التفاصيل البيبلوغرافية
العنوان:
Disability, and not diabetes, is a strong predictor of mortality in oldest old patients hospitalized with pneumonia
المؤلفون:
Corrao, S , Argano, C , Natoli, G , Nobili, A , Corazza, Gr , Mannucci, Pm , Perticone, F , Prisco, D , Silvestri, E , Emmi, G , Bettiol, A , Caterina, C , Biolo, G , Zanetti, M , Guadagni, M , Zaccari, M , Chiuch, M , Vanoli, M , Grignani, G , Pulixi, Ea , Bernardi, M , Bassi, Sl , Santi, L , Zaccherini, G , Lupattelli, G , Mannarino, E , Bianconi, V , Paciullo, F , Alcidi, R , Nuti, R , Valenti, R , Ruvio, M , Cappelli, S , Palazzuoli, A , Girelli, D , Busti, F , Marchi, G , Barbagallo, M , Dominguez, L , Cocita, F , Beneduce, V , Plances, L , Mularo, S , Raspanti, M , Cavallaro, F , Zoli, M , Lazzari, I , Brunori, M , Fabbri, E , Magalotti, D , Arno, R , Pasini, Fl , Capecchi, Pl , Palasciano, G , Modeo, Me , Di Gennaro, C , Cappellini, Md , Maira, D , Di Stefano, V , Fabio, G , Seghezzi, S , Mancarella, M , De Amicis, Mm , De Luca, G , Scaramellini, N , Cesari, Matteo , Rossi, Pd , Damanti, S , Clerici, M , Conti, F , Bonini, G , Ottolini, Bb , Di Sabatino, A , Miceli, E , Lenti, Mv , Pisati, M , Dominioni, Cc , Murialdo, G , Marra, A , Cattaneo, F , Pontremoli, R , Beccati, V , Nobili, G , Secchi, Mb , Ghelfi, D , Anastasio, L , Sofia, L , Carbone, M , Cipollone, F , Guagnano, Mt , Valeriani, E , Rossi, I , Mancuso, G , Calipari, D , Bartone, M , Delitala, G , Berria, M , Pes, C , Delitala, A , Muscaritoli, M , Molfino, A , Petrillo, E , Zuccala, G , D'Aurizio, G , Romanelli, G , Marengoni, A , Zucchelli, A , Manzoni, F , Volpini, A , Picardi, A , Gentilucci, Uv , Gallo, P , Dell'Unto, C , Annoni, G , Corsi, M , Bellelli, G , Zazzetta, S , Mazzola, P , Szabo, H , Bonfanti, A , Arturi, F , Succurro, E , Rubino, M , Tassone, B , Sesti, G , Serra, Mg , Bleve, Ma , Gasbarrone, L , Sajeva, Mr , Brucato, A , Ghidoni, S , Fabris, F , Bertozzi, I , Bogoni, G , Rabuini, Mv , Cosi, E , Scarinzi, P , Amabile, A , Omenetto, E , Prandini, T , Manfredini, R , Fabbian, F , Boari, B , De Giorgi, A , Tiseo, R , De Giorgio, R , Paolisso, G , Rizzo, Mr , Borghi, C , Strocchi, E , Ianniello, E , Soldati, M , Sabba, C , Vella, Fs , Suppressa, P , Agosti, P , Schilardi, A , Loparco, F , De Vincenzo, Gm , Comitangelo, A , Amoruso, E , Fenoglio, L , Falcetta, A , Bracco, C , Fracanzani, Al , Fargion, S , Tiraboschi, S , Cespiati, A , Oberti, G , Sigon, G , Peyvandi, F , Rossio, R , Ferrari, B , Colombo, G , Monzani, V , Savojardo, V , Folli, C , Ceriani, G , Salerno, F , Pallini, G , Dallegri, F , Ottonello, L , Liberale, L , Caserza, L , Salam, K , Liberato, Nl , Tognin, T , Bianchi, Gb , Giaquinto, S , Purrello, F , Di Pino, Antonella , Piro, S , Rozzini, R , Falanga, L , Spazzini, E , Ferrandina, C , Montrucchio, G , Petitti, P , Peasso, P , Favale, E , Poletto, C , Salmi, R , Gaudenzi, P , Violi, F , Perri, L , Landolfi, Raffaele , Montalto, Massimo , Mirijello, A , Guasti, L , Castiglioni, L , Maresca, A , Squizzato, A , Campiotti, L , Grossi, A , Bertolotti, M , Mussi, C , Lancellotti, G , Libbra, Mv , Dondi, G , Pellegrini, E , Carulli, L , Galassi, M , Grassi, Y , Perticone, M , Battaglia, R , Filice, M , Maio, R , Stanghellini, V , Ruggeri, E , del Vecchio, S , Salvi, A , Leonardi, R , Damiani, G , Capeci, W , Gabrielli, A , Mattioli, M , Martino, Gp , Biondi, L , Pettinari, P , Ghio, R , Dal Col, A , Minisola, S , Colangelo, L , Cilli, M , Labbadia, G , Afeltra, A , Marigliano, B , Pipita, Me , Castellino, P , Zanoli, L , Pignataro, S , Gennaro, A , Blanco, J , Saracco, V , Fogliati, M , Bussolino, C , Mete, F , Gino, M , Cittadini, A , Vigorito, C , Arcopinto, M , Salzano, A , Bobbio, E , Marra, Am , Sirico, D , Moreo, G , Gasparini, F , Prolo, S , Pina, G , Ballestrero, A , Ferrando, F , Berra, S , Dassi, S , Nava, Mc , Graziella, B , Baldassarre, S , Fragapani, S , Gruden, G , Galanti, G , Mascherini, G , Petri, C , Stefani, L , Girino, M , Piccinelli, V , Nasso, F , Gioffre, V , Pasquale, M , Scattolin, G , Martinelli, S , Turrin, M , Sechi, L , Catena, C , Colussi, G , Passariello, N , Rinaldi, L , Berti, F , Famularo, G , Tarsitani, P , Castello, R , Pasino, M , Ceda, Gp , Maggio, Mg , Morganti, S , Artoni, A , Del Giacco, S , Firinu, D , Losa, F , Paoletti, G , Costanzo, G , Montalto, G , Licata, A , Malerba, V , Montalto, Fa , Lasco, A , Basile, G , Catalano, A , Malatino, L , Stancanelli, B , Terranova, V , Di Marca, S , Di Quattro, R , La Malfa, L , Caruso, R , Mecocci, P , Ruggiero, C , Boccardi, V , Meschi, T , Lauretani, F , Ticinesi, A , Nouvenne, A , Minuz, P , Fondrieschi, L , Pirisi, M , Fra, Gp , Sola, D , Porta, M , Riva, P , Quadri, R , Larovere, E , Novelli, M , Scanzi, G , Mengoli, C , Provini, S , Ricevuti, L , Simeone, E , Scurti, R , Tolloso, F , Tarquini, R , Valoriani, A , Dolenti, S , Vannini, G , Tedeschi, A , Trotta, L , Volpi, R , Bocchi, P , Vignali, A , Harari, S , Lonati, C , Cattaneo, M , Nieves, Rd , Alberto, Mm , Pedro, Ar , Vanessa, Lp , Lara, T , Xavier, Cv , Francesc, F , Jesus, Dm , Esperanza, Bt , Esther, Dcb , Maria, Sp , Romero, M , Blanca, Pl , Cristina, Lgc , Victoria, Vgm , Saez, L , Bosco, J , Susana, Sb , Marta, Ag , Concepcion, Gb , Antonio, Fm , Hernandez, Mg , Borrego, Mp , Raquel, Pc , Florencia, Pr , Beatriz, Go , Sara, Cg , Alfonso, Gcc , Marta, Pm , Alberto, Rc , Antonio, Aa , Montserrat, Gg , Angel, Brm , Manuel, Mj , Ignacio, Nv , Lucia, As , Alfonso, L , David, Rb , Iniguez, Vi , Monica, Rp
المساهمون:
Corrao, S., Argano, C., Natoli, G., Nobili, A., Corazza, G.R., Mannucci, P.M., Perticone, F.
بيانات النشر:
Elsevier B.V., 2018.
سنة النشر:
2018
مصطلحات موضوعية:
Male , medicine.medical_specialty , Multivariate analysis , Barthel index , Socio-culturale , Comorbidity , 030204 cardiovascular system & hematology , Diabete , Severity of Illness Index , Diabetes , Disability , Elderly , Pneumonia , Aged , Aged, 80 and over , Diabetes Mellitus , Disabled Persons , Female , Geriatric Assessment , Hospitalization , Humans , Italy , Logistic Models , Multivariate Analysis , Retrospective Studies , Risk Factors , 03 medical and health sciences , 0302 clinical medicine , Diabetes mellitus , Internal medicine , Severity of illness , medicine , 80 and over , Internal Medicine , 030212 general & internal medicine , business.industry , Settore MED/09 - MEDICINA INTERNA , Retrospective cohort study , Odds ratio , medicine.disease , Oldest old , Comorbidity, Diabetes, Disability, Elderly, Pneumonia , business
الوصف:
Background Pneumonia causes more deaths than any other infectious disease, especially in older patients with multiple chronic diseases. Recent studies identified a low functional status as prognostic factor for mortality in elderly patients with pneumonia while contrasting data are available about the role of diabetes. The aim of this study was to evaluate the in-hospital, 3-month and 1-year mortality in elderly subjects affected by pneumonia enrolled in the RePoSi register. Methods We retrospectively analyzed the data collected on hospitalized elderly patients in the frame of the REPOSI project. We analyzed the socio-demographic, laboratory and clinical characteristics of subjects with pneumonia. Multivariate logistic analysis was used to explore the relationship between variables and mortality. Results Among 4714 patients 284 had pneumonia. 52.8% were males and the mean age was 80 years old. 19.8% of these patients had a Barthel Index ≤40 (p ˂ 0.0001), as well as 43.2% had a short blessed test ≥10 (p ˂ 0.0117). In these subjects a significant CIRS for the evaluation of severity and comorbidity indexes (p ˂ 0.0001) were present. Although a higher fasting glucose level was identified in people with pneumonia, in the multivariate logistic analysis diabetes was not independently associated with in-hospital, 3-month and 1-year mortality, whereas patients with lower Barthel Index had a higher mortality risk (odds ratio being 9.45, 6.84, 19.55 in hospital, at 3 and 12 months). Conclusion Elderly hospitalized patients affected by pneumonia with a clinically significant disability had a higher mortality risk while diabetes does not represent an important determinant of short and long-term outcome.
اللغة:
English
الوصول الحر:
https://explore.openaire.eu/search/publication?articleId=doi_dedup___::a059e32934ee43111543a9700e99def0Test http://hdl.handle.net/10447/320365Test
حقوق:
CLOSED
رقم الانضمام:
edsair.doi.dedup.....a059e32934ee43111543a9700e99def0
قاعدة البيانات:
OpenAIRE
