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Scientific article
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How Do Geriatric Scores Predict 1-Year Mortality in Elderly Patients with Suspected Pneumonia?

Published inGeriatrics, vol. 6, no. 4, 112
Publication date2021-11-23
First online date2021-11-23
Abstract

Background: Pneumonia has an impact on long-term mortality in elderly patients. The risk factors associated with poor long-term outcomes are understated. We aimed to assess the ability of scores that evaluate patients' comorbidities (cumulative illness rating scale-geriatric, CIRS-G), malnutrition (mini nutritional assessment, MNA) and functionality (functional independence measure, FIM) to predict 1-year mortality in a cohort of older patients having a suspicion of pneumonia.

Methods: Our prospective study included consecutive patients over 65 years old and hospitalized with a suspicion of pneumonia enrolled in a monocentric cohort from May 2015 to April 2016. Each score was analysed in univariate and multivariate models and logistic regressions were used to identify contributors to 1-year mortality.

Results: 200 patients were included (51% male, mean age 83.8 ± 7.7). Their 1-year mortality rate was 30%. FIM (p < 0.01), CIRS-G (p < 0.001) and MNA (p < 0.001) were strongly associated with poorer long-term outcomes in univariate analysis. CIRS-G (p < 0.05) and MNA (p < 0.05) were significant predictors of 1-year mortality in multivariate analysis.

Conclusion: Long-term prognosis of patients hospitalized for pneumonia was poor and we identified that scores assessing comorbidities and malnutrition seem to be important predictors of 1-year mortality. This should be taken into account for evaluating elderly patients' prognosis, levels and goals of care.

eng
Keywords
  • Comorbidities
  • Elderly
  • Functionality
  • Malnutrition
  • Mortality
  • Pneumonia
Citation (ISO format)
NASCÈ, Alberto et al. How Do Geriatric Scores Predict 1-Year Mortality in Elderly Patients with Suspected Pneumonia? In: Geriatrics, 2021, vol. 6, n° 4, p. 112. doi: 10.3390/geriatrics6040112
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ISSN of the journal2308-3417
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