RESUMO
No disponible
Assuntos
Humanos , Masculino , Feminino , Idoso , Idoso de 80 Anos ou mais , Infecções Comunitárias Adquiridas/diagnóstico , Centros de Atenção Terciária , Pneumonia/diagnóstico , Infecções Comunitárias Adquiridas/mortalidade , Pneumonia/mortalidade , Infecções Comunitárias Adquiridas/terapia , Pneumonia/terapia , Estudos Retrospectivos , Hospitais Universitários , Espanha/epidemiologiaAssuntos
Pneumonia/epidemiologia , Idoso , Idoso de 80 Anos ou mais , Infecções Comunitárias Adquiridas/epidemiologia , Feminino , Instituição de Longa Permanência para Idosos/estatística & dados numéricos , Hospitalização/estatística & dados numéricos , Humanos , Masculino , Estudos Retrospectivos , Espanha/epidemiologia , Centros de Atenção TerciáriaRESUMO
The objective of the study was to validate externally and prospectively the PROFUND index to predict survival of polypathological patients after a year. An observational, prospective and multicenter study was performed. Polypathological patients admitted to an internal medicine or geriatrics department and attended by investigators consecutively between March 1 and June 30, 2011 were included. Data concerning age, gender, comorbidity, Barthel and Lawton-Brody indexes, Pfeiffer questionnaire, socio-familial Gijon scale, delirium, number of drugs and number of admissions during the previous year were gathered for each patient. The PROFUND index was calculated. The follow-up lasted 1 year. A Cox proportional regression model was calculated, and was used to analyze the association of the variables to mortality and C-statistic. 465 polypathological patients, 333 from internal medicine and 132 from geriatrics, were included. One-year mortality is associated with age [hazard ratio (HR) 1.52 95 % CI 1.04-2.12; p = 0.01], presence of neoplasia [HR 2.68 95 % CI 1.71-4.18; p = 0.0001] and dependence for basic activities of daily living [HR 2.34 95 % CI 1.61-3.40; p = 0.0009]. In predicting mortality, the PROFUND index shows good discrimination in patients from internal medicine (C-statistics 0.725 95 % CI 0.670-0.781), but a poor one in those from geriatrics (0.546 95 % CI 0.448-0.644). The PROFUND index is a reliable tool for predicting mortality in internal medicine PP patients.
Assuntos
Doença Crônica/mortalidade , Atividades Cotidianas , Fatores Etários , Idoso , Idoso de 80 Anos ou mais , Comorbidade , Feminino , Geriatria , Departamentos Hospitalares , Humanos , Medicina Interna , Masculino , Neoplasias/mortalidade , Estudos Prospectivos , Espanha/epidemiologiaRESUMO
No disponible
