A prospective evaluation of the cumulative illness rating scale

Research output: Contribution to journalArticle

36 Citations (Scopus)

Abstract

Assessment of overall physical health is an important yet little studied problem in geriatric research. The Cumulative Illness Rating Scale (CIRS) was among the first instruments that attempted to summarize the overall severity of illness based on clinical information. This study evaluated the CIRS in a prospective longitudinal study of 181 elderly (mean age ± SD = 79 ± 7.4) subjects undergoing comprehensive geriatric assessment in an outpatient unit. The CIRS was found to correlate negatively with activities of daily living (@#@ r = − 0.49, p = 0.0001), instrumental activities of daily living (@#@ r = − 0.34, p = 0.0001), patient morale (@#@ r = − 0.30, p = 0.0001), and positively with days in hospital (@#@ r = 0.21, p = 0.0075) and number of medications (@#@ r = 0.31, p = 0.0001). Mean CIRS scores for subjects who died during follow- up were significantly higher than the scores for survivors (@#@ p<0.01 @#@). In logistic regression, CIRS was a significant predictor of death, yet it did not improve that prediction over information contained in measures of activities of daily living. In separate logistic analyses, CIRS and age predicted acute care hospital days during follow- up, while ADL or IADL predicted the use of nursing home services. Although the CIRS appears to be a reliable method of summarizing medical information and to have some external validity, in its present form it does not provide additional prognostic information. (Aging Clin. Exp. Res. 4: 171- 178, 1992)

Original languageEnglish (US)
Pages (from-to)171-178
Number of pages8
JournalAging Clinical and Experimental Research
Volume4
Issue number2
DOIs
StatePublished - Jan 1 1992

Fingerprint

Activities of Daily Living
Geriatric Assessment
Morale
Nursing Services
Nursing Homes
Geriatrics
Longitudinal Studies
Survivors
Outpatients
Logistic Models
Prospective Studies
Health
Research

Keywords

  • aged
  • health and disease
  • hospitalization
  • longitudinal study
  • mortality

ASJC Scopus subject areas

  • Aging
  • Geriatrics and Gerontology

Cite this

A prospective evaluation of the cumulative illness rating scale. / Waldman, E.; Potter, Jane Frances.

In: Aging Clinical and Experimental Research, Vol. 4, No. 2, 01.01.1992, p. 171-178.

Research output: Contribution to journalArticle

@article{cd1be4fd05a1443e834d945c433181b5,
title = "A prospective evaluation of the cumulative illness rating scale",
abstract = "Assessment of overall physical health is an important yet little studied problem in geriatric research. The Cumulative Illness Rating Scale (CIRS) was among the first instruments that attempted to summarize the overall severity of illness based on clinical information. This study evaluated the CIRS in a prospective longitudinal study of 181 elderly (mean age ± SD = 79 ± 7.4) subjects undergoing comprehensive geriatric assessment in an outpatient unit. The CIRS was found to correlate negatively with activities of daily living (@#@ r = − 0.49, p = 0.0001), instrumental activities of daily living (@#@ r = − 0.34, p = 0.0001), patient morale (@#@ r = − 0.30, p = 0.0001), and positively with days in hospital (@#@ r = 0.21, p = 0.0075) and number of medications (@#@ r = 0.31, p = 0.0001). Mean CIRS scores for subjects who died during follow- up were significantly higher than the scores for survivors (@#@ p<0.01 @#@). In logistic regression, CIRS was a significant predictor of death, yet it did not improve that prediction over information contained in measures of activities of daily living. In separate logistic analyses, CIRS and age predicted acute care hospital days during follow- up, while ADL or IADL predicted the use of nursing home services. Although the CIRS appears to be a reliable method of summarizing medical information and to have some external validity, in its present form it does not provide additional prognostic information. (Aging Clin. Exp. Res. 4: 171- 178, 1992)",
keywords = "aged, health and disease, hospitalization, longitudinal study, mortality",
author = "E. Waldman and Potter, {Jane Frances}",
year = "1992",
month = "1",
day = "1",
doi = "10.1007/BF03324087",
language = "English (US)",
volume = "4",
pages = "171--178",
journal = "Aging - Clinical and Experimental Research",
issn = "0394-9532",
publisher = "Springer Verlag",
number = "2",

}

TY - JOUR

T1 - A prospective evaluation of the cumulative illness rating scale

AU - Waldman, E.

AU - Potter, Jane Frances

PY - 1992/1/1

Y1 - 1992/1/1

N2 - Assessment of overall physical health is an important yet little studied problem in geriatric research. The Cumulative Illness Rating Scale (CIRS) was among the first instruments that attempted to summarize the overall severity of illness based on clinical information. This study evaluated the CIRS in a prospective longitudinal study of 181 elderly (mean age ± SD = 79 ± 7.4) subjects undergoing comprehensive geriatric assessment in an outpatient unit. The CIRS was found to correlate negatively with activities of daily living (@#@ r = − 0.49, p = 0.0001), instrumental activities of daily living (@#@ r = − 0.34, p = 0.0001), patient morale (@#@ r = − 0.30, p = 0.0001), and positively with days in hospital (@#@ r = 0.21, p = 0.0075) and number of medications (@#@ r = 0.31, p = 0.0001). Mean CIRS scores for subjects who died during follow- up were significantly higher than the scores for survivors (@#@ p<0.01 @#@). In logistic regression, CIRS was a significant predictor of death, yet it did not improve that prediction over information contained in measures of activities of daily living. In separate logistic analyses, CIRS and age predicted acute care hospital days during follow- up, while ADL or IADL predicted the use of nursing home services. Although the CIRS appears to be a reliable method of summarizing medical information and to have some external validity, in its present form it does not provide additional prognostic information. (Aging Clin. Exp. Res. 4: 171- 178, 1992)

AB - Assessment of overall physical health is an important yet little studied problem in geriatric research. The Cumulative Illness Rating Scale (CIRS) was among the first instruments that attempted to summarize the overall severity of illness based on clinical information. This study evaluated the CIRS in a prospective longitudinal study of 181 elderly (mean age ± SD = 79 ± 7.4) subjects undergoing comprehensive geriatric assessment in an outpatient unit. The CIRS was found to correlate negatively with activities of daily living (@#@ r = − 0.49, p = 0.0001), instrumental activities of daily living (@#@ r = − 0.34, p = 0.0001), patient morale (@#@ r = − 0.30, p = 0.0001), and positively with days in hospital (@#@ r = 0.21, p = 0.0075) and number of medications (@#@ r = 0.31, p = 0.0001). Mean CIRS scores for subjects who died during follow- up were significantly higher than the scores for survivors (@#@ p<0.01 @#@). In logistic regression, CIRS was a significant predictor of death, yet it did not improve that prediction over information contained in measures of activities of daily living. In separate logistic analyses, CIRS and age predicted acute care hospital days during follow- up, while ADL or IADL predicted the use of nursing home services. Although the CIRS appears to be a reliable method of summarizing medical information and to have some external validity, in its present form it does not provide additional prognostic information. (Aging Clin. Exp. Res. 4: 171- 178, 1992)

KW - aged

KW - health and disease

KW - hospitalization

KW - longitudinal study

KW - mortality

UR - http://www.scopus.com/inward/record.url?scp=0026703556&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0026703556&partnerID=8YFLogxK

U2 - 10.1007/BF03324087

DO - 10.1007/BF03324087

M3 - Article

VL - 4

SP - 171

EP - 178

JO - Aging - Clinical and Experimental Research

JF - Aging - Clinical and Experimental Research

SN - 0394-9532

IS - 2

ER -