Browsing by Author "Hakiza, Landry"

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    How Do Geriatric Scores Predict 1-Year Mortality in Elderly Patients with Suspected Pneumonia?
    (Geriatrics, 2021) Nascè, Alberto; Malézieux-Picard, Astrid; Hakiza, Landry; Garin, Nicolas
    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.
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    One-Year Mortality Prediction in Elderly Patients With Suspected Pneumonia: The Usefulness of a Holistic Approach
    (Research square, 2021) Nascè, Alberto; Malézieux-Picard, Astrid; Hakiza, Landry; Garin, Nicolas; Prendki, Virginie; Roux, Xavier
    Pneumonia has an impact on long-term mortality in elderly patients. The risk factors associated with poor long-term outcomes are understated. The purpose of this study was to identify the predictors of 1- year mortality in older patients having a suspicion of pneumonia, using usual pneumonia severity scores and geriatric evaluation’s scores focused on comorbidities, nutritional status and functionality.