Prognostic Factors for the Survival of Elderly Patients Who Were Hospitalized in the Medical Ward of Our Hospital in Japan
Abstract
1. Introduction
2. Materials and Methods
3. Results
4. Discussion
Acknowledgments
Conflicts of Interest
References
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Self-supported | Rank J | Some disabilities, but daily living is mostly independent; capable of going outdoors unassisted. |
1 | Goes outdoors with means of transportation, etc. | |
2 | Goes out near home. | |
Quasi-bedridden | Rank A | Indoor living predominantly independent, but unable to go out without assistance. |
1 | Goes out with assistance, spending most of the time during the daytime out of bed. | |
2 | Does not go out frequently, repeating cycles of lying down on and getting up from the bed during the daytime. | |
Bedridden | Rank B | Some assistance needed for indoor living, also lies in bed for much of the daytime, although sitting position is possible. |
1 | Uses a wheelchair without assistance, takes meals, and excretes/urinates off the bed. | |
2 | Uses a wheelchair with assistance. | |
Rank C | Bedridden all day, requires assistance with excretion/urination, meals, and dressing/undressing. | |
1 | Capable of changing posture in bed. | |
2 | Unable to change posture in bed without assistance. |
Rank I | Has some type of dementia, but almost independent in terms of daily living at home and in society. |
Rank II | Some daily life-disturbing symptoms, behaviors and problems in communication seen but can lead daily life independently if kept watched by someone. |
IIa | Condition II, mentioned above, seen outside home. |
IIb | Condition II, mentioned above, seen at home. |
Rank III | Daily life-disturbing symptoms, behaviors, and problems in communication that require assistance. |
IIIa | Condition III, mentioned above, seen primarily during the daytime. |
IIIb | Condition III, mentioned above, seen primarily at night. |
Rank IV | Daily life-disturbing symptoms, behaviors, and problems in communication frequently require assistance. |
Rank M | Marked psychiatric symptoms/related symptoms or serious physical disorders require expert management. |
Variable | Survived (n = 231) | Died (n = 46) | Odds Ratio | 95% Confidence Interval | p-Value |
---|---|---|---|---|---|
Sex | 0.878 | 0.443–1.753 | 0.745 | ||
Male | 98 | 21 | |||
Female | 133 | 25 | |||
Hospitalization source | |||||
Home | 28 | 4 | |||
nursing home | 150 | 26 | |||
other hospital | 53 | 16 | |||
Independence degree of daily living for the disabled elderly | 0.200 | ||||
JA | 12 | 0 | |||
B | 73 | 4 | |||
C | 146 | 42 | |||
Independence degree of daily living for the demented elderly | 0.029 * | ||||
I | 39 | 0 | |||
II | 38 | 3 | |||
III | 73 | 9 | |||
IV/M | 81 | 34 | |||
History of bone fracture | 97 | 17 | 0.810 | 0.394–1.624 | 0.623 |
History of brain stroke | 117 | 15 | 0.473 | 0.224–0.959 | 0.0349 * |
History of heart failure | 80 | 20 | 1.450 | 0.719–2.891 | 0.313 |
History of malignant disease | 46 | 14 | 1.755 | 0.798–3.721 | 0.120 |
Intake of steroid | 15 | 3 | 1.005 | 0.179–3.775 | 1.000 |
