Utility of geriatric assessment to predict mortality in the oldest old: the Octabaix Study 3-year follow-up

Objective: Few studies have prospectively evaluated the utility of geriatric assessment tools as predictors of mortality in the oldest population. We investigated predictors of death in an oldest-old cohort after 3 years of follow-up. Methods: The Octabaix study is a prospective, community-based stu...

Ausführliche Beschreibung

Gespeichert in:
Bibliographische Detailangaben
Veröffentlicht in:Rejuvenation research 2013-08
Hauptverfasser: Formiga Pérez, Francesc, Ferrer Feliu, Assumpta, Chivite, David, Montero Saez, Abelardo, Sanz, Héctor, Pujol Farriols, Ramon, OCTABAIX Study Group
Format: Artikel
Sprache:eng
Schlagworte:
Online-Zugang:Volltext
Tags: Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
container_end_page
container_issue
container_start_page
container_title Rejuvenation research
container_volume
creator Formiga Pérez, Francesc
Ferrer Feliu, Assumpta
Chivite, David
Montero Saez, Abelardo
Sanz, Héctor
Pujol Farriols, Ramon
OCTABAIX Study Group
description Objective: Few studies have prospectively evaluated the utility of geriatric assessment tools as predictors of mortality in the oldest population. We investigated predictors of death in an oldest-old cohort after 3 years of follow-up. Methods: The Octabaix study is a prospective, community-based study with a follow-up period of 3 years involving 328 subjects aged 85 at baseline. Data were collected on functional and cognitive status, co-morbidity, nutritional and falls risk, quality of life, social risk, and long-term drug prescription. Vital status for the total cohort was evaluated after 3 years of follow-up. Results: Mortality after 3 years was 17.3%. Patients who did not survive had significantly poorer baseline functional status for basic and instrumental activities of daily living (Barthel and Lawton Index), higher co-morbidity (Charlson), higher nutritional risk (Mini Nutritional Assessment), higher risk of falls (Tinetti Gait Scale), poor quality of life (visual analog scale of the Quality of Life Test), and higher number of chronic drugs prescribed. Cox regression analysis identified the Lawton Index (hazard ratio [HR] 0.82, 95% confidence interval [CI] 0.73-0.89) and the number of chronic drugs prescribed (HR 1.09, 95% CI 1.01-1.18) as independent predictors of mortality at 3 years. Conclusions: Among the variables studied, the ability to perform instrumental activities of daily living and using few drugs on a chronic basis at baseline are the best predictors of which oldest-old community-dwelling subjects survive after a 3-year follow-up period.
format Article
fullrecord <record><control><sourceid>csuc</sourceid><recordid>TN_cdi_csuc_recercat_oai_recercat_cat_2072_369055</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>oai_recercat_cat_2072_369055</sourcerecordid><originalsourceid>FETCH-csuc_recercat_oai_recercat_cat_2072_3690553</originalsourceid><addsrcrecordid>eNqdi7sKwkAQRbdQ8PkP8wOBvFaNrSh2Fmodxs1EV1dXdiZo_l4Uwd7icjhwbkf1E50XUTKZ5T01YD7HcTottO6ry16ss9KCr-FIwaIEawCZiflKNwHxcA9UWSNw9UHwE9sbyInAu4pY3ph_fGMED2ifsJWmaiGLWsIAtXfOP6LmPlLdGh3T-MuhSlbL3WIdGW5MGchQMCilR_uT99J4mpbZpIi1zv75vADGJFL_</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype></control><display><type>article</type><title>Utility of geriatric assessment to predict mortality in the oldest old: the Octabaix Study 3-year follow-up</title><source>Recercat</source><source>Alma/SFX Local Collection</source><creator>Formiga Pérez, Francesc ; Ferrer Feliu, Assumpta ; Chivite, David ; Montero Saez, Abelardo ; Sanz, Héctor ; Pujol Farriols, Ramon ; OCTABAIX Study Group</creator><creatorcontrib>Formiga Pérez, Francesc ; Ferrer Feliu, Assumpta ; Chivite, David ; Montero Saez, Abelardo ; Sanz, Héctor ; Pujol Farriols, Ramon ; OCTABAIX Study Group</creatorcontrib><description>Objective: Few studies have prospectively evaluated the utility of geriatric assessment tools as predictors of mortality in the oldest population. We investigated predictors of death in an oldest-old cohort after 3 years of follow-up. Methods: The Octabaix study is a prospective, community-based study with a follow-up period of 3 years involving 328 subjects aged 85 at baseline. Data were collected on functional and cognitive status, co-morbidity, nutritional and falls risk, quality of life, social risk, and long-term drug prescription. Vital status for the total cohort was evaluated after 3 years of follow-up. Results: Mortality after 3 years was 17.3%. Patients who did not survive had significantly poorer baseline functional status for basic and instrumental activities of daily living (Barthel and Lawton Index), higher co-morbidity (Charlson), higher nutritional risk (Mini Nutritional Assessment), higher risk of falls (Tinetti Gait Scale), poor quality of life (visual analog scale of the Quality of Life Test), and higher number of chronic drugs prescribed. Cox regression analysis identified the Lawton Index (hazard ratio [HR] 0.82, 95% confidence interval [CI] 0.73-0.89) and the number of chronic drugs prescribed (HR 1.09, 95% CI 1.01-1.18) as independent predictors of mortality at 3 years. Conclusions: Among the variables studied, the ability to perform instrumental activities of daily living and using few drugs on a chronic basis at baseline are the best predictors of which oldest-old community-dwelling subjects survive after a 3-year follow-up period.