Facteurs prédictifs de mortalité à long terme chez des patients âgés de 75 ans ou plus hospitalisés en urgence: la cohorte SAFES [Factors predictive of long-term mortality in patients aged 75 years or older hospitalized from the emergency department: the SAFES cohort].

Détails

ID Serval
serval:BIB_56DF431CA4DB
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Titre
Facteurs prédictifs de mortalité à long terme chez des patients âgés de 75 ans ou plus hospitalisés en urgence: la cohorte SAFES [Factors predictive of long-term mortality in patients aged 75 years or older hospitalized from the emergency department: the SAFES cohort].
Périodique
Presse Médicale
Auteur⸱e⸱s
Dramé M., Dia P.A., Jolly D., Lang P.O., Mahmoudi R., Schwebel G., Kack M., Debart A., Courtaigne B., Lanièce I., Blanchard F., Novella J.L.
ISSN
0755-4982 (Print)
ISSN-L
0755-4982
Statut éditorial
Publié
Date de publication
2009
Peer-reviewed
Oui
Volume
38
Numéro
7-8
Pages
1068-1075
Langue
français
Notes
Publication types: English Abstract ; Journal Article Publication Status: ppublish
Résumé
OBJECTIVES: To identify the factors predictive of long-term mortality among a cohort of subjects aged 75 years or older hospitalized from the emergency department.
METHODS: Variables from the standardized geriatric assessment of members of the multicenter SAFES cohort were applied to a Cox model to predict mortality over a 3-year follow-up.
RESULTS: This cohort comprised 1306 patients with a mean age of 85+/-6 years. Half the patients died during the 3 years of follow-up. After adjustment for center, social and demographic variables (age, sex, educational level, and community or institutional residence) and level of comorbidity, the variables that significantly influenced mortality over the next 36 months were: severe malnutrition (p<0.03), dementia (p<0.001) and/or confusion (p<0.001), walking problems (p=0.001) and recent hospitalization (p<0.001). No significant association was found between depression and mortality (p=0.40).
CONCLUSION: A predictive approach to mortality at 3 years is possible with simple scales widely used in geriatrics. Correction of malnutrition, recognition and management of cognitive disorders, and functional rehabilitation must be included in the priorities of care.
Mots-clé
Aged, Cognition Disorders/epidemiology, Cognition Disorders/rehabilitation, Cohort Studies, Emergency Service, Hospital/statistics & numerical data, Female, France/epidemiology, Health Services for the Aged/utilization, Hospitalization/statistics & numerical data, Humans, Male, Malnutrition/epidemiology, Malnutrition/rehabilitation, Mortality/trends, Prospective Studies, Questionnaires, Time Factors
Pubmed
Web of science
Création de la notice
15/04/2015 8:32
Dernière modification de la notice
20/08/2019 14:11
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