Josephine Thomazeau1, Samantha Huo Yung Kai2, Yves Rolland3, Sandrine Sourdet3, Nicolas Saffon4, Fati Nourhashemi3. 1. CHU Purpan, unité résonance, douleur-soins de support, pavillon des médecines, place du Docteur-Baylac, TSA 40031, 31059 Toulouse cedex 9, France. Electronic address: thomazeau.j@chu-toulouse.fr. 2. Université Paul-Sabatier, faculté de médecine, département d'épidémiologie, économie de la santé et santé publique, 37, allée Jules-Guesde, 31062 Toulouse cedex 9, France. 3. Université Paul-Sabatier, UMR 1027 : épidémiologie et analyse en santé publique : risques, maladies chroniques et handicap, 37, allée Jules-Guesde, 31062 Toulouse cedex 9, France. 4. CHU Purpan, unité résonance, douleur-soins de support, pavillon des médecines, place du Docteur-Baylac, TSA 40031, 31059 Toulouse cedex 9, France.
Abstract
CONTEXT: As population grow older, chronic diseases are more prevalent. It leads to an increase of hospitalization for acute decompensation, sometimes iterative. Management of these patients is not always clear, and care provided is not always proportional to life expectancy. Making decisions in acute situations is not easy. OBJECTIVE: This review aims to list and describe mortality scores within a year following hospitalization of patients of 65 years or older. SOURCES: Following keywords were searched in title and abstract of articles via an advanced search in PudMed, and by searching Mesh terms: "aged", "aged, 80 and over", "mortality", "prognosis", "hospitalized", "models, statistical", "acute geriatric ward", "frailty", "outcome". STUDIES SELECTION: Studies published in English between 1985 and 2015 were selected. Last article was published in June 2015. Articles that described prognostic factors of mortality without a scoring system were excluded. Articles that focus either on patients in the Emergency Department and in Intensive Care Unit, or living in institution were excluded. RESULTS: Twenty-two scores are described in 17 articles. These scores use items that refer to functional status, comorbidities, cognitive status and frailty. Scores of mortality 3 or 6 months after hospitalization are not discriminative. Few of the 1-year mortality prognostic score are discriminative with AUC≥0.7. LIMITS: This review is not systematic. CONCLUSION: Practical use of these scores might help management of these patients, in order to initiate appropriate reflexion and palliative care if necessary.
CONTEXT: As population grow older, chronic diseases are more prevalent. It leads to an increase of hospitalization for acute decompensation, sometimes iterative. Management of these patients is not always clear, and care provided is not always proportional to life expectancy. Making decisions in acute situations is not easy. OBJECTIVE: This review aims to list and describe mortality scores within a year following hospitalization of patients of 65 years or older. SOURCES: Following keywords were searched in title and abstract of articles via an advanced search in PudMed, and by searching Mesh terms: "aged", "aged, 80 and over", "mortality", "prognosis", "hospitalized", "models, statistical", "acute geriatric ward", "frailty", "outcome". STUDIES SELECTION: Studies published in English between 1985 and 2015 were selected. Last article was published in June 2015. Articles that described prognostic factors of mortality without a scoring system were excluded. Articles that focus either on patients in the Emergency Department and in Intensive Care Unit, or living in institution were excluded. RESULTS: Twenty-two scores are described in 17 articles. These scores use items that refer to functional status, comorbidities, cognitive status and frailty. Scores of mortality 3 or 6 months after hospitalization are not discriminative. Few of the 1-year mortality prognostic score are discriminative with AUC≥0.7. LIMITS: This review is not systematic. CONCLUSION: Practical use of these scores might help management of these patients, in order to initiate appropriate reflexion and palliative care if necessary.
Authors: Alex Hall; Elisabeth Boulton; Patience Kunonga; Gemma Spiers; Fiona Beyer; Peter Bower; Dawn Craig; Chris Todd; Barbara Hanratty Journal: Palliat Med Date: 2021-09-14 Impact factor: 4.762
Authors: Sasmita Kusumastuti; Emiel O Hoogendijk; Thomas A Gerds; Rikke Lund; Erik L Mortensen; Martijn Huisman; Rudi G J Westendorp Journal: BMC Geriatr Date: 2022-03-12 Impact factor: 3.921