Multidimensional prognostic index (MPI) predicts successful application for disability social benefits in older people

Biomarkers of aging in real life: three questions on aging and the comprehensive geriatric assessment

“…The MPI uses a mathematic algorithm including information about eight domains relevant for the global assessment of the older person (functional and cognitive status, nutrition, mobility and risk of pressure sores, multi-morbidity, polypharmacy, and co-habitation), to generate a numeric score (or index) ranging between 0 and 1 and expressing the global risk of multidimensional impairment. Initially developed and validated as a prognostic index predicting mortality in hospitalized older patients [ 50 ], a series of multicenter studies demonstrated that the MPI is able to (1) predict mortality more accurately than other frailty instruments based on both phenotypic and multiple-deficits models [ 51 ]; (2) predict in-hospital length of stay [ 52 , 53 ]; (3) monitor changes of health and functional status during hospitalization [ 54 , 55 ]; (4) identify those older patients who will be admitted to homecare services, nursing homes and/or re-hospitalized one-year after discharge from the hospital [ 56 ]; (5) inform about health-related quality of life in older patients admitted to emergency department [ 57 ]; (6) predict burden on healthcare resources [ 58 ] and successful application for disability social benefits in older people with cognitive decline [ 59 ]. Finally, systematic reviews reported that MPI was a CGA-based prognostic tool with good discrimination, accuracy, and calibration [ 60 ], useful in both clinical practice and research [ 61 ], and showing a very high validity, reliability, and feasibility compared to other tools used to identify frail older patients [ 62 ].…”

Multidimensional frailty and quality of life: data from the English Longitudinal Study of Ageing

“…In this regard, the MPI is commonly used for clinical decision making that captures different aspects of frailty, some of which have been extensively used to study frailty [ 4 , 5 ]. Although the MPI was originally developed and validated in hospitalized older people [ 6 ], it is widely applied in other settings and conditions such as ambulatory clinical settings [ 7 ] or community-based studies that have included > 54,000 subjects, to date [ 8 – 11 ].…”

The Assessment of Disability in Italy: The Laborious Procedure and Sharing of Objectives

“…The normative discipline of the handicap, which is determined by a commission of doctors and social workers, identifies the nature of the handicap in a person who has a physical, psychological, or sensory impairment, stabilized or progressive, that is the cause of difficulties in learning, in relationships, or in work placements, to determine potential social disadvantages or marginalization. The nature of the disability for a handicap can be quantified in a binary fashion, as not severe or severe, according to whether it reduces personal autonomy and necessitates permanent and global assistance in the individual or relational sphere [ 4 ]. The recognition of a person with a disability qualified as a handicap entails the right to a wide range of mainly non-economic benefits (insertion and social integration, personal assistance services, school insertion and integration, various services, and paid absences from work for individuals with disabilities and their caregivers).…”