The Norton scale is an important predictor of in-hospital mortality in internal medicine patients
Background The Norton scale, a marker of patient frailty used to predict the risk of pressure ulcers, but the predictive value of the Norton scale for in-hospital mortality after adjustment for a wide range of demographic, and abnormal admission laboratory test results shown in themselves to have a high predictive value for in-hospital mortality is unclear. Aim The study aims to determine the value of the Norton scale and the presence of a urinary catheter in predicting in hospital mortality. Methods The study population included all acutely admitted adult patients in 2020 through October 2021 to one of three internal medicine departments at the Laniado Hospital, a regional hospital with 400 beds in Israel. The main objective was to (a) identify the variables associated with the Norton Scale and (b) determine whether it predicts in-hospital mortality after adjustment for these variables. Results The Norton scale was associated with an older age, female gender, presence of a urinary catheter, and abnormal laboratory tests. The odds of in-hospital mortality in those with intermediate, high, and very high Norton scale risk groups were 3.10 (2.23–3.56), 6.48 (4.02–10.46), and 12.27 (7.37–20.44), respectively, after adjustment for the remaining predictors. Adding the Norton scale and the presence of a urinary catheter to the prediction logistic regression model that included age, gender, and abnormal laboratory test results increased the c-statistic from 0.870 (0.864–0.876) to 0.908 (0.902–0.913). Conclusions The Norton scale and presence of a urinary catheter are important predictors of in-hospital mortality in acutely hospitalized adults in internal medicine departments..
| Medienart: |
Artikel |
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| Erscheinungsjahr: |
2022 |
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| Erschienen: |
2022 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:192 |
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| Enthalten in: |
Irish journal of medical science - 192(2022), 4 vom: 15. Dez., Seite 1947-1952 |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
Shimoni, Zvi [VerfasserIn] |
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| Links: |
Volltext [lizenzpflichtig] |
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| Themen: |
Elderly |
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| Anmerkungen: |
© The Author(s), under exclusive licence to Royal Academy of Medicine in Ireland 2022. corrected publication 2022. Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law. |
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| doi: |
10.1007/s11845-022-03250-0 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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| PPN (Katalog-ID): |
OLC2144781893 |
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| 520 | |a Background The Norton scale, a marker of patient frailty used to predict the risk of pressure ulcers, but the predictive value of the Norton scale for in-hospital mortality after adjustment for a wide range of demographic, and abnormal admission laboratory test results shown in themselves to have a high predictive value for in-hospital mortality is unclear. Aim The study aims to determine the value of the Norton scale and the presence of a urinary catheter in predicting in hospital mortality. Methods The study population included all acutely admitted adult patients in 2020 through October 2021 to one of three internal medicine departments at the Laniado Hospital, a regional hospital with 400 beds in Israel. The main objective was to (a) identify the variables associated with the Norton Scale and (b) determine whether it predicts in-hospital mortality after adjustment for these variables. Results The Norton scale was associated with an older age, female gender, presence of a urinary catheter, and abnormal laboratory tests. The odds of in-hospital mortality in those with intermediate, high, and very high Norton scale risk groups were 3.10 (2.23–3.56), 6.48 (4.02–10.46), and 12.27 (7.37–20.44), respectively, after adjustment for the remaining predictors. Adding the Norton scale and the presence of a urinary catheter to the prediction logistic regression model that included age, gender, and abnormal laboratory test results increased the c-statistic from 0.870 (0.864–0.876) to 0.908 (0.902–0.913). Conclusions The Norton scale and presence of a urinary catheter are important predictors of in-hospital mortality in acutely hospitalized adults in internal medicine departments. | ||
| 650 | 4 | |a Elderly | |
| 650 | 4 | |a In-hospital mortality | |
| 650 | 4 | |a Internal medicine | |
| 650 | 4 | |a Norton scale | |
| 650 | 4 | |a Nursing assessment | |
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| 700 | 1 | |a Cohen, Yael |4 aut | |
| 700 | 1 | |a Barnisan, Izack |4 aut | |
| 700 | 1 | |a Froom, Paul |0 (orcid)0000-0001-5126-8590 |4 aut | |
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