Predictors of in-hospital mortality among older patients
Autor(a) principal: | |
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Data de Publicação: | 2009 |
Outros Autores: | , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Clinics |
Texto Completo: | https://www.revistas.usp.br/clinics/article/view/17883 |
Resumo: | OBJECTIVE: The objective of this study was to determine predictors of in-hospital mortality among older patients admitted to a geriatric care unit. INTRODUCTION: The growing number of older individuals among hospitalized patients demands a thorough investigation of the factors that contribute to their mortality. METHODS: This was a prospective observational study implemented from February 2004 to October 2007 in a tertiary university hospital. A consecutive sample of 922 patients was evaluated for possible inclusion in this study. Patients hospitalized for palliative care, those who declined to participate, and those with incomplete data were excluded, resulting in a group of 856 patients aged 60 to 104 years. Bivariate and multivariate analyses were performed to determine associations between in-patient mortality and gender, age, length of stay, number of prescribed medications and diagnoses at admission, history of heart failure, neoplastic disease, immobility syndrome, delirium, infectious disease, and laboratory tests at admission (serum albumin and creatinine). RESULTS: The overall mortality rate was 16.4%. The following factors were associated with higher in-hospital mortality: delirium (OR=4.13, CI=2.65-6.44, P |
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Predictors of in-hospital mortality among older patients AgedDeathRisk factorsDeliriumSerum albumin OBJECTIVE: The objective of this study was to determine predictors of in-hospital mortality among older patients admitted to a geriatric care unit. INTRODUCTION: The growing number of older individuals among hospitalized patients demands a thorough investigation of the factors that contribute to their mortality. METHODS: This was a prospective observational study implemented from February 2004 to October 2007 in a tertiary university hospital. A consecutive sample of 922 patients was evaluated for possible inclusion in this study. Patients hospitalized for palliative care, those who declined to participate, and those with incomplete data were excluded, resulting in a group of 856 patients aged 60 to 104 years. Bivariate and multivariate analyses were performed to determine associations between in-patient mortality and gender, age, length of stay, number of prescribed medications and diagnoses at admission, history of heart failure, neoplastic disease, immobility syndrome, delirium, infectious disease, and laboratory tests at admission (serum albumin and creatinine). RESULTS: The overall mortality rate was 16.4%. The following factors were associated with higher in-hospital mortality: delirium (OR=4.13, CI=2.65-6.44, PHospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo2009-01-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://www.revistas.usp.br/clinics/article/view/1788310.1590/S1807-59322009000700002Clinics; Vol. 64 No. 7 (2009); 613-618 Clinics; v. 64 n. 7 (2009); 613-618 Clinics; Vol. 64 Núm. 7 (2009); 613-618 1980-53221807-5932reponame:Clinicsinstname:Universidade de São Paulo (USP)instacron:USPenghttps://www.revistas.usp.br/clinics/article/view/17883/19948Silva, Thiago J. A.Jerussalmy, Cláudia SzlejfFarfel, José M.Curiati, José A. E.Jacob-Filho, Wilsoninfo:eu-repo/semantics/openAccess2012-05-22T18:41:45Zoai:revistas.usp.br:article/17883Revistahttps://www.revistas.usp.br/clinicsPUBhttps://www.revistas.usp.br/clinics/oai||clinics@hc.fm.usp.br1980-53221807-5932opendoar:2012-05-22T18:41:45Clinics - Universidade de São Paulo (USP)false |
dc.title.none.fl_str_mv |
Predictors of in-hospital mortality among older patients |
title |
Predictors of in-hospital mortality among older patients |
spellingShingle |
Predictors of in-hospital mortality among older patients Silva, Thiago J. A. Aged Death Risk factors Delirium Serum albumin |
title_short |
Predictors of in-hospital mortality among older patients |
title_full |
Predictors of in-hospital mortality among older patients |
title_fullStr |
Predictors of in-hospital mortality among older patients |
title_full_unstemmed |
Predictors of in-hospital mortality among older patients |
title_sort |
Predictors of in-hospital mortality among older patients |
author |
Silva, Thiago J. A. |
author_facet |
Silva, Thiago J. A. Jerussalmy, Cláudia Szlejf Farfel, José M. Curiati, José A. E. Jacob-Filho, Wilson |
author_role |
author |
author2 |
Jerussalmy, Cláudia Szlejf Farfel, José M. Curiati, José A. E. Jacob-Filho, Wilson |
author2_role |
author author author author |
dc.contributor.author.fl_str_mv |
Silva, Thiago J. A. Jerussalmy, Cláudia Szlejf Farfel, José M. Curiati, José A. E. Jacob-Filho, Wilson |
dc.subject.por.fl_str_mv |
Aged Death Risk factors Delirium Serum albumin |
topic |
Aged Death Risk factors Delirium Serum albumin |
description |
OBJECTIVE: The objective of this study was to determine predictors of in-hospital mortality among older patients admitted to a geriatric care unit. INTRODUCTION: The growing number of older individuals among hospitalized patients demands a thorough investigation of the factors that contribute to their mortality. METHODS: This was a prospective observational study implemented from February 2004 to October 2007 in a tertiary university hospital. A consecutive sample of 922 patients was evaluated for possible inclusion in this study. Patients hospitalized for palliative care, those who declined to participate, and those with incomplete data were excluded, resulting in a group of 856 patients aged 60 to 104 years. Bivariate and multivariate analyses were performed to determine associations between in-patient mortality and gender, age, length of stay, number of prescribed medications and diagnoses at admission, history of heart failure, neoplastic disease, immobility syndrome, delirium, infectious disease, and laboratory tests at admission (serum albumin and creatinine). RESULTS: The overall mortality rate was 16.4%. The following factors were associated with higher in-hospital mortality: delirium (OR=4.13, CI=2.65-6.44, P |
publishDate |
2009 |
dc.date.none.fl_str_mv |
2009-01-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://www.revistas.usp.br/clinics/article/view/17883 10.1590/S1807-59322009000700002 |
url |
https://www.revistas.usp.br/clinics/article/view/17883 |
identifier_str_mv |
10.1590/S1807-59322009000700002 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
https://www.revistas.usp.br/clinics/article/view/17883/19948 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo |
publisher.none.fl_str_mv |
Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo |
dc.source.none.fl_str_mv |
Clinics; Vol. 64 No. 7 (2009); 613-618 Clinics; v. 64 n. 7 (2009); 613-618 Clinics; Vol. 64 Núm. 7 (2009); 613-618 1980-5322 1807-5932 reponame:Clinics instname:Universidade de São Paulo (USP) instacron:USP |
instname_str |
Universidade de São Paulo (USP) |
instacron_str |
USP |
institution |
USP |
reponame_str |
Clinics |
collection |
Clinics |
repository.name.fl_str_mv |
Clinics - Universidade de São Paulo (USP) |
repository.mail.fl_str_mv |
||clinics@hc.fm.usp.br |
_version_ |
1800222754004271104 |