Predictive items of one-year mortality in nonagenarians. The NonaSantfeliu Study
Predictive items of one-year mortality in nonagenarians. The NonaSantfeliu Study
复制标题
九十多岁老人一年死亡率的预测项目。
DOI：
10.1007/bf03324700
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发表时间：
2007
影响因子：
4
通讯作者：
R. Pujol
中科院分区：
文献类型：
--
作者：
F. Formiga;A. Ferrer;J. Mascaró;D. Ruiz;C. Olmedo;R. Pujol
背景和目的：很少有研究对非老年人群死亡率的预测因素进行前瞻性评估。方法：对186名非老年者进行前瞻性评估，其中137人(74%)住在自己家里，49人(26%)住在精神病院。功能状态由Lawton-Brody(LI)和Barthel指数(BI)确定，认知由西班牙版的简易精神状态检查(MEC)确定。查尔森评分被用来衡量全球共病。结果：调查对象为女性143人(76.5%)，男性43人，平均年龄93.06岁(3.1岁)。病死率19.3%。男性和女性之间的死亡率没有差异。虽然BI和LI在双变量非校正分析中都与1年死亡率有关，但在多变量分析中它们的贡献很小。在多变量分析中，年龄、心力衰竭和短MNA仍然与死亡率相关。结论：这项研究支持了年龄、心力衰竭和营养状况在预测非老年患者一年死亡率方面的重要性。
Background and aims:Few studies have prospectively evaluated predictors of mortality in nonagenarian cohorts. Our objective was to determine a set of predictors of all-cause mortality in a cohort of nonagenarians after one year of follow-up.Methods:186 nonagenarians were evaluated prospectively, 137 of whom lived in their own homes (74%) and 49 (26%) were institutionalized. Functional status was determined by the Lawton-Brody (LI) and Barthel Index (BI), and cognition by the Spanish version of the Mini Mental State Examination (MEC). The Charlson score was used to measure global comorbidity. Nutritional status was evaluated by the short version of the Mini Nutritional Assessment questionnaire (short-MNA).Results:The sample was composed of 143 women (76.5%) and 43 men, with a mean age of 93.06 (3.1) years. The rate of mortality was 19.3%. There were no differences in mortality between men and women. Although the BI and LI were both related to 1-year mortality in bivariate, unadjusted analysis, their contribution was minimal in multivariate analyses. Age, heart failure and short-MNA remained associated with mortality in the multivariate analyses.Conclusions:This study supported the importance of age, heart failure and nutritional status in predicting 1-year mortality in nonagenarians.