دورية أكاديمية
Disability, and not diabetes, is a strong predictor of mortality in oldest old patients hospitalized with pneumonia
| العنوان: | Disability, and not diabetes, is a strong predictor of mortality in oldest old patients hospitalized with pneumonia |
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| المؤلفون: | 282. Corrao S, Argano C, Natoli G, Nobili A, Corazza GR, Mannucci PM, Perticone F., REPOSI Investigators: Prisco D, Silvestri E, Cenci C, Emmi G, Biolo G, Zanetti M, Guadagni M, Zaccari M, Vanoli M, Grignani G, Pulixi EA, Bernardi M, Li Bassi S, Santi L, Zaccherini G, Mannarino E, Lupattelli G, Bianconi V, Paciullo F, Nuti R, Valenti R, Ruvio M, Cappelli S, Palazzuoli A, Olivieri O, Girelli D, Matteazzi T, Barbagallo M, Dominguez L, Cocita F, Beneduce V, Plances L, Zoli M, Lazzari I, Brunori M, Laghi Pasini F, Capecchi PL, Palasciano G, Modeo ME, Di Gennaro C, Cappellini MD, Maira D, Di Stefano V, Fabio G, Seghezzi S, Mancarella M, Rossi PD, Damanti S, Clerici M, Conti F, Miceli E, Lenti MV, Pisati M, Caccia Dominioni C, Murialdo G, Marra A, Cattaneo F, Secchi MB, Ghelfi D, Anastasio L, Sofia L, Carbone M, Cipollone F, Guagnano MT, Angelucci E, Valeriani E, Mancuso G, Calipari D, Bartone M, Delitala G, Berria M, Muscaritoli M, Molfino A, Petrillo E, Zuccalà G, D'Aurizio G, Romanelli G, Zucchelli A, Picardi A, Vespasiani Gentilucci U, 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, Serra MG, Bleve MA, Gasbarrone L, Sajeva MR, Brucato A, Ghidoni S, Fabris F, Bertozzi I, Bogoni G, Rabuini MV, Cosi E, Manfredini R, Fabbian F, Boari B, De Giorgi A, Tiseo R, Paolisso G, Rizzo MR, Borghi C, Strocchi E, De Sando V, Pareo I, Sabbà C, Vella FS, Suppressa P, Agosti P, Schilardi A, Loparco F, Fenoglio L, Bracco C, Giraudo AV, Fargion S, Periti G, Porzio M, Tiraboschi S, Peyvandi F, Rossio R, Ferrari B, Colombo G, Monzani V, Savojardo V, Folli C, Ceriani G, Pallini G, Dallegri F, Ottonello L, Liberale L, Caserza L, Salam K, Liberato NL, Tognin T, Bianchi GB, Giaquinto S, Purrello F, Di Pino A, Piro S, Rozzini R, Falanga L, Spazzini E, Ferrandina C, Montrucchio G, Petitti P, Salmi R, Gaudenzi P, Perri L, Landolfi R, Montalto M, Mirijello A, Guasti L, Castiglioni L, Maresca A, Squizzato A, Molaro M, Grossi A, Bertolotti M, Mussi C, Libbra MV, Dondi G, Pellegrini E, Carulli L, Colangelo L, Falbo T, Stanghellini V, De Giorgio R, Ruggeri E, Del Vecchio S, Salvi A, Leonardi R, Damiani G, Gabrielli A, Capeci W, Mattioli M, Martino GP, Biondi L, Pettinari P, Ghio R, Dal Col A, Minisola S, Afeltra A, Marigliano B, Pipita ME, Castellino P, Blanco J, Zanoli L, Pignataro S, 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, Gioffrè V, Pasquale M, Scattolin G, Martinelli S, Turrin M, Sechi L, Catena C, Colussi G, Passariello N, Rinaldi L, Berti F, Famularo G, Patrizia T, Castello R, Pasino M, Ceda GP, Maggio MG, Morganti S, Artoni A, Del Giacco S, Firinu D, Losa F, Paoletti G, Montalto G, Licata A, Malerba V, Antonino L, Basile G, Antonino C, Malatino L, Stancanelli B, Terranova V, Di Marca S, Mecocci P, Ruggiero C, Boccardi V, Meschi T, Lauretani F, Ticinesi A, Minuz P, Fondrieschi L, Pirisi M, Fra