Concordance of Cornell medical index self-reports to structured clinical assessment for the identification of physical health status.
Arch Gerontol Geriatr
; 38(3): 261-9, 2004.
Article
en En
| MEDLINE
| ID: mdl-15066312
ABSTRACT
Self-reported questionnaires are frequently used to assess health status in epidemiological studies. The Cornell medical index is one such tool used to determine the presence of physical and psychiatric illness but its accuracy and value have been questioned. In this study we have assessed the ability of the CMI to predict health status in two separate patient populations (n = 101, 88) by comparison to a structured medical assessment based on the SENIEUR protocol by two physicians. There was good agreement between medication use reported on the CMI and on medical assessment (k = 0.79; CI 0.70-0.88). Accuracy of prediction of the CMI for specific medical conditions was good 89-99%. A threshold score from the CMI was not predictive of health as determined by the SENIEUR protocol. In our older populations, we conclude that the CMI accurately predicted health status. The determination of normal health by a threshold score was poorly predictive of heath status. Self-reported medication use was the best predictor of health status.
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Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Encefalopatías
/
Enfermedades Cardiovasculares
/
Evaluación Geriátrica
/
Índice Médico de Cornell
/
Diabetes Mellitus
Tipo de estudio:
Diagnostic_studies
/
Prognostic_studies
/
Qualitative_research
Aspecto:
Patient_preference
Límite:
Aged
/
Aged80
/
Female
/
Humans
/
Male
/
Middle aged
Idioma:
En
Revista:
Arch Gerontol Geriatr
Año:
2004
Tipo del documento:
Article
País de afiliación:
Reino Unido