How Do Geriatric Scores Predict 1-Year Mortality in Elderly Patients with Suspected Pneumonia?
| Autor: | Jérôme Stirnemann, Nicolas Garin, Virginie Prendki, Astrid Malézieux-Picard, Thomas Fassier, Alberto Nascè, Xavier Roux, Dina Zekry, Landry Hakiza |
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| Rok vydání: | 2021 |
| Předmět: |
Aging
medicine.medical_specialty Health (social science) Multivariate analysis malnutrition comorbidities pneumonia elderly functionality mortality Article Comorbidities Elderly Internal medicine medicine Mortality Functionality Prospective cohort study ddc:616 Univariate analysis business.industry Mortality rate Malnutrition RC952-954.6 Pneumonia medicine.disease Functional Independence Measure Geriatrics ddc:618.97 Cohort Geriatrics and Gerontology business Gerontology |
| Zdroj: | Geriatrics, Vol. 6, No 4 (2021) P. 112 Geriatrics; Volume 6; Issue 4; Pages: 112 Geriatrics Geriatrics, Vol 6, Iss 112, p 112 (2021) |
| ISSN: | 2308-3417 |
| DOI: | 10.3390/geriatrics6040112 |
| Popis: | Background: Pneumonia has an impact on long-term mortality in elderly patients. The risk factors associated with poor long-term outcomes are understated. We aimed to assess the ability of scores that evaluate patients' comorbidities (cumulative illness rating scale-geriatric, CIRS-G), malnutrition (mini nutritional assessment, MNA) and functionality (functional independence measure, FIM) to predict 1-year mortality in a cohort of older patients having a suspicion of pneumonia.Methods: Our prospective study included consecutive patients over 65 years old and hospitalized with a suspicion of pneumonia enrolled in a monocentric cohort from May 2015 to April 2016. Each score was analysed in univariate and multivariate models and logistic regressions were used to identify contributors to 1-year mortality.Results: 200 patients were included (51% male, mean age 83.8 ± 7.7). Their 1-year mortality rate was 30%. FIM (p < 0.01), CIRS-G (p < 0.001) and MNA (p < 0.001) were strongly associated with poorer long-term outcomes in univariate analysis. CIRS-G (p < 0.05) and MNA (p < 0.05) were significant predictors of 1-year mortality in multivariate analysis.Conclusion: Long-term prognosis of patients hospitalized for pneumonia was poor and we identified that scores assessing comorbidities and malnutrition seem to be important predictors of 1-year mortality. This should be taken into account for evaluating elderly patients' prognosis, levels and goals of care. |
| Databáze: | OpenAIRE |
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