</description><identifier>ISSN: 1549-1684</identifier><language>eng</language><publisher>Mary Ann Liebert, Inc</publisher><subject>Administració de medicaments ; Administration of drugs ; Assistència mèdica ; Cura de les persones grans ; Malalties de les persones grans ; Medical care ; Mortalitat ; Mortality ; Nursing assessment ; Older people ; Older people diseases ; Older people's care ; Persones grans ; Qualitat de vida ; Quality of life ; Valoració d'infermeria</subject><ispartof>Rejuvenation research, 2013-08</ispartof><rights>(c) Mary Ann Liebert, Inc., 2013 info:eu-repo/semantics/openAccess</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>230,314,780,784,885,26974</link.rule.ids></links><search><creatorcontrib>Formiga Pérez, Francesc</creatorcontrib><creatorcontrib>Ferrer Feliu, Assumpta</creatorcontrib><creatorcontrib>Chivite, David</creatorcontrib><creatorcontrib>Montero Saez, Abelardo</creatorcontrib><creatorcontrib>Sanz, Héctor</creatorcontrib><creatorcontrib>Pujol Farriols, Ramon</creatorcontrib><creatorcontrib>OCTABAIX Study Group</creatorcontrib><title>Utility of geriatric assessment to predict mortality in the oldest old: the Octabaix Study 3-year follow-up</title><title>Rejuvenation research</title><description>Objective: Few studies have prospectively evaluated the utility of geriatric assessment tools as predictors of mortality in the oldest population. We investigated predictors of death in an oldest-old cohort after 3 years of follow-up. Methods: The Octabaix study is a prospective, community-based study with a follow-up period of 3 years involving 328 subjects aged 85 at baseline. Data were collected on functional and cognitive status, co-morbidity, nutritional and falls risk, quality of life, social risk, and long-term drug prescription. Vital status for the total cohort was evaluated after 3 years of follow-up. Results: Mortality after 3 years was 17.3%. Patients who did not survive had significantly poorer baseline functional status for basic and instrumental activities of daily living (Barthel and Lawton Index), higher co-morbidity (Charlson), higher nutritional risk (Mini Nutritional Assessment), higher risk of falls (Tinetti Gait Scale), poor quality of life (visual analog scale of the Quality of Life Test), and higher number of chronic drugs prescribed. Cox regression analysis identified the Lawton Index (hazard ratio [HR] 0.82, 95% confidence interval [CI] 0.73-0.89) and the number of chronic drugs prescribed (HR 1.09, 95% CI 1.01-1.18) as independent predictors of mortality at 3 years. Conclusions: Among the variables studied, the ability to perform instrumental activities of daily living and using few drugs on a chronic basis at baseline are the best predictors of which oldest-old community-dwelling subjects survive after a 3-year follow-up period.</description><subject>Administració de medicaments</subject><subject>Administration of drugs</subject><subject>Assistència mèdica</subject><subject>Cura de les persones grans</subject><subject>Malalties de les persones grans</subject><subject>Medical care</subject><subject>Mortalitat</subject><subject>Mortality</subject><subject>Nursing assessment</subject><subject>Older people</subject><subject>Older people diseases</subject><subject>Older people's care</subject><subject>Persones grans</subject><subject>Qualitat de vida</subject><subject>Quality of life</subject><subject>Valoració d'infermeria</subject><issn>1549-1684</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2013</creationdate><recordtype>article</recordtype><sourceid>XX2</sourceid><recordid>eNqdi7sKwkAQRbdQ8PkP8wOBvFaNrSh2Fmodxs1EV1dXdiZo_l4Uwd7icjhwbkf1E50XUTKZ5T01YD7HcTottO6ry16ss9KCr-FIwaIEawCZiflKNwHxcA9UWSNw9UHwE9sbyInAu4pY3ph_fGMED2ifsJWmaiGLWsIAtXfOP6LmPlLdGh3T-MuhSlbL3WIdGW5MGchQMCilR_uT99J4mpbZpIi1zv75vADGJFL_</recordid><startdate>20130814</startdate><enddate>20130814</enddate><creator>Formiga Pérez, Francesc</creator><creator>Ferrer Feliu, Assumpta</creator><creator>Chivite, David</creator><creator>Montero Saez, Abelardo</creator><creator>Sanz, Héctor</creator><creator>Pujol Farriols, Ramon</creator><creator>OCTABAIX Study Group</creator><general>Mary Ann Liebert, Inc</general><scope>XX2</scope></search><sort><creationdate>20130814</creationdate><title>Utility of