Predictors of long-term mortality in oldest old patients (90+) hospitalized to medical wards via the emergency department: The safes cohort
OBJECTIVES: To identify risk factors for long-term mortality in patients aged 90 years and over who are admitted to hospital through the emergency department. DESIGN: Prospective cohort study (SAFES cohort; Sujet Âgé Fragile — Évaluation Suivi). SETTING: 8 university teaching hospitals and one regio...
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| Veröffentlicht in: | The Journal of nutrition, health & aging health & aging, 2015-06, Vol.19 (6), p.702-707 |
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| container_title | The Journal of nutrition, health & aging |
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| creator | De Boissieu, P Mahmoudi, R Hentzien, M Toquet, S Novella, J. -L Blanchard, F Jolly, D Dramé, Moustapha |
| description | OBJECTIVES: To identify risk factors for long-term mortality in patients aged 90 years and over who are admitted to hospital through the emergency department. DESIGN: Prospective cohort study (SAFES cohort; Sujet Âgé Fragile — Évaluation Suivi). SETTING: 8 university teaching hospitals and one regional, non-academic hospital in France. PARTICIPANTS: Among 1306 patients in the SAFES cohort, 291 patients aged 90 or over were included. MEASUREMENTS: At inclusion, we recorded socio-demographic data (age, sex, level of education, living alone or in an institution, number of children, presence of helper/caregiver), and data from geriatric evaluation (dependence status, risk of depression, dementia, delirium, nutritional status, walking disorders, risk of falls, comorbidities, risk of pressure sores). Vital status at 36 months was obtained from the treating physician, the general practitioner, administrative registers, or during follow-up consultations. RESULTS: Among 291 patients included, 190 (65.3%) had died at 36 months. Risk factors for mortality at 36 months identified by multivariate analysis were risk of malnutrition (HR 1.6, 95%CI 1.1–2.3, p=0.004) and delirium (HR 1.6, 95%CI 1.1–2.3, p=0.01). CONCLUSION: Risk of malnutrition and presence of delirium are risk factors for mortality at 36 months in subjects aged 90 years and over hospitalized through the emergency department. |
| doi_str_mv | 10.1007/s12603-015-0515-y |
| format | Article |
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DESIGN: Prospective cohort study (SAFES cohort; Sujet Âgé Fragile — Évaluation Suivi). SETTING: 8 university teaching hospitals and one regional, non-academic hospital in France. PARTICIPANTS: Among 1306 patients in the SAFES cohort, 291 patients aged 90 or over were included. MEASUREMENTS: At inclusion, we recorded socio-demographic data (age, sex, level of education, living alone or in an institution, number of children, presence of helper/caregiver), and data from geriatric evaluation (dependence status, risk of depression, dementia, delirium, nutritional status, walking disorders, risk of falls, comorbidities, risk of pressure sores). Vital status at 36 months was obtained from the treating physician, the general practitioner, administrative registers, or during follow-up consultations. RESULTS: Among 291 patients included, 190 (65.3%) had died at 36 months. Risk factors for mortality at 36 months identified by multivariate analysis were risk of malnutrition (HR 1.6, 95%CI 1.1–2.3, p=0.004) and delirium (HR 1.6, 95%CI 1.1–2.3, p=0.01). CONCLUSION: Risk of malnutrition and presence of delirium are risk factors for mortality at 36 months in subjects aged 90 years and over hospitalized through the emergency department.