NDLI: Tracking personalized functional health in older adults using geriatric assessments

Content Provider	Springer Nature : BioMed Central
Author	Mishra, Anup K. Skubic, Marjorie Popescu, Mihail Lane, Kari Rantz, Marilyn Despins, Laurel A. Abbott, Carmen Keller, James Robinson, Erin L. Miller, Steve
Abstract	Background Higher levels of functional health in older adults leads to higher quality of life and improves the ability to age-in-place. Tracking functional health objectively could help clinicians to make decisions for interventions in case of health deterioration. Even though several geriatric assessments capture several aspects of functional health, there is limited research in longitudinally tracking personalized functional health of older adults using a combination of these assessments. Methods We used geriatric assessment data collected from 150 older adults to develop and validate a functional health prediction model based on risks associated with falls, hospitalizations, emergency visits, and death. We used mixed effects logistic regression to construct the model. The geriatric assessments included were Activities of Daily Living (ADL), Instrumental Activities of Daily Living (IADL), Mini-Mental State Examination (MMSE), Geriatric Depression Scale (GDS), and Short Form 12 (SF12). Construct validators such as fall risks associated with model predictions, and case studies with functional health trajectories were used to validate the model. Results The model is shown to separate samples with and without adverse health event outcomes with an area under the receiver operating characteristic curve (AUC) of > 0.85. The model could predict emergency visit or hospitalization with an AUC of 0.72 (95% CI 0.65–0.79), fall with an AUC of 0.86 (95% CI 0.83–0.89), fall with hospitalization with an AUC of 0.89 (95% CI 0.85–0.92), and mortality with an AUC of 0.93 (95% CI 0.88–0.97). Multiple comparisons of means using Turkey HSD test show that model prediction means for samples with no adverse health events versus samples with fall, hospitalization, and death were statistically significant (p < 0.001). Case studies for individual residents using predicted functional health trajectories show that changes in model predictions over time correspond to critical health changes in older adults. Conclusions The personalized functional health tracking may provide clinicians with a longitudinal view of overall functional health in older adults to help address the early detection of deterioration trends and decide appropriate interventions. It can also help older adults and family members take proactive steps to improve functional health.
Related Links	https://bmcmedinformdecismak.biomedcentral.com/counter/pdf/10.1186/s12911-020-01283-y.pdf
Ending Page	10
Page Count	10
Starting Page	1
File Format	HTM / HTML
ISSN	14726947
DOI	10.1186/s12911-020-01283-y
Journal	BMC Medical Informatics and Decision Making
Issue Number	1
Volume Number	20
Language	English
Publisher	BioMed Central
Publisher Date	2020-10-20
Access Restriction	Open
Subject Keyword	Health Informatics Information Systems and Communication Service Management of Computing and Information Systems Functional health Geriatric assessments Older adults Personalized functional health trajectory Health status indicators Mixed effects modeling
Content Type	Text
Resource Type	Article
Subject	Health Informatics Computer Science Applications Health Policy
Journal Impact Factor	3.3/2023
5-Year Journal Impact Factor	3.9/2023

Sl.	Authority	Responsibilities	Communication Details
1	Ministry of Education (GoI), Department of Higher Education	Sanctioning Authority	https://www.education.gov.in/ict-initiatives
2	Indian Institute of Technology Kharagpur	Host Institute of the Project: The host institute of the project is responsible for providing infrastructure support and hosting the project	https://www.iitkgp.ac.in
3	National Digital Library of India Office, Indian Institute of Technology Kharagpur	The administrative and infrastructural headquarters of the project	Dr. B. Sutradhar bsutra@ndl.gov.in
4	Project PI / Joint PI	Principal Investigator and Joint Principal Investigators of the project	Dr. B. Sutradhar bsutra@ndl.gov.in Prof. Saswat Chakrabarti will be added soon
5	Website/Portal (Helpdesk)	Queries regarding NDLI and its services	support@ndl.gov.in
6	Contents and Copyright Issues	Queries related to content curation and copyright issues	content@ndl.gov.in
7	National Digital Library of India Club (NDLI Club)	Queries related to NDLI Club formation, support, user awareness program, seminar/symposium, collaboration, social media, promotion, and outreach	clubsupport@ndl.gov.in
8	Digital Preservation Centre (DPC)	Assistance with digitizing and archiving copyright-free printed books	dpc@ndl.gov.in
9	IDR Setup or Support	Queries related to establishment and support of Institutional Digital Repository (IDR) and IDR workshops	idr@ndl.gov.in

Characteristics of older adults using patient web portals to view their DXA results

The SAKK cancer-specific geriatric assessment (C-SGA): a pilot study of a brieftool for clinical decision-making in older cancer patients

E-health literacy in older adults: an evolutionary concept analysis

The design and methodology of a usability protocol for the management of medications by families for aging older adults

Characterizing internet health information seeking strategies by socioeconomic status: a mixed methods approach

Prediction and detection models for acute kidney injury in hospitalized older adults

Systematic design of health monitoring systems centered on older adults and ADLs

Probabilistic linguistic fuzzy cognitive maps: applications to the critical factors affecting the health of rural older adults

The development of the evidence-based SDMMCC intervention to improve shared decision making in geriatric outpatients: the DICO study

Tracking personalized functional health in older adults using geriatric assessments

Similar Documents

Characteristics of older adults using patient web portals to view their DXA results

The SAKK cancer-specific geriatric assessment (C-SGA): a pilot study of a brieftool for clinical decision-making in older cancer patients

E-health literacy in older adults: an evolutionary concept analysis

The design and methodology of a usability protocol for the management of medications by families for aging older adults

Characterizing internet health information seeking strategies by socioeconomic status: a mixed methods approach

Prediction and detection models for acute kidney injury in hospitalized older adults

Systematic design of health monitoring systems centered on older adults and ADLs

Probabilistic linguistic fuzzy cognitive maps: applications to the critical factors affecting the health of rural older adults

The development of the evidence-based SDMMCC intervention to improve shared decision making in geriatric outpatients: the DICO study

Tracking personalized functional health in older adults using geriatric assessments