geriatric assessment to predict mortality in the oldest old: the Octabaix Study 3-year follow-up</title><author>Formiga Pérez, Francesc ; Ferrer Feliu, Assumpta ; Chivite, David ; Montero Saez, Abelardo ; Sanz, Héctor ; Pujol Farriols, Ramon ; OCTABAIX Study Group</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-csuc_recercat_oai_recercat_cat_2072_3690553</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2013</creationdate><topic>Administració de medicaments</topic><topic>Administration of drugs</topic><topic>Assistència mèdica</topic><topic>Cura de les persones grans</topic><topic>Malalties de les persones grans</topic><topic>Medical care</topic><topic>Mortalitat</topic><topic>Mortality</topic><topic>Nursing assessment</topic><topic>Older people</topic><topic>Older people diseases</topic><topic>Older people's care</topic><topic>Persones grans</topic><topic>Qualitat de vida</topic><topic>Quality of life</topic><topic>Valoració d'infermeria</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Formiga Pérez, Francesc</creatorcontrib><creatorcontrib>Ferrer Feliu, Assumpta</creatorcontrib><creatorcontrib>Chivite, David</creatorcontrib><creatorcontrib>Montero Saez, Abelardo</creatorcontrib><creatorcontrib>Sanz, Héctor</creatorcontrib><creatorcontrib>Pujol Farriols, Ramon</creatorcontrib><creatorcontrib>OCTABAIX Study Group</creatorcontrib><collection>Recercat</collection><jtitle>Rejuvenation research</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Formiga Pérez, Francesc</au><au>Ferrer Feliu, Assumpta</au><au>Chivite, David</au><au>Montero Saez, Abelardo</au><au>Sanz, Héctor</au><au>Pujol Farriols, Ramon</au><au>OCTABAIX Study Group</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Utility of geriatric assessment to predict mortality in the oldest old: the Octabaix Study 3-year follow-up</atitle><jtitle>Rejuvenation research</jtitle><date>2013-08-14</date><risdate>2013</risdate><issn>1549-1684</issn><abstract>Objective: Few studies have prospectively evaluated the utility of geriatric assessment tools as predictors of mortality in the oldest population. We investigated predictors of death in an oldest-old cohort after 3 years of follow-up. Methods: The Octabaix study is a prospective, community-based study with a follow-up period of 3 years involving 328 subjects aged 85 at baseline. Data were collected on functional and cognitive status, co-morbidity, nutritional and falls risk, quality of life, social risk, and long-term drug prescription. Vital status for the total cohort was evaluated after 3 years of follow-up. Results: Mortality after 3 years was 17.3%. Patients who did not survive had significantly poorer baseline functional status for basic and instrumental activities of daily living (Barthel and Lawton Index), higher co-morbidity (Charlson), higher nutritional risk (Mini Nutritional Assessment), higher risk of falls (Tinetti Gait Scale), poor quality of life (visual analog scale of the Quality of Life Test), and higher number of chronic drugs prescribed. Cox regression analysis identified the Lawton Index (hazard ratio [HR] 0.82, 95% confidence interval [CI] 0.73-0.89) and the number of chronic drugs prescribed (HR 1.09, 95% CI 1.01-1.18) as independent predictors of mortality at 3 years. Conclusions: Among the variables studied, the ability to perform instrumental activities of daily living and using few drugs on a chronic basis at baseline are the best predictors of which oldest-old community-dwelling subjects survive after a 3-year follow-up period.</abstract><pub>Mary Ann Liebert, Inc</pub><tpages>6</tpages><oa>free_for_read</oa></addata></record>
fulltext fulltext
identifier ISSN: 1549-1684
ispartof Rejuvenation research, 2013-08
issn 1549-1684
language eng
recordid cdi_csuc_recercat_oai_recercat_cat_2072_369055
source Recercat; Alma/SFX Local Collection
subjects Administració de medicaments
Administration of drugs
Assistència mèdica
Cura de les persones grans
Malalties de les persones grans
Medical care
Mortalitat
Mortality
Nursing assessment
Older people
Older people diseases
Older people's care
Persones grans
Qualitat de vida
Quality of life
Valoració d'infermeria
title Utility of geriatric assessment to predict mortality in the oldest old: the Octabaix Study 3-year follow-up
url https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2024-12-25T09%3A30%3A21IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-csuc&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Utility%20of%20geriatric%20assessment%20to%20predict%20mortality%20in%20the%20oldest%20old:%20the%20Octabaix%20Study%203-year%20follow-up&rft.jtitle=Rejuvenation%20research&rft.au=Formiga%20P%C3%A9rez,%20Francesc&rft.date=2013-08-14&rft.issn=1549-1684&rft_id=info:doi/&rft_dat=%3Ccsuc%3Eoai_recercat_cat_2072_369055%3C/csuc%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_id=info:pmid/&rfr_iscdi=true