</description><identifier>ISSN: 1279-7707</identifier><identifier>EISSN: 1760-4788</identifier><identifier>DOI: 10.1007/s12603-015-0515-y</identifier><identifier>PMID: 26054508</identifier><language>eng</language><publisher>Paris: Springer Paris</publisher><subject>Activities of daily living ; Aged, 80 and over ; Aging ; Caregivers ; Caregivers - statistics & numerical data ; children ; Cohort Studies ; Comorbidity ; Consent ; Delirium ; Delirium - epidemiology ; dementia ; Dementia - epidemiology ; Educational Status ; Emergency medical care ; Emergency Service, Hospital - statistics & numerical data ; Emerging diseases ; Female ; France ; Geriatric Assessment ; Geriatrics ; Geriatrics/Gerontology ; Hospitalization ; Hospitalization - statistics & numerical data ; hospitals ; Hospitals - statistics & numerical data ; Human health and pathology ; Humans ; Infectious diseases ; Internal medicine ; Life Sciences ; Male ; Malnutrition ; Malnutrition - epidemiology ; Medicine ; Medicine & Public Health ; Mortality ; multivariate analysis ; Neurosciences ; Nutrition ; Nutritional Status ; Patients ; Primary Care Medicine ; Prospective Studies ; Quality of Life Research ; risk analysis ; Risk Factors ; Sociodemographics ; Teaching hospitals ; Time Factors ; walking</subject><ispartof>The Journal of nutrition, health & aging, 2015-06, Vol.19 (6), p.702-707</ispartof><rights>Serdi and Springer-Verlag France 2015</rights><rights>Distributed under a Creative Commons Attribution 4.0 International License</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c543t-a0729dff41942255f98969a2a8d8ad9f9d705b02e621b933a302cfd76bc249f23</citedby><cites>FETCH-LOGICAL-c543t-a0729dff41942255f98969a2a8d8ad9f9d705b02e621b933a302cfd76bc249f23</cites><orcidid>0000-0002-7074-7500 ; 0000-0003-2729-9420 ; 0000-0002-6662-8832</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s12603-015-0515-y$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s12603-015-0515-y$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>230,314,777,781,882,27905,27906,41469,42538,51300</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/26054508$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink><backlink>$$Uhttps://hal.science/hal-02883083$$DView record in HAL$$Hfree_for_read</backlink></links><search><creatorcontrib>De Boissieu, P</creatorcontrib><creatorcontrib>Mahmoudi, R</creatorcontrib><creatorcontrib>Hentzien, M</creatorcontrib><creatorcontrib>Toquet, S</creatorcontrib><creatorcontrib>Novella, J. -L</creatorcontrib><creatorcontrib>Blanchard, F</creatorcontrib><creatorcontrib>Jolly, D</creatorcontrib><creatorcontrib>Dramé, Moustapha</creatorcontrib><title>Predictors of long-term mortality in oldest old patients (90+) hospitalized to medical wards via the emergency department: The safes cohort</title><title>The Journal of nutrition, health & aging</title><addtitle>J Nutr Health Aging</addtitle><addtitle>J Nutr Health Aging</addtitle><description>OBJECTIVES: To identify risk factors for long-term mortality in patients aged 90 years and over who are admitted to hospital through the emergency department. DESIGN: Prospective cohort study (SAFES cohort; Sujet Âgé Fragile — Évaluation Suivi). SETTING: 8 university teaching hospitals and one regional, non-academic hospital in France. PARTICIPANTS: Among 1306 patients in the SAFES cohort, 291 patients aged 90 or over were included. MEASUREMENTS: At inclusion, we recorded socio-demographic data (age, sex, level of education, living alone or in an institution, number of children, presence of helper/caregiver), and data from geriatric evaluation (dependence status, risk of depression, dementia, delirium, nutritional status, walking disorders, risk of falls, comorbidities, risk of pressure sores). Vital status at 36 months was obtained from the treating physician, the general practitioner, administrative registers, or during follow-up consultations. RESULTS: Among 291 patients included, 190 (65.3%) had died at 36 months. Risk factors for mortality at 36 months identified by multivariate analysis were risk of malnutrition (HR 1.6, 95%CI 1.1–2.3, p=0.004) and delirium (HR 1.6, 95%CI 1.1–2.3, p=0.01). CONCLUSION: Risk of malnutrition and presence of delirium are risk factors for mortality at 36 months in subjects aged 90 years and over hospitalized through the emergency department.