[Prognostic indices for older adults during the year following hospitalization in an acute medical ward: An update].
BACKGROUND
As population grow older, chronic diseases are more prevalent. It leads to an increase of hospitalization for acute decompensation, sometimes iterative. Management of these patients is not always clear, and care provided is not always proportional to life expectancy. Making decisions in acute situations is not easy.


OBJECTIVE
This review aims to list and describe mortality scores within a year following hospitalization of patients of 65 years or older.


METHODS
Following keywords were searched in title and abstract of articles via an advanced search in PudMed, and by searching Mesh terms: "aged", "aged, 80 and over", "mortality", "prognosis", "hospitalized", "models, statistical", "acute geriatric ward", "frailty", "outcome".


METHODS
Studies published in English between 1985 and 2015 were selected. Last article was published in June 2015. Articles that described prognostic factors of mortality without a scoring system were excluded. Articles that focus either on patients in the Emergency Department and in Intensive Care Unit, or living in institution were excluded.


RESULTS
Twenty-two scores are described in 17 articles. These scores use items that refer to functional status, comorbidities, cognitive status and frailty. Scores of mortality 3 or 6 months after hospitalization are not discriminative. Few of the 1-year mortality prognostic score are discriminative with AUC≥0.7.


CONCLUSIONS
This review is not systematic.


CONCLUSIONS
Practical use of these scores might help management of these patients, in order to initiate appropriate reflexion and palliative care if necessary.
CHU Purpan, unité résonance, douleur-soins de support, pavillon des médecines, place du Docteur-Baylac, TSA 40031, 31059 Toulouse cedex 9, France. Electronic address: thomazeau.j@chu-toulouse.fr.
Josephine
J
Thomazeau
Université Paul-Sabatier, faculté de médecine, département d'épidémiologie, économie de la santé et santé publique, 37, allée Jules-Guesde, 31062 Toulouse cedex 9, France.
Samantha
S
Huo Yung Kai
Université Paul-Sabatier, UMR 1027 : épidémiologie et analyse en santé publique : risques, maladies chroniques et handicap, 37, allée Jules-Guesde, 31062 Toulouse cedex 9, France.
Yves
Y
Rolland
Université Paul-Sabatier, UMR 1027 : épidémiologie et analyse en santé publique : risques, maladies chroniques et handicap, 37, allée Jules-Guesde, 31062 Toulouse cedex 9, France.
Sandrine
S
Sourdet
CHU Purpan, unité résonance, douleur-soins de support, pavillon des médecines, place du Docteur-Baylac, TSA 40031, 31059 Toulouse cedex 9, France.
Nicolas
N
Saffon
Université Paul-Sabatier, UMR 1027 : épidémiologie et analyse en santé publique : risques, maladies chroniques et handicap, 37, allée Jules-Guesde, 31062 Toulouse cedex 9, France.
Fati
F
Nourhashemi
D000368:Aged; D015577:Geriatric Assessment; D006305:Health Status Indicators; D006760:Hospitalization; D006801:Humans; D009026:Mortality; D011379:Prognosis