higher in patients with a PROFUND index> 6 points (HR: 2,269 95% CI: 1,231-4,184). The AUC to predict 12-month mortality from the PROFUND index and PS were: 0.712 (95% CI: 0.607-0.817) and 0.561 (95% CI: 0.458-0.664) respectively (p 0.0212). Conclusion: In hospitalized patients with pluripathology, the PROFUND index exceeds the 12-month mortality prognostic capacity of the treating clinician. Introducción: Estudiar en pacientes pluripatológicos (PP) si el índice PROFUND, una puntuación pronostica multidimensional objetiva, es superior a la intuición del médico clínico para predecir la muerte durante el primer año de seguimiento luego de la internación en clínica médica Métodos: Estudio prospectivo y observacional. Se incluyó pacientes adultos pluripatológicos. Variables: índice PROFUND, Pronostico subjetivo de muerte (PSM) ¿Cree usted que este paciente va a fallecer en los próximos 12 meses?: “si” PSM(+) “no” PSM(-). Mortalidad a 12 meses del alta. Resultados: Se analizaron 92 pacientes. La edad promedio fue 75,3 (± 9,5) años y el 51,1% varones. Fallecieron 47 pacientes (51,6%). El índice PROFUND promedio fue 6,9(± 4,5) puntos y el PSM fue (+) en el 46,7%. Fallecieron el 65,9% (29 de 44) y el 38,3% (18 de 47) de los pacientes con índice PROFUND >6 y ≤6 puntos, respectivamente (p=0,0021). De los 43 pacientes con PSM(+) fallecieron el 58,1% y de los 48 con PSM(-) el 45,8% (p=0,1003). A partir del modelo de Cox, el riesgo de morir es 2 veces mayor en los pacientes con índice PROFUND>6 puntos (HR: 2,269 IC95%:1,231-4,184) El AUC para predecir mortalidad a 12 meses del índice PROFUND y PS fueron: 0,712 (IC95%: 0,607-0,817) y 0,561 (IC95%: 0, 458-0,664) respectivamente (p 0.0212). Conclusión: En pacientes pluripatológicos internados, el índice PROFUND, supera la capacidad pronostica de mortalidad a 12 meses del médico clínico tratante. Introdução: Estudar em pacientes polipatológicos (PP) se o índice PROFUND, um escore prognóstico multidimensional objetivo, é superior à intuição do clínico em predizer óbito durante o primeiro ano de seguimento após internação em clínica médica Métodos: Estudo prospectivo e observacional. Pacientes adultos multipatológicos foram incluídos. Variáveis: índice PROFUND, prognóstico subjetivo de morte (PSM) Você acha que esse paciente vai morrer nos próximos 12 meses?: “Sim” PSM (+) “não” PSM (-). Mortalidade 12 meses após a alta. Resultados: 92 pacientes foram analisados. A média de idade foi 75,3 (± 9,5) anos e 51,1% homens. 47 pacientes (51,6%) morreram. O índice PROFUND médio foi de 6,9 (± 4,5) pontos e o PSM foi (+) em 46,7%. 65,9% (29 de 44) e 38,3% (18 de 47) dos pacientes com índice PROFUND> 6 e ≤6 pontos morreram, respectivamente (p = 0,0021). Dos 43 pacientes com PSM (+), 58,1% morreram e dos 48 com PSM (-) 45,8% (p = 0,1003). A partir do modelo de Cox, o risco de morrer é 2 vezes maior em pacientes com índice PROFUND> 6 pontos (HR: 2.269 IC 95%: 1.231-4.184). A AUC para prever a mortalidade em 12 meses a partir do índice PROFUND e PS foi: 0,712 (IC 95%: 0,607-0,817) e 0,561 (IC 95%: 0,458-0,664), respectivamente (p 0.0212). Conclusão: Em pacientes multipatológicos hospitalizados, o índice PROFUND excede a capacidade prognóstica de mortalidade de 12 meses do médico responsável pelo tratamento. Universidad Nacional Cba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología 2021-12-28 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion text/html application/pdf https://revistas.unc.edu.ar/index.php/med/article/view/30189 Revista de la Facultad de Ciencias Médicas de Córdoba.; Vol. 78 No. 4 (2021); 376-383 Revista de la Facultad de Ciencias Médicas de Córdoba; Vol. 78 Núm. 4 (2021); 376-383 Revista da Faculdade de Ciências Médicas de Córdoba; v. 78 n. 4 (2021); 376-383 1853-0605 0014-6722 10.31053/1853.0605.v78.n4 spa https://revistas.unc.edu.ar/index.php/med/article/view/30189/36415 https://revistas.unc.edu.ar/index.php/med/article/view/30189/36701 Derechos de autor 2021 Universidad Nacional de Córdoba http://creativecommons.org/licenses/by-nc/4.0 |