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

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dc.contributor.authorNascè, Alberto
dc.contributor.authorMalézieux-Picard, Astrid
dc.contributor.authorHakiza, Landry
dc.contributor.authorGarin, Nicolas
dc.date.accessioned2023-05-22T10:27:32Z
dc.date.available2023-05-22T10:27:32Z
dc.date.issued2021
dc.description.abstractBackground: 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.en_US
dc.identifier.citationNascè, A., Malézieux-Picard, A., Hakiza, L., Fassier, T., Zekry, D., Stirnemann, J., ... & Roux, X. (2021). How Do Geriatric Scores Predict 1-Year Mortality in Elderly Patients with Suspected Pneumonia?. Geriatrics, 6(4), 112.en_US
dc.identifier.urihttps://nru.uncst.go.ug/handle/123456789/8763
dc.language.isoenen_US
dc.publisherGeriatricsen_US
dc.subjectmortalityen_US
dc.subjectelderlyen_US
dc.subjectfunctionalityen_US
dc.subjectmalnutritionen_US
dc.subjectcomorbiditiesen_US
dc.titleHow Do Geriatric Scores Predict 1-Year Mortality in Elderly Patients with Suspected Pneumonia?en_US
dc.typeArticleen_US
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