The DOI matches its Crossref record; 20 of the 20 references it cites were found in a registry or an index.
The MDS-CHESS scale: a new measure to predict mortality in institutionalized older people
Abstract
OBJECTIVES: To develop a scale predicting mortality and other adverse outcomes associated with frailty. DESIGN: Observational study based on Minimum Data Set (MDS) 2.0 and mortality data. SETTING: Ontario chronic hospitals. PARTICIPANTS: All chronic hospital patients (N = 28,495) assessed with the MDS 2.0 after mandatory implementation in July 1996 followed until May 1999. MEASUREMENTS: MDS 2.0 assessments done as part of normal practice mainly by registered nurses or multidisciplinary teams in a chronic hospital. Mortality data are available from the accompanying discharge tracking form. RESULTS: The MDS‐Changes in Health, End‐stage disease and Symptoms and Signs (CHESS) score is a composite measure addressing changes in health, end‐stage disease, and symptoms and signs of medical problems. It is a strong predictor of mortality ( P < . 0001) independent of the effects of age, sex, activities of daily living impairment, cognition, and do‐not‐resuscitate orders. It is also strongly associated with physician activity, complex medical procedures, and pain ( P < . 001 for each dependent variable). CONCLUSIONS: The CHESS score provides a useful new MDS‐based test to predict mortality and to measure instability in health as a clinical outcome.
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In the citing paper
“Frail older people receiving inpatient CGA are more likely to return home, less likely to experience cognitive or functional decline and have lower in-hospital mortality (111).”
From Frailty in elderly people (2013) · cites this paper as [111]
In the citing paper
“The process, provided it is closely linked to interventions, is associated with superior outcomes (111)”
From Frailty in elderly people (2013) · cites this paper as [111]
Citations
Cites
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MDS Cognitive Performance Scale(C)
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Morris, J. N., Fries, B. E., & Morris, S. A. (1999) · The Journals of Gerontology Series A: Biological Sciences and Medical Sciences · doi:10.1093/gerona/54.11.m546 · Cited by 1,408
A brief clinical instrument to classify frailty in elderly people
Rockwood, K. J., Stadnyk, K., MacKnight, C., McDowell, I., Hébert, R., & Hogan, D. B. (1999) · The Lancet · doi:10.1016/s0140-6736(98)04402-x · Cited by 914
Development of a minimum data set-based depression rating scale for use in nursing homes
Burrows, A. S. (2000) · Age and Ageing · doi:10.1093/ageing/29.2.165 · Cited by 727
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Comprehensive Clinical Assessment in Community Setting: Applicability of the MDS‐HC
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Self-citationMinimum Data Set for Home Care
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A Commitment to Change: Revision of HCFA's RAI
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Research works printed but not linked: 2
- Teare G, 2000, The Quality of Caring: Chronic Care in Ontario
- Morris JN, 2000, RAI‐Home Care [RAI‐HC] Assessment Manual for Version 2.0
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Sorted by citations
Clegg, A., Young, J., Iliffe, S., Rikkert, M. O., & Rockwood, K. (2013) · The Lancet · doi:10.1016/s0140-6736(12)62167-9 · Cited by 9,503
End-of-Life Transitions among Nursing Home Residents with Cognitive Issues
Gozalo, P., Teno, J. M., Mitchell, S. L., Skinner, J., Bynum, J., Tyler, D., & Mor, V. (2011) · New England Journal of Medicine · doi:10.1056/nejmsa1100347 · Cited by 484
Models, Definitions, and Criteria of Frailty
Hogan, D. B. (2006) · Elsevier eBooks · doi:10.1016/b978-012369391-4/50051-5 · Cited by 413
“• An intermediate stage in which the individual experiences heightened vulnerability to medical, psychosocial, or environmental stressors (223).”
BackgroundLam, J. M. C., & Wodchis, W. P. (2010) · Medical Care · doi:10.1097/mlr.0b013e3181ca2647 · Cited by 272
“CHESS has been shown to predict mortality and measure instability in clinical conditions in institutionalized individuals.(17) The conditions in CHESS include decline in cognitive status, decline in activities of daily living (ADL) function, dehydration, edema, shortness of breath, vomiting, end-stage disease, leaves…”
BackgroundAvidan, A. Y., Fries, B. E., James, M. L., Szafara, K. L., Wright, G. T., & Chervin, R. D. (2005) · Journal of the American Geriatrics Society · doi:10.1111/j.1532-5415.2005.53304.x · Cited by 343
Metadata
- Authors
- Hirdes, J. P., Frijters, D. H., & Teare, G. F.
- Affiliations
- University of Waterloo (CA)
- Vrije Universiteit Amsterdam (NL)
- University of Toronto (CA)
- Corresponding author
- Hirdes, John P.
- Venue
- Journal of the American Geriatrics Society
- Publisher
- Wiley
- Published
- 2003-01
- Volume
- 51
- Issue
- 1
- Pages
- 96-100
- ISSN
- 0002-8614 (ISSN-L)
- 1532-5415
- OpenAlex
- W1997637125
- Cited by
- 477
- References
- 20
- Citations by year
- 2026: 22 · 2025: 22 · 2024: 32 · 2023: 18 · 2022: 22 · 2021: 24 · 2020: 41 · 2019: 23 · 2018: 24 · 2017: 26 · 2016: 29 · 2015: 23 · 2014: 28 · 2013: 26 · 2012: 17
- FWCI
- 4.44
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of the American Geriatrics Society (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Geriatrics and Gerontology › Frailty in Older Adults
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Palliative Care and End-of-Life Issues
- Health Sciences › Medicine › Geriatrics and Gerontology › Geriatric Care and Nursing Homes
- Keywords
- mortality prediction, frailty, institutionalized elderly, end-stage disease, symptoms and signs, activities of daily living, do-not-resuscitate orders, pain, nursing assessment
- MeSH terms
- Activities of Daily Living, Aged, Aged, 80 and over, Canada, Chronic Disease, Female, Humans, Institutionalization, Male, Middle Aged, Mortality, Severity of Illness Index, Geriatric Assessment, Comorbidity, Proportional Hazards Models, Frail Elderly
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