</description><subject>Activities of daily living</subject><subject>Aged, 80 and over</subject><subject>Aging</subject><subject>Caregivers</subject><subject>Caregivers - statistics & numerical data</subject><subject>children</subject><subject>Cohort Studies</subject><subject>Comorbidity</subject><subject>Consent</subject><subject>Delirium</subject><subject>Delirium - epidemiology</subject><subject>dementia</subject><subject>Dementia - epidemiology</subject><subject>Educational Status</subject><subject>Emergency medical care</subject><subject>Emergency Service, Hospital - statistics & numerical data</subject><subject>Emerging diseases</subject><subject>Female</subject><subject>France</subject><subject>Geriatric Assessment</subject><subject>Geriatrics</subject><subject>Geriatrics/Gerontology</subject><subject>Hospitalization</subject><subject>Hospitalization - statistics & numerical data</subject><subject>hospitals</subject><subject>Hospitals - statistics & numerical data</subject><subject>Human health and pathology</subject><subject>Humans</subject><subject>Infectious diseases</subject><subject>Internal medicine</subject><subject>Life Sciences</subject><subject>Male</subject><subject>Malnutrition</subject><subject>Malnutrition - epidemiology</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Mortality</subject><subject>multivariate analysis</subject><subject>Neurosciences</subject><subject>Nutrition</subject><subject>Nutritional Status</subject><subject>Patients</subject><subject>Primary Care Medicine</subject><subject>Prospective Studies</subject><subject>Quality of Life Research</subject><subject>risk analysis</subject><subject>Risk Factors</subject><subject>Sociodemographics</subject><subject>Teaching hospitals</subject><subject>Time Factors</subject><subject>walking</subject><issn>1279-7707</issn><issn>1760-4788</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2015</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><recordid>eNp9kc9u1DAQxiMEoqXwAFzAEpdWKDC243_cqgoo0kog0Z4tb2LvukriYHuLwivw0jikVIgDF4_l-c034_mq6jmGNxhAvE2YcKA1YFYDK8f8oDrGgkPdCCkfljsRqhYCxFH1JKUbgIYpyR9XR6WMNQzkcfXzS7Sdb3OICQWH-jDu6mzjgIYQs-l9npEfUeg7m_IS0GSyt2NO6FTB6zO0D2nyC_jDdigHNCxqpkffTewSuvUG5b1FdrBxZ8d2Rp2dTMxDUXiHrkomGWcTasO-tHtaPXKmT_bZXTyprj-8v7q4rDefP366ON_ULWtorg0IojrnGqwaQhhzSiquDDGyk6ZTTnUC2BaI5QRvFaWGAmldJ_i2JY1yhJ5UZ6vu3vR6in4wcdbBeH15vtHLGxApKUh6iwt7urJTDN8OZQl68Km1fW9GGw5JYy4FbcogUNBX_6A34RDH8pPfFFGcsIXCK9XGkFK07n4CDHpxVa-u6uKqXlzVc6l5cad82JYF31f8sbEAZAVSSY07G_9q_R_Vl2uRM0GbXfRJX38lgDkASC4po78A0li2CA</recordid><startdate>20150601</startdate><enddate>20150601</enddate><creator>De Boissieu, P</creator><creator>Mahmoudi, R</creator><creator>Hentzien, M</creator><creator>Toquet, S</creator><creator>Novella, J. -L</creator><creator>Blanchard, F</creator><creator>Jolly, D</creator><creator>Dramé, Moustapha</creator><general>Springer Paris</general><general>Springer Nature B.V</general><general>Springer Verlag (Germany)</general><scope>FBQ</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>88G</scope><scope>8AO</scope><scope>8C1</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>M2M</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>PSYQQ</scope><scope>Q9U</scope><scope>7X8</scope><scope>1XC</scope><orcidid>https://orcid.org/0000-0002-7074-7500</orcidid><orcidid>https://orcid.org/0000-0003-2729-9420</orcidid><orcidid>https://orcid.org/0000-0002-6662-8832</orcidid></search><sort><creationdate>20150601</creationdate><title>Predictors of long-term mortality in oldest old patients (90+) hospitalized to medical wards via the emergency department: The safes cohort</title><author>De Boissieu, P ; Mahmoudi, R ; Hentzien, M ; Toquet, S ; Novella, J. -L ; Blanchard, F ; Jolly, D ; Dramé, Moustapha</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c543t-a0729dff41942255f98969a2a8d8ad9f9d705b02e621b933a302cfd76bc249f23</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2015</creationdate><topic>Activities of daily living</topic><topic>Aged, 80 and over</topic><topic>Aging</topic><topic>Caregivers</topic><topic>Caregivers - 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Academic</collection><collection>Hyper Article en Ligne (HAL)</collection><jtitle>The Journal of nutrition, health & aging</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>De Boissieu, P</au><au>Mahmoudi, R</au><au>Hentzien, M</au><au>Toquet, S</au><au>Novella, J. -L</au><au>Blanchard, F</au><au>Jolly, D</au><au>Dramé, Moustapha</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Predictors of long-term mortality in oldest old patients (90+) hospitalized to medical wards via the emergency department: The safes cohort</atitle><jtitle>The Journal of nutrition, health & aging</jtitle><stitle>J Nutr Health Aging</stitle><addtitle>J Nutr Health Aging</addtitle><date>2015-06-01</date><risdate>2015</risdate><volume>19</volume><issue>6</issue><spage>702</spage><epage>707</epage><pages>702-707</pages><issn>1279-7707</issn><eissn>1760-4788</eissn><abstract>OBJECTIVES: To identify risk factors for long-term mortality in patients aged 90 years and over who are admitted to hospital through the emergency department. DESIGN: Prospective cohort study (SAFES cohort; Sujet Âgé Fragile — Évaluation Suivi). SETTING: 8 university teaching hospitals and one regional, non-academic hospital in France. PARTICIPANTS: Among 1306 patients in the SAFES cohort, 291 patients aged 90 or over were included. MEASUREMENTS: At inclusion, we recorded socio-demographic data (age, sex, level of education, living alone or in an institution, number of children, presence of helper/caregiver), and data from geriatric evaluation (dependence status, risk of depression, dementia, delirium, nutritional status, walking disorders, risk of falls, comorbidities, risk of pressure sores). Vital status at 36 months was obtained from the treating physician, the general practitioner, administrative registers, or during follow-up consultations. RESULTS: Among 291 patients included, 190 (65.3%) had died at 36 months. Risk factors for mortality at 36 months identified by multivariate analysis were risk of malnutrition (HR 1.6, 95%CI 1.1–2.3, p=0.004) and delirium (HR 1.6, 95%CI 1.1–2.3, p=0.01). CONCLUSION: Risk of malnutrition and presence of delirium are risk factors for mortality at 36 months in subjects aged 90 years and over hospitalized through the emergency department.</abstract><cop>Paris</cop><pub>Springer Paris</pub><pmid>26054508</pmid><doi>10.1007/s12603-015-0515-y</doi><tpages>6</tpages><orcidid>https://orcid.org/0000-0002-7074-7500</orcidid><orcidid>https://orcid.org/0000-0003-2729-9420</orcidid><orcidid>https://orcid.org/0000-0002-6662-8832</orcidid><oa>free_for_read</oa></addata></record> |
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| language | eng |
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| source | MEDLINE; Springer Nature - Complete Springer Journals; Alma/SFX Local Collection |
| subjects | Activities of daily living Aged, 80 and over Aging Caregivers Caregivers - statistics & numerical data children Cohort Studies Comorbidity Consent Delirium Delirium - epidemiology dementia Dementia - epidemiology Educational Status Emergency medical care Emergency Service, Hospital - statistics & numerical data Emerging diseases Female France Geriatric Assessment Geriatrics Geriatrics/Gerontology Hospitalization Hospitalization - statistics & numerical data hospitals Hospitals - statistics & numerical data Human health and pathology Humans Infectious diseases Internal medicine Life Sciences Male Malnutrition Malnutrition - epidemiology Medicine Medicine & Public Health Mortality multivariate analysis Neurosciences Nutrition Nutritional Status Patients Primary Care Medicine Prospective Studies Quality of Life Research risk analysis Risk Factors Sociodemographics Teaching hospitals Time Factors walking |
| title | Predictors of long-term mortality in oldest old patients (90+) hospitalized to medical wards via the emergency department: The safes cohort |
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