A Risk Index for Geriatric Acute Medical Admissions (RIGAMA)
Romero-Ortuno, R.; O'Dwyer, C.; Byrne, D.; O'Riordan, D.; Silke, B.
Acute Medicine 13(1): 6-11
2014
ISSN/ISBN: 1747-4892 PMID: 24616899 Document Number: 10435
to create and validate a Risk Index for Geriatric Acute Medical Admissions (RIGAMA) for those aged ≥ 65, based on accumulation of deficits. we retrospectively validated a 30-item RIGAMA against inpatient mortality, length of stay (LOS), discharge to long-term care (LTC) and 30-day readmission, adjusted for age. ≥ 1 RIGAMA deficit was superior to age in predicting mortality and prolonged LOS, with a clear incremental effect. The latter was true for ≥3 deficits in predicting 30-day readmission. Three to 5 deficits predicted discharge to LTC better than age. RIGAMA is easy to collect by the admitting junior doctor and may help trigger early senior support and inform the appropriate use of hospital resources by older patients.
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