Can functional status, after rehabilitation, independently predict long-term mortality of hip-fractured elderly patients?

2004 ◽  
Vol 16 (1) ◽  
pp. 44-48 ◽  
Author(s):  
Yichayaou Beloosesky ◽  
Avraham Weiss ◽  
Joseph Grinblat ◽  
Shai Brill ◽  
Avital Hershkovitz
Keyword(s):  
Elderly Patients ◽  
Functional Status ◽  
Long Term Mortality

scholarly journals Medium-long-term mortality and change in functional status in elderly patients with pacemaker

2020 ◽  
Vol 89 (3) ◽  
Author(s):  
Pedro Pérez-Díaz ◽  
Javier Jiménez-Díaz ◽  
Felipe Higuera-Sobrino ◽  
Jesús Piqueras-Flores ◽  
Raquel Frías-García ◽  
...  
Keyword(s):  
Elderly Patients ◽  
Functional Status ◽  
Long Term Mortality

Sex-differential effect of frailty on long-term mortality in elderly patients after an acute coronary syndrome

2020 ◽  
Vol 302 ◽  
pp. 30-33 ◽  
Author(s):  
Julio Núñez ◽  
Patricia Palau ◽  
Clara Sastre ◽  
Giulio D'Ascoli ◽  
Vicente Ruiz ◽  
...  
Keyword(s):  
Acute Coronary Syndrome ◽  
Elderly Patients ◽  
Differential Effect ◽  
Coronary Syndrome ◽  
Long Term Mortality

Association between Functional Status of Chinese Nursing Home Older Adults and Long Term Mortality

2013 ◽  
Vol 14 (2) ◽  
pp. 147.e1-147.e5 ◽  
Author(s):  
Tuen Ching Chan ◽  
Yat Fung Shea ◽  
Ka Hay J. Luk ◽  
Leung Wing Chu ◽  
Hon Wai F. Chan
Keyword(s):  
Older Adults ◽  
Nursing Home ◽  
Functional Status ◽  
Long Term Mortality

scholarly journals Baseline Functional Status and One-year Mortality After Hospital Admission in Elderly Patients: a prospective cohort study

2020 ◽  
Vol 77 (3) ◽  
pp. 143-148
Author(s):  
Victoria Sáenz ◽  
Nicolas Zuljevic ◽  
Cristina Elizondo ◽  
Iñaki Martin Lesende ◽  
Diego Caruso
Keyword(s):  
Cohort Study ◽  
Elderly Patients ◽  
Hospital Admission ◽  
Functional Status ◽  
Prospective Cohort ◽  
Functional Decline ◽  
Long Term Outcomes ◽  
One Year

Introduction: Hospitalization represents a major factor that may precipitate the loss of functional status and the cascade into dependence. The main objective of our study was to determine the effect of functional status measured before hospital admission on survival at one year after hospitalization in elderly patients. Methods: Prospective cohort study of adult patients (over 65 years of age) admitted to either the general ward or intensive Care units (ICU) of a tertiary teaching hospital in Buenos Aires, Argentina. Main exposure was the pre-admission functional status determined by means of the modified “VIDA” questionnaire, which evaluates the instrumental activities of daily living. We used a multivariate Cox proportional hazards model to estimate the effect of prior functional status on time to all-cause death while controlling for measured confounding. Secondarily, we analyzed the effect of post-discharge functional decline on long-term outcomes. Results: 297 patients were included in the present study. 12.8% died during hospitalization and 86 patients (33.2%) died within one year after hospital discharge. Functional status prior to hospital admission, measured by the VIDA questionnaire (e.g., one point increase), was associated with a lower hazard of all-cause mortality during follow-up (Hazard Ratio [HR]: 0.96; 95% Confidence Interval [CI]: 0.94–0.98). Finally, functional decline measured at 15 days after hospital discharge, was associated with higher risk of all-cause death during follow-up (HR: 2.19, 95% CI: 1.09–4.37) Conclusion: Pre-morbid functional status impacts long term outcomes after unplanned hospitalizations in elderly adults. Future studies should confirm these findings and evaluate the potential impact on clinical decision-making.

scholarly journals Correlation between neutrophil-to-lymphocyte ratio and postoperative mortality in elderly patients with hip fracture: a meta-analysis

2021 ◽  
Vol 16 (1) ◽  
Author(s):  
Yu-Hang Chen ◽  
Ching-Hsin Chou ◽  
Hsin-Hsien Su ◽  
Yu-Ting Tsai ◽  
Ming-Hsiu Chiang ◽  
...  
Keyword(s):  
Hip Fracture ◽  
Elderly Patients ◽  
Geriatric Patients ◽  
Meta Analysis ◽  
Postoperative Mortality ◽  
Short Term ◽  
Term Survival ◽  
Lymphocyte Ratio ◽  
Long Term Mortality

