Mortality hospital of nonagenarian patients in Internal Medicine. / Mortalidad hospitalaria de pacientes nonagenarios en Medicina Interna.
Rev Clin Esp (Barc)
; 218(2): 61-65, 2018 Mar.
Article
in En, Es
| MEDLINE
| ID: mdl-29224908
ABSTRACT
OBJECTIVES:
To describe the predictors of hospital mortality in nonagenarian patients. PATIENTS ANDMETHOD:
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.RESULTS:
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).CONCLUSION:
The hospital mortality of nonagenarian patients treated in internal medicine exceeds 20% and is associated with pneumonia, comorbidity burden and functional impairment.
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Language:
En
/
Es
Journal:
Rev Clin Esp (Barc)
Year:
2018
Document type:
Article