Functional status and mortality at month and year in nonagenarians hospitalized due to acute medical illness.
OBJECTIVES
To analyze risk factors associated with short and long-term mortality in nonagenarians hospitalized due to acute medical conditions.


DESIGN, SETTING, AND PARTICIPANTS
Prospective study of all patients aged 90 years or older admitted in a geriatric unit during 2009 due to medical acute illness. Baseline variables were collected at admission (sex, cause of admission, Charlson index, serum albumin, functional, and mental status), functional loss at admission (as the difference between Barthel index(BI) 2 weeks before admission and BI at admission), and functional loss at discharge(as the difference between BI 2 weeks before admission and BI at discharge). The association of these variables with mortality at 1 month and 1 year after admission was analyzed by multivariate Cox regression analysis.


RESULTS
Out of all patients admitted, 434 (33%) were 90 years old or older and 76.3% were female. Mortality at 1 month and 1 year after admission was 19% and 57%, respectively. In the month mortality multivariate analysis, being older (HR, 1.11; 95% CI=1.02 to 1.20), a previous Barthel index less than 40 points (HR, 5.87; 95% CI=1.16 to 29.67), and functional loss at admission (HR; 1.13; 95% CI=1.03 to 1.25) were independent risk factors. When patients that died 1 month after admission were excluded, the presence of hypoalbuminemia <3g/dl (HR, 2.70; 95% CI=1.69 to 4.32) and functional loss at discharge (HR-1.08, 95% CI=1.03 to 1.14) were the factors associated with 1 year mortality.


CONCLUSIONS
In nonagenarians, functional impairment is the most important risk factor associated with short and long-term mortality after hospitalization due to acute medical illness.
['Socorro García|Alberto|A|', 'de la Puente|María|M|', 'Perdomo|Beatriz|B|', 'López Pardo|Patricia|P|', 'Baztán|Juan J|JJ|']
D000203:Activities of Daily Living D000208:Acute Disease D000369:Aged, 80 and over D005260:Female D016330:Frail Elderly D017052:Hospital Mortality D006760:Hospitalization D006801:Humans D053208:Kaplan-Meier Estimate D008297:Male D015999:Multivariate Analysis D010351:Patient Discharge D011446:Prospective Studies D012044:Regression Analysis D012307:Risk Factors
Mortality Nonagenarians Hospitalization