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Recenti Prog Med. 2001 Mar;92(3):184-8.

[Predictive variables of mortality in elderly patients after

hospitalization. Significance of multidimensional evaluation].
[Article in Italian]
Zanocchi M1, Ponzetto M, Neirotti M, Maero B, Francisetti F, Spada S, Aimar T, Risso R, Giona E, Margolicci A,
Fabris F.

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Abstract
Functional status evaluation in the elderly is stronger predictor of hospital outcomes than type and
number of pathology. Multidimensional and functional assessment among hospitalized elderly
allows to identify, as well as acute and chronic illness, disabilities of sanitary problems and socio-
economical aspects that in the elderly can complicate illness. Our study has identified six-month
mortality post hospitalization of 20.2%. The high mortality observed in our follow-up agrees with
the literature and it is a marker of considerable frailty among elderly patients. The independent
predictor variables of six month post hospital mortality in the study were: male gender,
dependence DMI score, low serum albumin (2.8 g/dl), impaired IADL score, cancer illness and
APACHE score < 13.7. These measures represent distinct domains: demographic, functional and
clinical. Identifying predictors of high-risk patients is an important way in accurate targeting.

PMID: 11320848

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