GERIATRIC TARGETING CRITERIA AS PREDICTORS OF SURVIVAL AND HEALTH-CARE UTILIZATION

OBJECTIVE: To assess the utility of geriatric targeting criteria in pr edicting survival and health care utilization in a cohort of hospitali zed older veterans. DESIGN: A prospective cohort study assessing geria tric targeting criteria, e.g., polypharmacy, falls, or confusion, with respect to adverse outcomes at 12 months. SETTING A Tertiary Care VA Medical Center. PATIENTS: 507 acutely hospitalized male veterans aged 65 years or more. MAIN OUTCOME MEASURES: Survival status, nursing home placement, and total hospital days during 12 months following hospita l admission. RESULTS: Patients who had a higher number of targeting cr iteria at admission showed a significantly increasing trend toward dea th (P less than or equal to .001), nursing home placement (P less than or equal to .01), and longer hospital stays (P less than or equal to .01) at 12 months. In univariate analyses, weight loss (relative hazar d 3.8, 95% CI 2.4, 5.9), appetite loss (relative hazard 3.3, 95% CI 1. 9, 5.8), depression (relative hazard 2.5, 95% CI 1.4, 4.5), falls (rel ative hazard 2.2, 95% CI 1.2, 4.1), confusion (relative hazard 2.2, 95 % CI 1.2, 4.0), and socioeconomic problems (relative hazard 1.6, 95% C I 1.0, 2.5) predicted death. Polypharmacy (OR 3.4, 95% CI 1.3, 8.8), c onfusion (OR 4.4, 95% CI 1.5, 13.0), and prolonged bedrest (OR 7.6, 95 % CI 1.5, 39.3) predicted nursing home placement. Confusion (Beta 12.0 , 95% CI 2.9, 21.3), falls (Beta 14.2, 95% CI 4.2, 24.3), and prolonge d bedrest (Beta 22.4, 95% CI 3.9, 41.0) predicted total hospital days. In multivariate analyses, weight loss, depression, and socioeconomic problems predicted death; confusion and polypharmacy predicted nursing home placements; and falls predicted total, hospital days. CONCLUSION : This prospective cohort study of hospitalized older veterans demonst rated geriatric targeting criteria as predictors of adverse hospital o utcomes. Our findings suggest screening acutely hospitalized patients using chart abstracted geriatric targeting criteria is useful in ident ifying patients at risk for adverse outcomes of hospitalization.