Susan P. Bell|John F. Schnelle|Samuel K. Nwosu|Jonathan S. Schildcrout|Kathryn Goggins|Courtney Cawthon|Amanda S. Mixon|Eduard E. Vasilevskis|Sunil Kripalani
Development of a multivariable model to predict vulnerability in older American patients hospitalised with cardiovascular disease
Vanderbilt University|Vanderbilt University|Vanderbilt University Medical Center|Vanderbilt University Medical Center|Vanderbilt University|Vanderbilt University|Geriatric Research Education and Clinical Center|Vanderbilt University|Geriatric Research Education and Clinical Center|Vanderbilt University
identify vulnerable cardiovascular patients hospital using selfreported functionbased screening toolprospective observational cohort study 445 individuals aged 65 years admitted university medical centre hospital within usa acute coronary syndrome andor decompensated heart failureparticipants completed inperson interview hospitalisation included vulnerable functional status using vulnerable elders survey ves13 sociodemographic healthcare utilisation practices clinical patientspecific measures multivariable proportional odds logistic regression model examined associations ves13 prior healthcare utilisation well coincident medical psychosocial risk factors poor outcomes cardiovascular diseasevulnerability highly prevalent 54 associated higher number clinic visits emergency room visits hospitalisations p0001 multivariable analysis demonstrating 1point increase ves13 vulnerability independently associated female 155 p0030 diagnosis heart failure 311 p0001 prior hospitalisations 130 p0001 low social support 142 p0007 depression p0001 lower ves13 score lower vulnerability associated increased health literacy 070 p0002vulnerability functional decline highly prevalent hospitalised older cardiovascular patients associated patient risk factors adverse outcomes increased use healthcare services