[Bacteremia in the elderly: associated and prognostic factors]

Autor: S, Rubio Félix, R, Aznar Munoz, I, Martín Algora, M, Egido Murciano, M, Ferrero Cáncer, P, Mairal Claver, A, Rezusta López
Rok vydání: 1998
Předmět:
Zdroj: Revista clinica espanola. 198(1)
ISSN: 0014-2565
Popis: Bacteremia is associated with high morbidity and mortality rates and its prevalence increases with age. The objective of the present investigation was to know the epidemiology, associated factors and prognosis in patients with bacteremia in our environment and in relation with age.Two hundred and twenty-nine episodes of bacteremia were prospectively studied; 97 (42%) cases corresponded to patients aged70 years. The prognostic factors were evaluated by the univariate and multivariate analysis in the whole cohort and univariate study of associated factors for an age70 years.The etiology, infectious sources, nosocomial acquisition, and complications apart from shock (p = 0.02) were similar in the elderly patients. The associations of diabetes (p = 0.05), COPD and/or heart disease (p = 0.01), and exitus were higher for patients70 years. The main independent prognostic factor in the series was disseminated intravascular coagulation (p0.001, multivariate OR 14.2).Patients older than 70 years have a higher incidence of shock and mortality associated with infection. The higher overall mortality rate in the series was associated with disseminated intravascular coagulation and multisystemic failure irrespective of age.
Databáze: OpenAIRE