TITLE:
Validating a Prognostic Model for Mortality of Psychogeriatric Inpatients
AUTHORS:
Isabelle Moebs, Chris Gale, Esther Abeln, Annalise Seifert, Yoram Barak
KEYWORDS:
Psychogeriatric, Mortality, Prediction
JOURNAL NAME:
Open Journal of Psychiatry,
Vol.13 No.1,
January
10,
2023
ABSTRACT: Background: To validate a predictive scoring system for 1-year
mortality among psychogeriatric inpatients admitted for acute
psychiatric care. Methods: Computerized data were extracted from the District
Health Board Database for a university affiliated general hospital. A
geriatric risk scoring system developed in
the USA was employed to validate mortality within 1-year of hospital discharge. Results: Among 125
psychogeriatric inpatients who were discharged in 2017, [mean age 82.8
(±8.9) years, 82 (65.6%) women] 33 died within 1-year [26.4% of the sample,
mean age, 87.7 (±11.1) years, 25 (75.7%) women]. Levine’s mortality index
predicted death. A post hoc probit analysis found two factors significantly
associated with predicted mortality: metastatic cancer (Chi-square = 5.6; p
Conclusions: A geriatric 1-year mortality scoring system accurately
predicted mortality among psychogeriatric inpatients. Predicting
psychogeriatric mortality should be considered a guideline for ensuring
quality of care and appropriate discharge and advanced care planning.