title: [Clinical profile and 90-day mortality in centenarian patients attended in emergency departments].
abstract: OBJECTIVE
  To determine the clinical profile and to develop a model to predict 90-day mortality in centenarian patients attended in emergency departments (ED).
  
  
  METHODS
  This was an observational, retrospective, multicentre cohort study including patients >99years attended in 5 ED in the Community of Madrid from January to December 2012. Demographic variables were recorded, as well as, comorbidities, cognitive, functional, social basal status, geriatric syndromes, acute episode, and hospital and social resources use, and 90-day mortality.
  
  
  RESULTS
  The study included 209patients aged 101years (SD 1.7) of whom 161 (77.0%) were female. Sixty four (32.5%) had severe comorbidity (Charlson index≥3), 101 (49.8%) on multiple medication, 100 (52.6%) had cognitive impairment, 82 (42.3%) had severe functional dependence, 85 (40.7%) were institutionalised, and 190 (94.5%) had a geriatric syndrome. Dyspnoea (26.8%), followed by falls (12.4%) were the most common causes of attendance. One hundred and eighteen (56.5%) were admitted, and 58 out of 174 (33.3%) died in the first 90days. The model to predict 90-day overall mortality included male sex (OR 2.42 95% CI=0.97-6.04; P=.059), emergency care in the previous 3months (OR 4.08 95% CI=1.26-13.16; P=.019) and the hospitalization by index event (OR 8.63 95% CI=3.25-22.9; P<.001) and this model had an area under ROC curve of 0.776 (95% CI=0.70-0.85; P<.001).
  
  
  CONCLUSIONS
  Centenarian patients attended in ED had a significant frailty and one in three cases died in the first 90days after being attended, and this was associated with male sex, emergency care in the previous 3months, and hospitalisation.
authors.affiliation: Servicio de Urgencias, Hospital Clínico San Carlos, Madrid, España. Electronic address: fjjms@hotmail.com.
authors.forename: Francisco Javier
authors.initials: FJ
authors.lastname: Martín-Sánchez
authors.affiliation: Servicio de Urgencias, Hospital Clínico San Carlos, Madrid, España.
authors.forename: Cesáreo
authors.initials: C
authors.lastname: Fernández-Alonso
authors.affiliation: Servicio de Geriatría, Hospital de la Paz, Madrid, España.
authors.forename: Ana Isabel
authors.initials: AI
authors.lastname: Hormigo
authors.affiliation: Servicio de Urgencias, Hospital Príncipe de Asturias, Alcalá de Henares, Madrid, España.
authors.forename: Gregorio
authors.initials: G
authors.lastname: Jiménez-Díaz
authors.affiliation: Servicio de Urgencias, Hospital Príncipe de Asturias, Alcalá de Henares, Madrid, España.
authors.forename: Honan
authors.initials: H
authors.lastname: Roiz
authors.affiliation: Servicio de Urgencias, Hospital Puerta de Hierro, Majadahonda, Madrid, España.
authors.forename: Cristina
authors.initials: C
authors.lastname: Bermejo-Boixareu
authors.affiliation: Servicio de Geriatría, Hospital Severo Ochoa, Leganés, Madrid, España.
authors.forename: Jaime
authors.initials: J
authors.lastname: Rodríguez-Salazar
authors.affiliation: Servicio de Medicina Preventiva, Hospital Clínico San Carlos, Madrid, España.
authors.forename: Cristina
authors.initials: C
authors.lastname: Fernández Pérez
authors.affiliation: Servicio de Geriatría, Hospital Clínico San Carlos, Madrid, España.
authors.forename: Pedro
authors.initials: P
authors.lastname: Gil-Gregorio
mesh_terms: D000369:Aged, 80 and over; D015897:Comorbidity; D004636:Emergency Service, Hospital; D005260:Female; D006760:Hospitalization; D006801:Humans; D008136:Longevity; D008297:Male; D011379:Prognosis; D011446:Prospective Studies; D012189:Retrospective Studies
keywords: Centenarian; Centenarios; Comorbidity; Comorbilidad; Emergency department; Fragilidad; Frailty; Geriatric; Geriatría; Servicios de urgencias