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Table 3 Regression estimates of mean change in MDS-HSI by clinically important changes in indices and symptoms

From: Longitudinal construct validity of the minimum data set health status index

Measure

Mean change in MDS-HSI (β) (95% CI)a

p-value

MCID Ratiob

Health Domain Index

 ADL Hierarchy (Function)

−0.055 (− 0.057, − 0.053)

<.0001

1.84

 IADL Difficulty (Function)

− 0.045 (− 0.047, − 0.043)

<.0001

1.50

 CPS (Cognition)

− 0.065 (− 0.068, − 0.062)

<.0001

2.16

 CHESS (Health Stability)

− 0.050 (− 0.052, − 0.049)

<.0001

1.68

 DRS (two steps) (Mood)

− 0.066 (− 0.069, − 0.064)

<.0001

2.21

 Pain Scale

− 0.091 (− 0.093, − 0.089)

<.0001

3.04

 Communication Scale

− 0.038 (− 0.040, − 0.036)

<.0001

1.27

Symptom

 Angina

− 0.030 (− 0.040, − 0.019)

<.0001

1.00

 Constipation

− 0.057 (− 0.073, − 0.042)

<.0001

1.91

 Dizziness

− 0.039 (− 0.044, − 0.033)

<.0001

1.28

 Edema

− 0.028 (− 0.033, − 0.022)

<.0001

0.92

 Dyspnea

− 0.032 (− 0.038, − 0.026)

<.0001

1.07

 Delusions

− 0.081 (− 0.097, − 0.066)

<.0001

2.71

 Hallucinations

− 0.084 (− 0.097, − 0.071)

<.0001

2.79

 Dysrhythmia

− 0.016 (− 0.029, − 0.002)

0.022

0.52

 Poor self-reported health

− 0.068 (− 0.075, − 0.061)

<.0001

2.28

 Flare-up of chronic condition

− 0.062 (− 0.070, − 0.055)

<.0001

2.08

 Disruptive Pain

− 0.140 (− 0.145, − 0.135)

<.0001

4.68

 Weight Loss

− 0.063 (− 0.070, − 0.057)

<.0001

2.11

 One or fewer meals per day

− 0.076 (− 0.087, − 0.064)

<.0001

2.52

 Insufficient fluid intake

− 0.086 (− 0.102, − 0.069)

<.0001

2.86

 Declining food/liquid consumption

− 0.110 (− 0.121, − 0.099)

<.0001

3.67

  1. a Estimates correspond to an increase in the health domain index (increasing impairment) or new onset of a symptom
  2. b MCID = β / 0.03