Functional Independence Measure score is associated with mortality in critically ill elderly patients admitted to an intermediate care unit
| Autor: | J-L Reny, Virginie Prendki, Xavier Roux, D. Le Peillet, Véronique Trombert, A. D’Andrea, T. Fassier |
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| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
Male
Prognostic variable medicine.medical_specialty medicine.medical_treatment Critical Illness Intermediate care unit Renal function lcsh:Geriatrics Logistic regression 03 medical and health sciences 0302 clinical medicine Internal medicine medicine Humans 030212 general & internal medicine Mortality Aged Retrospective Studies Aged 80 and over Rehabilitation business.industry Functional Independence measure Hazard ratio 030208 emergency & critical care medicine Functional status Recovery of Function Functional Independence Measure Triage Elderly patients lcsh:RC952-954.6 Treatment Outcome ddc:618.97 Observational study Female Geriatrics and Gerontology business human activities Research Article |
| Zdroj: | BMC Geriatrics BMC Geriatrics, Vol. 20, No 1 (2020) P. 334 BMC Geriatrics, Vol 20, Iss 1, Pp 1-8 (2020) |
| ISSN: | 1471-2318 |
| Popis: | Background Age alone is not a robust predictor of mortality in critically ill elderly patients. Chronic health status and functional status before admission could be better predictors. This study aimed to determine whether functional status, assessed using the Functional Independence Measure (FIM), could be an independent predictor of mortality in a geriatric population admitted to an intermediate care unit (IMCU). Methods A monocentric, retrospective, observational study of all patients aged ≥75 years old admitted to Geneva University Hospitals’ geriatric IMCU between 01.01.2012 and 31.05.2016. The study’s primary outcome metrics were one-year mortality’s associations with a pre-admission FIM score and other relevant prospectively recorded prognostic variables. Results A total of 345 patients were included (56% female, mean age 85 +/− 6.5 years). Mean FIM score was 66 +/− 26. One-year mortality was 57%. Dichotomized low (≤ 63) and high FIM (> 63) scores were associated with one-year mortalities of 68 and 44%, respectively. Logistic regression calculations found an association between pre-admission FIM score and one-year mortality (p Conclusions In the present study, higher functional status, assessed using the FIM tool before admission to an IMCU, was significantly and independently associated with lower one-year mortality. This opens up perspectives on the potential value of FIM for establishing a finer prognosis and better triage of critically ill older patients. |
| Databáze: | OpenAIRE |
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