The MDS‐CHESS Scale: A New Measure to Predict Mortality in Institutionalized Older People

Abstract

The CHESS score provides a useful new MDS-based test to predict mortality and to measure instability in health as a clinical outcome.

The Role of Medications in Predicting Activity Restriction Due to a Fear of Falling

“…The Changes in Health End-stage Disease Signs and Symptoms (CHESS) scale was developed to detect health instability. Higher scores on the CHESS are associated with reduced survival over time (Armstrong, Stolee, Hirdes, & Poss, 2010;Hirdes, Frijters, & Teare, 2003). The Pain Scale uses two items to create a score that ranges from 0 (no pain) to 3 (severe daily pain) and has been shown to be highly predictive of pain on the Visual Analogue Scale in nursing home residents (Fries, Simon, Morris, Flodstrom, & Bookstein, 2001).…”

Osteoporosis management among residents living in long-term care

“…Number of prescribed medications and new medications were derived by the assessors and included as summary items as part of the RAI 2.0. Our analyses also included four health index measures previously developed and validated for use with the RAI 2.0 tool: (1) the Activities of Daily Living (ADL) self-performance hierarchy scale (range 0-6) [26]; (2) the Changes in Health, End-stage disease and Signs and Symptoms (CHESS) score (range 0-5) [27]; (3) the Cognitive Performance Scale (CPS) score (range 0-6) [28,29]; and (4) the Depression Rating Scale (DRS; range 0-14) [30]. Higher scores are all indicative of more severe impairment.…”

Does Frailty Modify the Effect of Race on Influenza Vaccination within Nursing Facilities in Michigan, 2005-2006?

“…The Minimum Data Set-Changes in Health, End-stage disease and Symptoms and Signs (MDS-CHESS) score is a composite measure focused on changes in health, endstage disease, and symptoms and signs of medical problems [14]. The MDS-CHESS is a 6-point scale, ranging from 0 (no instability) to 5 (high instability).…”

“…The CHESS score has been found to be a strong predictor of mortality, independent of age, gender, cognitive impairment, physical impairment (ADLs), and do-not-resuscitate (DNR) orders. The CHESS score is more predictive of mortality than the CPS or ADL scales [14]. To examine frailty using the CHESS score, we used categories recommended by the scale developers: residents were classified into 2 groups: 1) no clinical frailty (score of 0 or 1); and 2) clinical frailty (score of 2-5).…”