Hypotension, bedridden, leukocytosis, thrombocytopenia and elevated serum creatinine predict mortality in geriatric patients with fever.
The geriatric population (aged ≥65 years) accounts for 12–24% of all emergency department (ED) visits. Of them, 10% have a fever, 70–90% will be admitted and 7–10% of will die within a month. Therefore, mortality prediction and appropriate disposition after ED treatment are of great concern for geri...
| Publicado en: | Geriatrics & Gerontology International Vol. 15; no. 7; pp. 834 - 840 |
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| Autores principales: | , , , , , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Wiley-Blackwell
Jul2015
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=120882069&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 120882069 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 14441586 EVM jtl: Geriatrics & Gerontology International issn: 14441586 maglogo: Y pubinfo: dt: Jul2015 vid: 15 iid: 7 pid: 480 pub: Wiley-Blackwell place: Malden, Massachusetts artinfo: ui: 120882069 120882069 120882069 10.1111/ggi.12355 120882069 ppf: 834 ppct: 6 formats: tig: atl: Hypotension, bedridden, leukocytosis, thrombocytopenia and elevated serum creatinine predict mortality in geriatric patients with fever. aug: au: Min-Hsien Chung Feng-Yuan Chu Tzu-Meng Yang Hung-Jung Lin Jiann-Hwa Chen How-Ran Guo Si-Chon Vong Shih-Bin Su Chien-Cheng Huang Chien-Chin Hsu affil: Department of Emergency Medicine, Chi-Mei Medical Center, Tainan. sug: subj: Hypotension Leukocyte Disorders Thrombocytopenia Creatinine Blood Fever In Old Age Hospital Mortality Hospitalization of Older Persons Human Male Female Emergency Service Sensitivity and Specificity Predictive Value of Tests Aged Aged: 65+ years Male Female ab: The geriatric population (aged ≥65 years) accounts for 12–24% of all emergency department (ED) visits. Of them, 10% have a fever, 70–90% will be admitted and 7–10% of will die within a month. Therefore, mortality prediction and appropriate disposition after ED treatment are of great concern for geriatric patients with fever. We tried to identify independent mortality predictors of geriatric patients with fever, and combine these predictors to predict their mortality. Methods: We enrolled consecutive geriatric patients visiting the ED between 1 June and 21 July 2010 with the following criteria of fever: a tympanic temperature ≥37.2°C or a baseline temperature elevated ≥1.3°C. We used 30-day mortality as the primary end-point. Results: A total of 330 patients were enrolled. Hypotension, bedridden, leukocytosis, thrombocytopenia and serum creatinine >2 mg/dL, but not age, were independently associated with 30-day mortality. Sensitivity, specificity, positive predictive value (PPV), and negative predictive value (NPV) ranged from 18.2% to 90.9%, 34.7% to 100%, 9.0% to 100% and 94.5% to 98.2%, respectively, depending on how many predictors there were. Conclusions: The 30-day mortality increased with the number of independent mortality predictors. With at least four predictors, 100% of the patients died within 30 days. With none of the predictors, just 1.8% died. These findings might help physicians make decisions about geriatric patients with fever. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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