Intake of sleeping pill | 57 | 6 | 0.459 | 0.151–1.168 | 0.122 |
Intake of psychotropic drug | 40 | 11 | 1.449 | 0.632–3.342 | 0.301 |
Intake of dementia treatment drug | 42 | 5 | 0.550 | 0.160–1.551 | 0.285 |
Variable | Survived (n = 231) | Died (n = 46) | p-Value |
---|---|---|---|
Age (y.o.) | 84.1 ± 8.6 | 88.8 ± 6.3 | 0.0001 * |
Height (cm) | 150.5 ± 10.2 | 148.1 ± 9.4 | 0.180 |
Weight (kg) | 46.1 ± 9.6 | 42.0 ± 9.7 | 0.021 * |
BMI (kg/m2) | 20.4 ± 3.8 | 19.1 ± 3.8 | 0.048 * |
The highest body temperature (°C) | 37.4 ± 0.9 | 37.1 ± 0.8 | 0.038 * |
Systolic blood pressure (mmHg) | 133.3 ± 22.5 | 135.0 ± 23.5 | 0.718 |
Heart rate (beats/min) | 81.0 ± 14.9 | 83.5 ± 21.7 | 0.607 |
Respiratory rate (times/min) | 20.1 ± 6.5 | 21.5 ± 7.3 | 0.082 |
SpO2 (%) | 93.2 ± 7.2 | 91.4 ± 5.0 | 0.002 * |
Oxygen flow (L/min) | 0.5 ± 1.1 | 1.5 ± 2.3 | 0.001 * |
White blood Cell (×103/μL) | 8.6 ± 4.1 | 9.0 ± 4.2 | 0.445 |
Hematocrit (%) | 33.8 ± 5.0 | 33.1 ± 5.0 | 0.282 |
Hemoglobin (g/dL) | 11.5 ± 1.8 | 11.1 ± 1.7 | 0.235 |
Platelet (×104/μL) | 24.8 ± 12.6 | 22.5 ± 11.0 | 0.317 |
C-reactive protein (mg/dL) | 4.2 ± 4.9 | 4.6 ± 5.2 | 0.217 |
Blood urea nitrogen (mg/dL) | 19.3 ± 11.1 | 33.7 ± 34.7 | 0.012 * |
Creatinine (mg/dL) | 0.89 ± 0.54 | 1.24 ± 1.03 | 0.010 * |
Serum sodium (mEq/L) | 136.9 ± 5.1 | 135.7 ± 7.2 | 0.019 * |
Serum potassium (mEq/L) | 4.1 ± 0.7 | 4.3 ± 0.9 | 0.263 |
Total protein (g/dL) | 6.5 ± 0.8 | 6.4 ± 0.8 | 0.555 |
Serum albumin (g/dL) | 3.2 ± 0.6 | 2.9 ± 0.6 | 0.001 * |
GNRI | 84.5 ± 9.7 | 77.9 ± 10.5 | 0.0003 * |
CONUT | 4.8 ± 2.6 | 6.2 ± 2.6 | 0.002 * |
Cholinesterase (IU/L) | 190.4 ± 63.9 | 152.8 ± 60.7 | 0.0002 * |
Total cholesterol (mg/dL) | 161.4 ± 43.8 | 150.4 ± 51.3 | 0.085 |
Blood glucose (mg/dL) | 128.5 ± 47.5 | 163.6 ± 203.4 | 0.370 |
HbA1c (NGSP) (%) | 6.5 ± 10.3 | 5.9 ± 1.3 | 0.976 |
Variable | Odds Ratio (Adjusted) | 95% Confidence Interval (Adjusted) | p-Value |
---|---|---|---|
Age (y.o.) | 1.09 (1.07) | 1.04–1.15 (1.00–1.14) | 0.027 |
Blood urea nitrogen (mg/dL) | 1.04 (1.04) | 1.02–1.06 (1.02–1.07) | <0.001 |
Serum albumin (g/dL) | 0.37 (0.39) | 0.21–0.66 (0.19–0.78) | 0.006 |
Independence degree of daily living for the demented elderly | 3.06 (2.76) | 1.85–5.08 (1.63–4.68) | <0.001 |
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Abe, S. Prognostic Factors for the Survival of Elderly Patients Who Were Hospitalized in the Medical Ward of Our Hospital in Japan. Geriatrics 2017, 2, 32. https://doi.org/10.3390/geriatrics2040032
Abe S. Prognostic Factors for the Survival of Elderly Patients Who Were Hospitalized in the Medical Ward of Our Hospital in Japan. Geriatrics. 2017; 2(4):32. https://doi.org/10.3390/geriatrics2040032
Chicago/Turabian StyleAbe, Shuichi. 2017. "Prognostic Factors for the Survival of Elderly Patients Who Were Hospitalized in the Medical Ward of Our Hospital in Japan" Geriatrics 2, no. 4: 32. https://doi.org/10.3390/geriatrics2040032
APA StyleAbe, S. (2017). Prognostic Factors for the Survival of Elderly Patients Who Were Hospitalized in the Medical Ward of Our Hospital in Japan. Geriatrics, 2(4), 32. https://doi.org/10.3390/geriatrics2040032