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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