title: Predictors of Long-Term Mortality in Oldest Old Patients (90+) Hospitalized to Medical Wards via the Emergency Department: The SAFES Cohort.
abstract: OBJECTIVE
  To identify risk factors for long-term mortality in patients aged 90 years and over who are admitted to hospital through the emergency department.
  
  
  METHODS
  Prospective cohort study (SAFES cohort; Sujet Agé Fragile - Évaluation Suivi).
  
  
  METHODS
  8 university teaching hospitals and one regional, non-academic hospital in France.
  
  
  METHODS
  Among 1306 patients in the SAFES cohort, 291 patients aged 90 or over were included.
  
  
  METHODS
  At inclusion, we recorded socio-demographic data (age, sex, level of education, living alone or in an institution, number of children, presence of helper/caregiver), and data from geriatric evaluation (dependence status, risk of depression, dementia, delirium, nutritional status, walking disorders, risk of falls, comorbidities, risk of pressure sores). Vital status at 36 months was obtained from the treating physician, the general practitioner, administrative registers, or during follow-up consultations.
  
  
  RESULTS
  Among 291 patients included, 190 (65.3%) had died at 36 months. Risk factors for mortality at 36 months identified by multivariate analysis were risk of malnutrition (HR 1.6, 95%CI 1.1-2.3, p=0.004) and delirium (HR 1.6, 95%CI 1.1-2.3, p=0.01).
  
  
  CONCLUSIONS
  Risk of malnutrition and presence of delirium are risk factors for mortality at 36 months in subjects aged 90 years and over hospitalized through the emergency department.
authors.affiliation: Moustapha Dramé, MD, MPH, PhD. Department of Research and Innovation. Reims University Hospitals, Avenue du Général Koenig, 51092 Reims cedex, France. Tel. +33 3 26 78 44 12, Fax. +33 3 26 83 25 89, E-mail. mdrame@chu-reims.fr.
authors.forename: P
authors.initials: P
authors.lastname: de Boissieu
authors.forename: R
authors.initials: R
authors.lastname: Mahmoudi
authors.forename: M
authors.initials: M
authors.lastname: Hentzien
authors.forename: S
authors.initials: S
authors.lastname: Toquet
authors.forename: J-L
authors.initials: JL
authors.lastname: Novella
authors.forename: F
authors.initials: F
authors.lastname: Blanchard
authors.forename: D
authors.initials: D
authors.lastname: Jolly
authors.forename: M
authors.initials: M
authors.lastname: Dramé
mesh_terms: D000369:Aged, 80 and over; D017028:Caregivers / Q000706:statistics & numerical data; D015331:Cohort Studies; D015897:Comorbidity; D003693:Delirium / Q000453:epidemiology; D003704:Dementia / Q000453:epidemiology; D004522:Educational Status; D004636:Emergency Service, Hospital / Q000706:statistics & numerical data*; D005260:Female; D005602:France; D015577:Geriatric Assessment; D006760:Hospitalization / Q000706:statistics & numerical data*; D006761:Hospitals / Q000706:statistics & numerical data; D006801:Humans; D008297:Male; D044342:Malnutrition / Q000453:epidemiology; D009026:Mortality; D009752:Nutritional Status; D011446:Prospective Studies; D012307:Risk Factors; D013997:Time Factors