Mini-Suffering State Examination Scale: Possible Key Criterion for 6-Month Survival and Mortality of Critically Ill Dementia Patients

Aminoff, Bechor Zvi

doi:10.1177/1049909107302304

Cited by 22 publications

(32 citation statements)

References 13 publications

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“…Compared to the ADEPT scale, Mitchell et al 16 found the US Medicare hospice eligibility guidelines to have poor discrimination. Aminoff 11 found the MSSE scale to be particularly associated with increased mortality within 6 months, and previous studies have reported MMSE to have high specificity, but low sensitivity, especially with non-Alzheimer dementias. 30 …”

Section: Discussionmentioning

confidence: 91%

“…11,12 Mitchell et al 15 found that decreased activities of daily living scores were strongly and significantly associated with increased mortality. A definition of “not awake most of the day” was also identified as an associated risk factor.…”

Section: Resultsmentioning

confidence: 99%

“…In our case, a prospective cohort study would be the most preferable. In the literature presented in this review, four articles—Luchins et al, 13 Aminoff and Adunsky, 12 Aminoff, 11 and Mitchell et al 16 —used a prospective cohort methodology. However, while a prospective cohort study design for in situ observation of the prognostic variables in the context of disease progression is preferable, it still poses problems for the investigation of prognosis in dementia.…”

Section: Discussionmentioning

confidence: 99%

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Prognostic indicators of 6-month mortality in elderly people with advanced dementia: A systematic review

et al. 2012

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Background: For end-of-life dementia patients, palliative care offers a better quality of life than continued aggressive or burdensome medical interventions. To provide the best care options to dementia sufferers, validated, reliable, sensitive, and accurate prognostic tools to identify end-of-life dementia stages are necessary. Aim: To identify accurate prognosticators of mortality in elderly advanced dementia patients consistently reported in the literature. Design: Systematic literature review. Data sources: PubMed, Embase, and PsycINFO databases were searched up to September 2012. Reference lists of included studies were also searched. Inclusion criteria were studies measuring factors specifically related to 6-month outcome in patients diagnosed with dementia in any residential or health-care setting. Results: Seven studies met the inclusion criteria, five of which were set in the United States and two in Israel. Methodology and prognostic outcomes varied greatly between the studies. All but one study found that Functional Assessment Staging phase 7c, currently widely used to assess hospice admission eligibility in the United States, was not a reliable predictor of 6-month mortality. The most common prognostic variables identified related to nutrition/nourishment, or eating habits, followed by increased risk on dementia severity scales and comorbidities. Conclusions: Although the majority of studies agreed that the Functional Assessment Staging 7c criterion was not a reliable predictor of 6-month mortality, we found a lack of prognosticator concordance across the literature. Further studies are essential to identify reliable, sensitive, and specific prognosticators, which can be applied to the clinical setting and allow increased availability of palliative care to dementia patients.

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Section: Discussionmentioning

confidence: 91%

Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Prognostic indicators of 6-month mortality in elderly people with advanced dementia: A systematic review

et al. 2012

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“…Results of our clinical study demonstrated that the intense suffering level of patients evaluated by a recently developed objective tool, the Mini-Suffering State Examination (MSSE) scale, has a significant correlation with short survival [16], advancing age, more severe illness, malnutrition, the existence of decubitus ulcers, and the administration of medications [17].…”

Section: Discussionmentioning

confidence: 96%

End Stage Dementia and Entropy Definition of Suffering

Aminoff¹

2009

TOGERIMJ

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Abstract:Objectives: A new definition of human suffering and satisfaction according to the entropy hypothesis may facilitate comprehension of health, disease and the aging process.Methods: A cohort study of 71 patients (28 females, 43 males), with very advanced dementia, who died in our ward during the study period. The intense suffering level of end-stage dementia patients was evaluated by the Mini-Suffering State Examination (MSSE) scale.Results: Suffering level in end-stage dementia has a significant correlation with short survival, advancing age, more severe illness, malnutrition, the existence of decubitus ulcers, and the administration of medications. Established correlations could be explained by the enhanced level of the patients' body entropy.Discussion: Suffering and satisfaction are functional levels of human entropy.An elevated level of human entropy is a measure of disorder, a process of aging and torment of the patient.

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“…1,[24][25][26][27][28] Instead, the cause of death is listed as pneumonia, difficulty swallowing, or failure to thrive, which are all common complications of AD. 1,18,29 This lack of accuracy in reporting deaths from AD may lead to a misperception that AD is not a terminal illness, which thus may prevent patients and families from making informed end-of-life (EOL) choices. 25 …”

Section: Alzheimer Diseasementioning

confidence: 99%