GP, Sola D, Porta M, Riva P, Quadri R, 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, Ramirez Duque N, Muela Molinero A, Abad Requejo P, Lopez Pelaez V, Tamargo L, Corbella Viros X, Formiga F, Diez Manglano J, Bejarano Tello E, Del Corral Beamonte E, Sevil Puras M, Romero M, Pinilla Llorente B, Lopez Gonzalez-Cobos C, Villalba Garcia MV, Lopez S, Bosco J, Sanz Baena S, Arroyo Gallego M, Gonzalez Becerra C, Fernandez Moyano A, Gomez Hernandez M, Poyato Borrego M, Pacheco Cuadros R, Perez Rojas F, Garcia Olid B, Carrascosa Garcia S, Gonzalez-Cruz Cervellera A, Peinado Martinez M, Ruiz Cantero A, Albarracín Arraigosa A, Godoy Guerrero M, Barón Ramos MÁ, Machin JM, Novo Veleiro I, Alvela Suarez L, Lopez A, Rubal Bran D, Iñiguez Vazquez I, Rios Prego M. |
| المساهمون: | 282., Corrao S, Argano, C, Natoli, G, Nobili, A, Corazza, Gr, Mannucci, Pm, Perticone, F., REPOSI Investigators: Prisco, D, Silvestri, E, Cenci, C, Emmi, G, Biolo, G, Zanetti, M, Guadagni, M, Zaccari, M, Vanoli, M, Grignani, G, Pulixi, Ea, Bernardi, M, Li Bassi, S, Santi, L, Zaccherini, G, Mannarino, E, Lupattelli, G, Bianconi, V, Paciullo, F, Nuti, R, Valenti, R, Ruvio, M, Cappelli, S, Palazzuoli, A, Olivieri, O, Girelli, D, Matteazzi, T, Barbagallo, M, Dominguez, L, Cocita, F, Beneduce, V, Plances, L, Zoli, M, Lazzari, I, Brunori, M, Laghi Pasini, F, Capecchi, Pl, Palasciano, G, Modeo, Me, Di Gennaro, C, Cappellini, Md, Maira, D, Di Stefano, V, Fabio, G, Seghezzi, S, Mancarella, M, Rossi, Pd, Damanti, S, Clerici, M, Conti, F, Miceli, E, Lenti, Mv, Pisati, M, Caccia Dominioni, C, Murialdo, G, Marra, A, Cattaneo, F, Secchi, Mb, Ghelfi, D, Anastasio, L, Sofia, L, Carbone, M, Cipollone, F, Guagnano, Mt, Angelucci, E, Valeriani, E, Mancuso, G, Calipari, D, Bartone, M, Delitala, G, Berria, M, Muscaritoli, M, Molfino, A, Petrillo, E, Zuccalà, G, D'Aurizio, G, Romanelli, G, Zucchelli, A, Picardi, A, Vespasiani Gentilucci, U, 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, Serra, Mg |
| سنة النشر: | 2018 |
| المجموعة: | IRIS Università degli Studi di Perugia |
| مصطلحات موضوعية: | Comorbidity, Diabete, Disability, Elderly, Pneumonia, Aged, 80 and over, Diabetes Mellitu, Disabled Person, Female, Geriatric Assessment, Hospitalization, Human, Italy, Logistic Model, Male, Multivariate Analysi, Retrospective Studie, Risk Factor, Severity of Illness Index |
| 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. |
| نوع الوثيقة: | article in journal/newspaper |
| وصف الملف: | STAMPA |
| اللغة: | English |
| العلاقة: | info:eu-repo/semantics/altIdentifier/pmid/29728312; info:eu-repo/semantics/altIdentifier/wos/WOS:000441907400027; volume:54; firstpage:53; lastpage:59; numberofpages:7; journal:EUROPEAN JOURNAL OF INTERNAL MEDICINE; http://hdl.handle.net/11391/1459664Test; info:eu-repo/semantics/altIdentifier/scopus/2-s2.0-85046353419; www.elsevier.com/locate/ejim |
| DOI: | 10.1016/j.ejim.2018.04.012 |
| الإتاحة: | https://doi.org/10.1016/j.ejim.2018.04.012Test http://hdl.handle.net/11391/1459664Test |
| رقم الانضمام: | edsbas.A879DF50 |
| قاعدة البيانات: | BASE |
| DOI: | 10.1016/j.ejim.2018.04.012 |
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