4.5 Article

Prediction of survival of persons with advanced dementia using the advanced dementia prognostic tool: A 2-year prospective study

Journal

GERIATRIC NURSING
Volume 55, Issue -, Pages 64-70

Publisher

MOSBY-ELSEVIER
DOI: 10.1016/j.gerinurse.2023.11.005

Keywords

Advanced dementia; ADEPT; Survival prediction; Mortality

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This study evaluated the usefulness of the ADEPT score as a prognostic tool for estimating the 2-year survival rate of persons with advanced dementia in Chongqing, China. The results showed that the optimal threshold of the ADEPT score was 11.2, and it had a certain level of accuracy. However, further studies are needed to explore the nature of this relationship.
Background: In this prospective study, we evaluated the usefulness of the advanced dementia prognostic tool (ADEPT) for estimating the 2-year survival of persons with advanced dementia (AD) in China. Methods: The study predicted the 2-year mortality of 115 persons with AD using the ADEPT score. Results: In total, 115 persons with AD were included in the study. Of these persons, 48 died. The mean ADEPT score was 13.0. The AUROC for the prediction of the 2-year mortality rate using the ADEPT score was 0.62. The optimal threshold of the ADEPT score was 11.2, which had an AUROC of 0.63, specificity of 41.8, and sensitivity of 83.3. Conclusions: The ADEPT score based on a threshold of 11.2 may serve as a prognostic tool to determine the 2year survival rate of persons with AD in Chongqing, China. However, further studies are needed to explore the nature of this relationship.

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