Mortality hospital of nonagenarian patients in Internal Medicine.

Published

Journal Article

To describe the predictors of hospital mortality in nonagenarian patients.We retrospectively studied 421 patients aged 90 years or older hospitalised in a department of internal medicine. Using logistic regression, we analysed the association between demographic, clinical and functional parameters and hospital mortality.The mean age was 92.5 years (SD±2.5), and 265 (62.9%) of the patients were women. The main diagnoses were infectious diseases (257 patients, 61%) and heart failure (183, 43.5%), and the mean stay was 11.9 days (SD±8.6). During the hospitalisation, 96 patients died (22.8%). The predictors of mortality were age (P=.002), functional state (P=.006), comorbidity (P=.018) and diagnoses of pneumonia (P=.001), sepsis (P=.012) and respiratory failure (P<.001).The hospital mortality of nonagenarian patients treated in internal medicine exceeds 20% and is associated with pneumonia, comorbidity burden and functional impairment.

Full Text

Duke Authors

Cited Authors

  • Singer, M; Conde-Martel, A; Hemmersbach-Miller, M; Ruiz-Hernández, JJ; Arencibia Borrego, J; Alonso Ortiz, B

Published Date

  • March 2018

Published In

Volume / Issue

  • 218 / 2

Start / End Page

  • 61 - 65

PubMed ID

  • 29224908

Pubmed Central ID

  • 29224908

Electronic International Standard Serial Number (EISSN)

  • 1578-1860

International Standard Serial Number (ISSN)

  • 0014-2565

Digital Object Identifier (DOI)

  • 10.1016/j.rce.2017.10.007

Language

  • eng