Which parameters affect long-term mortality in older adults: is comprehensive geriatric assessment a predictor of mortality?

Background Determining predictors of mortality among older adults might help identify high-risk patients and enable timely intervention. Aims The aim of the study was to identify which variables predict geriatric outpatient mortality, using routine geriatric assessment tools. Methods We analyzed the...

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Published in:	Aging clinical and experimental research Vol. 29; no. 3; pp. 509 - 515
Main Authors:	Kara, Ozgur, Canbaz, Busra, Kizilarslanoglu, Muhammet Cemal, Arik, Gunes, Sumer, Fatih, Aycicek, Gozde Sengul, Varan, Hacer Dogan, Kilic, Mustafa Kemal, Dogru, Rana Tuna, Cınar, Esat, Kuyumcu, Mehmet Emin, Yesil, Yusuf, Ulger, Zekeriya, Yavuz, Burcu Balam, Halil, Meltem, Cankurtaran, Mustafa
Format:	Journal Article
Language:	English
Published:	Cham Springer International Publishing 01-06-2017 Springer Nature B.V
Subjects:	Aged Aged, 80 and over Cause of Death Comorbidity Cross-Sectional Studies Female Geriatric Assessment - methods Geriatrics Geriatrics/Gerontology Hospitalization - statistics & numerical data Humans Male Medicine Medicine & Public Health Metabolic syndrome Metabolic Syndrome - mortality Middle Aged Mortality Nutritional Status Older people Original Article Risk Factors Smoking - mortality Comprehensive geriatric assessment Malnutrition Metabolic syndrome Mortality Smoking
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Summary:	Background Determining predictors of mortality among older adults might help identify high-risk patients and enable timely intervention. Aims The aim of the study was to identify which variables predict geriatric outpatient mortality, using routine geriatric assessment tools. Methods We analyzed the data of 1141 patients who were admitted to the geriatric medicine outpatient clinic between 2001 and 2004. Comprehensive geriatric assessment was performed by an interdisciplinary geriatric team. Mortality rate was determined in 2015. The parameters predicting survival were examined. Results Median age of the patients (415 male, 726 female) was 71.7 years (53–95 years). Mean survival time was 12.2 years (95 % CI; 12–12.4 years). In multivariate analysis, age (OR: 1.16, 95 % CI: 1.09–1.23, p < 0.001), smoking (OR: 2.51, 95 % CI: 1.18–5.35, p = 0.017) and metabolic syndrome (OR: 2.20, 95 % CI: 1.05–4.64, p = 0.038) were found to be independent risk factors for mortality. MNA-SF scores (OR: 0.84, 95 % CI: 0.71–1.00, p = 0.050) and free T3 levels (OR: 0.70, 95 % CI: 0.49–1.00, p = 0.052) had borderline significance. Discussion The present study showed that the risk conferred by metabolic syndrome is beyond its individual components. Our findings confirm previous studies on the prognostic role of nutritional status, as reflected by MNA-SF. Serum fT3, a simple laboratory test, may also be used in geriatric outpatient clinics to identify individuals at risk. Conclusions The results of the study demonstrated the need for addressing modifiable risk factors such as smoking, metabolic syndrome, and undernutrition in older adults.
Bibliography:	ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23
ISSN:	1720-8319 1594-0667 1720-8319
DOI:	10.1007/s40520-016-0574-x