Featured Research

from universities, journals, and other organizations

Criteria shows one year death risk at time of hospital admission

Date:
December 5, 2013
Source:
University of Colorado Cancer Center
Summary:
A new tool allows doctors to recognize patients at highest mortality risk, matching treatments to values and health goals.

A University of Colorado Cancer Center study recently published in the Journal of Hospital Medicine validates a prognostic tool that determines risk of death within a year of hospital admission, helping doctors match treatments to patients' values and goals of care.

"There are many prognostic indices, but until now none meant to be used immediately upon hospital admission," says Stacy Fischer, MD, CU Cancer Center investigator and assistant professor of internal medicine at the University of Colorado School of Medicine.

"Basically, with five criteria -- none of which require obtaining labs or data gathering -- we can accurately predict who is at low, medium and high risk for death within a year," says Jeanie Youngwerth, MD, CU Cancer Center investigator and Palliative Care specialist at the University of Colorado Hospital and School of Medicine.

The prognostic tool uses the following criteria:

C: Primary diagnosis of cancer

A: Admissions of 2 or more for a chronic illness within the last year

R: Resident in a nursing home

I: ICU admission with multi-organ failure

NG: Meeting 2 or more Non-cancer hospice Guidelines

The group had previously validated the scale with a population in a Veteran's Administration hospital setting, but its predictive power with other populations was unknown. The current study showed that in 1,064 patients admitted to a university hospital and safety net hospital in the Denver, CO area, one-year survival was significantly lower for patients meeting one or more of the CARING criteria. Of the 388 patients who met one or more of the CARING criteria, 134 died within one year of the initial admission date.

"The CARING criteria can help us immediately identify patients on admission who could benefit from incorporating palliative interventions into their hospital plan of care," Youngwerth says.

"The main thing is that we address patients' goals of care. We want to make sure our treatments are in line with patients' values and the things that are important to them," Fischer says.

In the researchers' opinion, the CARING criteria is ready for use in hospital settings to help identify patients on admission who have limited life expectancy within the next year so that their unique needs can be appropriately addressed.


Story Source:

The above story is based on materials provided by University of Colorado Cancer Center. Note: Materials may be edited for content and length.


Journal Reference:

  1. Jeanie Youngwerth, Sung-joon Min, Barbara Statland, Rebecca Allyn, Stacy Fischer. Caring about prognosis: A validation study of the caring criteria to identify hospitalized patients at high risk for death at 1 year. Journal of Hospital Medicine, 2013; 8 (12): 696 DOI: 10.1002/jhm.2107

Cite This Page:

University of Colorado Cancer Center. "Criteria shows one year death risk at time of hospital admission." ScienceDaily. ScienceDaily, 5 December 2013. <www.sciencedaily.com/releases/2013/12/131205141320.htm>.
University of Colorado Cancer Center. (2013, December 5). Criteria shows one year death risk at time of hospital admission. ScienceDaily. Retrieved September 3, 2014 from www.sciencedaily.com/releases/2013/12/131205141320.htm
University of Colorado Cancer Center. "Criteria shows one year death risk at time of hospital admission." ScienceDaily. www.sciencedaily.com/releases/2013/12/131205141320.htm (accessed September 3, 2014).

Share This



More Health & Medicine News

Wednesday, September 3, 2014

Featured Research

from universities, journals, and other organizations


Featured Videos

from AP, Reuters, AFP, and other news services

Snack Attack: Study Says Action Movies Make You Snack More

Snack Attack: Study Says Action Movies Make You Snack More

Newsy (Sep. 2, 2014) You're more likely to gain weight while watching action flicks than you are watching other types of programming, says a new study published in JAMA. Video provided by Newsy
Powered by NewsLook.com
U.N. Says Ebola Travel Restrictions Will Cause Food Shortage

U.N. Says Ebola Travel Restrictions Will Cause Food Shortage

Newsy (Sep. 2, 2014) The U.N. says the problem is two-fold — quarantine zones and travel restrictions are limiting the movement of both people and food. Video provided by Newsy
Powered by NewsLook.com
Doctors Fear They're Losing Battle Against Ebola

Doctors Fear They're Losing Battle Against Ebola

AP (Sep. 2, 2014) As a third American missionary is confirmed to have contracted Ebola in Liberia, doctors on the ground in West Africa fear they're losing the battle against the outbreak. (Sept. 2) Video provided by AP
Powered by NewsLook.com
Tech Giants Bet on 3D Headsets for Gaming, Healthcare

Tech Giants Bet on 3D Headsets for Gaming, Healthcare

AFP (Sep. 2, 2014) When Facebook acquired the virtual reality hardware developer Oculus VR in March for $2 billion, CEO Mark Zuckerberg hailed the firm's technology as "a new communication platform." Duration: 02:24 Video provided by AFP
Powered by NewsLook.com

Search ScienceDaily

Number of stories in archives: 140,361

Find with keyword(s):
Enter a keyword or phrase to search ScienceDaily for related topics and research stories.

Save/Print:
Share:

Breaking News:
from the past week

In Other News

... from NewsDaily.com

Science News

Health News

Environment News

Technology News



Save/Print:
Share:

Free Subscriptions


Get the latest science news with ScienceDaily's free email newsletters, updated daily and weekly. Or view hourly updated newsfeeds in your RSS reader:

Get Social & Mobile


Keep up to date with the latest news from ScienceDaily via social networks and mobile apps:

Have Feedback?


Tell us what you think of ScienceDaily -- we welcome both positive and negative comments. Have any problems using the site? Questions?
Mobile: iPhone Android Web
Follow: Facebook Twitter Google+
Subscribe: RSS Feeds Email Newsletters
Latest Headlines Health & Medicine Mind & Brain Space & Time Matter & Energy Computers & Math Plants & Animals Earth & Climate Fossils & Ruins