Or frailty, as well as the need of alternative conceptual models, possibly by defining new endoflife trajectories, so as to supply better endoflife care to this great number of people today.Author affiliations Geriatric and Palliative Care Department, Hospital Universitari de la Santa CreuHospital Universitari de Vic, Barcelona, Spain Division of Palliative Care, SC75741 custom synthesis University of Vic, Barcelona, Spain St Columba’s Hospice Chair of Principal Palliative Care, Principal Palliative Care Study Group, The Usher Institute, University of Edinburgh, Edinburgh, UK Information Evaluation and Modeling Investigation Group, Division of Economics and Business, University of Vic, Barcelona, Spain Unit of Investigation Management, Catalan Institute of Oncology, Barcelona, Spain Programme for the Prevention and Care of Individuals with Chronic Situations, Division of Health, Government of Catalonia, Barcelona, Spain The Qualy Observatory, WHO Collaborating Centre for Palliative Care Public Health Applications (WHOCC), Catalan Institute of Oncology, Barcelona, Spain Twitter Adhere to Jordi Ambl Novellas at @jordiamblas Acknowledgements The authors thank Ms Sara Ela for her support in reviewing and editing the manuscript.All authors revised, edited and authorized the final version from the manuscript to be published.Ambl Novellas J, et al.BMJ Open ;e.doi.bmjopenOpen AccessContributors JAN conceptualised and designed the study.MMM involved in data collection.JCM and OR performed the statistical evaluation.JAN wrote the draft on the manuscript.SAM, MMM, JE, NM, CB and XGB contributed to data evaluation and interpretation with the findings, reviewed and approved the final manuscript.All authors meet situations of the International Committee of Health-related Journal Editors with regards to authorship.Funding JAN has received study grants from Consultori Bay for the PhD research project `The advanced frailty as a basis for identifying endoflife predicament and decisionmaking’; you will find no other relationships or activities that could appear to possess influenced the submitted work.Competing interests None declared.Ethics approval PREVOsona P and EO.Provenance and peer assessment Not commissioned; externally peer reviewed.Information sharing statement Further information are out there in the on the web supplementary appendices.Technical on the web supplementary appendix and information set are out there in the corresponding author on request.Open Access This really is an Open Access report distributed in accordance with the Creative Commons Attribution Non Industrial (CC BYNC) license, which permits other individuals to distribute, remix, adapt, construct upon this work noncommercially, and license their derivative functions on various terms, provided the original function is properly cited plus the use is noncommercial.See creativecommons.orglicensesbync……………..activities of daily living (IADL) and connected things, as predictors of morbidity and mortality.Arch Gerontol Geriatr ;.Chen LY, Liu LK, Liu CL, et al.Predicting functional decline of older guys living in veteran homes by minimum data set implications for disability prevention programs in long term care settings.J Am Med Dir Assoc ;.e.Espaulella J, Arnau A, CubD, et al.Timedependent prognostic components of month mortality in frail elderly sufferers admitted to postacute care.Age Ageing PubMed ID:http://www.ncbi.nlm.nih.gov/pubmed/21447296 ;.M lethaler R, Stuck AE, Minder CE, et al.The prognostic significance of proteinenergy malnutrition in geriatric sufferers.Age Ageing ;.Sullivan DH, Walls RC.Proteinenergy undernutrition as well as the risk of mortality within.