Abstract Introduction The neutrophil-to-lymphocyte ratio (NLR) is a crucial prognosis predictor following several major operations. However, the association between NLR and the outcome after hip fracture surgery is unclear. In this meta-analysis, we investigated the correlation between NLR and postoperative mortality in geriatric patients following hip surgery. Method PubMed, Embase, Cochrane library, and Google Scholar were searched for studies up to June 2021 reporting the correlation between NLR and postoperative mortality in elderly patients undergoing surgery for hip fracture. Data from studies reporting the mean of NLR and its 95% confidence interval (CI) were pooled. Both long-term (≥ 1 year) and short-term (≤ 30 days) mortality rates were included for analysis. Result Eight retrospective studies comprising a total of 1563 patients were included. Both preoperative and postoperative NLRs (mean difference [MD]: 2.75, 95% CI: 0.23–5.27; P = 0.03 and MD: 2.36, 95% CI: 0.51–4.21; P = 0.01, respectively) were significantly higher in the long-term mortality group than in the long-term survival group. However, no significant differences in NLR were noted between the short-term mortality and survival groups (MD: − 1.02, 95% CI: − 3.98 to 1.93; P = 0.5). Conclusion Higher preoperative and postoperative NLRs were correlated with a higher risk of long-term mortality following surgery for hip fracture in the geriatric population, suggesting the prognostic value of NLR for long-term survival. Further studies with well-controlled confounders are warranted to clarify the predictive value of NLR in clinical practice in geriatric patients with hip fracture.

Long-Term Functional Status and Mortality of Elderly Patients with Severe Closed Head Injuries

1996 ◽  
Vol 41 (6) ◽  
pp. 957-963 ◽  
Author(s):  
Sashi Kilaru ◽  
Jane Garb ◽  
Timothy Emhoff ◽  
Viriato Fiallo ◽  
Bruce Simon ◽  
...  
Keyword(s):  
Elderly Patients ◽  
Functional Status ◽  
Head Injuries ◽  
Closed Head Injuries ◽  
Closed Head

scholarly journals Long-term prognostic value of delirium in elderly patients with acute cardiac diseases admitted to two cardiac intensive care units: a prospective study (DELIRIUM CORDIS)

2017 ◽  
Vol 7 (7) ◽  
pp. 661-670 ◽  
Author(s):  
Giovanni Falsini ◽  
Simone Grotti ◽  
Italo Porto ◽  
Giulio Toccafondi ◽  
Aureliano Fraticelli ◽  
...  
Keyword(s):  
Elderly Patients ◽  
Onset Time ◽  
Confusion Assessment Method ◽  
Assessment Method ◽  
Cardiac Diseases ◽  
Confusion Assessment ◽  
Short And Long Term ◽  
Cardiac Intensive Care ◽  
Long Term Mortality

Background: Delirium is a frequent in-hospital complication in elderly patients, and is associated with poor clinical outcome. Its clinical impact, however, has not yet been fully addressed in the setting of the cardiac intensive care unit (CICU). The present study is a prospective, two-centre registry aimed at assessing the incidence, prevalence and significance of delirium in elderly patients with acute cardiac diseases. Methods: Between January 2014 and March 2015, all consecutive patients aged 65 years or older admitted to the CICU of our institutions were enrolled and followed for 6 months. Delirium was defined according to the confusion assessment method. Results: During the study period, 726 patients were screened for delirium. The mean age was 79.1±7.8 years. A total of 111 individuals (15.3%) were diagnosed with delirium; of them, 46 (41.4%) showed prevalent delirium (PD), while 65 (58.6%) developed incident delirium (ID). Patients 85 years or older showed a delirium rate of 52.3%. Hospital stay was longer in delirious versus non-delirious patients. Patients with delirium showed higher in-hospital, 30-day and 6-month mortality compared to non-delirious patients, irrespective of the onset time (overall, ID or PD). Six-month re-hospitalisation was significantly higher in overall delirium and the PD group, as compared to non-delirious patients. Kaplan–Meier analysis showed a significant reduction of 6-month survival in patients with delirium compared to those without, irrespective of delirium onset time (i.e. ID or PD). A positive confusion assessment method was an independent predictor of short and long-term mortality. Conclusions: Delirium is a common complication in elderly CICU patients, and is associated with a longer and more complicated hospital stay and increased short and long-term mortality. Our findings suggest the usefulness of a protocol for the early identification of delirium in the CICU. Clinicaltrials.gov: NCT02004665

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