Details

Autor(en) / Beteiligte

• Zuliani, G.
• Romagnoni, F.
• Soattin, L.
• Leoci, V.
• Volpato, S.
• Fellin, R.

Titel

Predictors of two-year mortality in older nursing home residents. The IRA study

Ist Teil von

• Aging clinical and experimental research, 2001-02, Vol.13 (1), p.3-7

Ort / Verlag

Milano: Springer Nature B.V

Erscheinungsjahr

2001

Quelle

Alma/SFX Local Collection

Beschreibungen/Notizen

• Besides functional impairment, several factors have been associated with mortality in institutionalized older subjects, including advanced age, gender, comorbidity, and malnutrition. We investigated the possible association of a large number of factors, including functional, anthropometric, nutritional, metabolic, clinical, and demographic variables, with two-year all-cause mortality inasample of 344 institutionalized older subjects (65 years) without evidence of acute illness at the time of observation. Although a number of factors were associated with mortality risk, multivariate analysis showed that only severe disability (6 vs 0–1 lost ADL, O.R.: 3.37, C.I. 95%: 1.76–7.3) and low albumin levels (lowest vs highest tertile: O.R.: 3.0, C.I. 95%: 1.65–5.43) were independent predictors of outcome. Moreover, in the analysis stratified for degree of disability and albumin tertiles, we found a strong gradient in mortality risk with increasing disability and decreasing albumin levels. These results further support the value of these two simple parameters in identifying frail institutionalized older individuals.