Factors Determining Mortality in Geriatric Palliative Care Patients

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dc.contributor.authorTasar, Pinar Tosun
dc.contributor.authorKarasahin, Omer
dc.contributor.authorTimur, Ozge
dc.contributor.authorYildirim, Filiz
dc.contributor.authorSahin, Sevnaz
dc.date.accessioned2020-12-01T12:01:30Z
dc.date.available2020-12-01T12:01:30Z
dc.date.issued2020
dc.departmentEge Üniversitesien_US
dc.description.abstractBackground: As life expectancy at birth increases, the elderly population is growing, both in Turkey and globally. the aim of this study was to investigate the factors associated with 12-month mortality in patients receiving geriatric palliative care. Methods: Geriatric inpatients who were treated for 48 hours or more in the palliative care unit of our hospital between January 2016 and January 2017 were included in the study. Results: A total of 233 geriatric palliative care patients (50.6% women) with a mean age of 77.6 +/- 11.0 were included in the study. Eighty of the patients in our study died while in palliative care. Chronic kidney disease (CKD) and chronic obstructive pulmonary disease (COPD) were significantly more common among the deceased patients. of the 153 surviving patients, 94 (61.4%) died within 12 months of discharge and 59 (38.6%) survived beyond 12 months. Presence of CKD was associated with a 2.17-fold reduction in survival time and albumin level < 3.2 mg/L with 2.12-fold reduction in survival time. in addition, post-discharge 12-month survival time was 1.80-fold shorter in the presence of solid organ malignancy, 2.06-fold shorter with APACHE-II score > 20.5, 1.60-fold shorter with Charlson Comorbidity Index (CCI) > 6.5, and 1.98-fold shorter with albumin levels < 3.2 mg/L. Conclusion: CKD and low albumin were identified as independent risk factors for reduced hospital survival time. Independent risk factors for shorter post-discharge survival time included the presence of solid organ malignancy, high APACHE-II score, high CCI, and low albumin level. Copyright (C) 2020, Taiwan Society of Geriatric Emergency & Critical Care Medicine.en_US
dc.identifier.doi10.6890/IJGE.202005_14(2).0003
dc.identifier.endpage108en_US
dc.identifier.issn1873-9598
dc.identifier.issn1873-958X
dc.identifier.issn1873-9598en_US
dc.identifier.issn1873-958Xen_US
dc.identifier.issue2en_US
dc.identifier.scopus2-s2.0-85096181627en_US
dc.identifier.scopusqualityQ4en_US
dc.identifier.startpage104en_US
dc.identifier.urihttps://doi.org/10.6890/IJGE.202005_14(2).0003
dc.identifier.urihttps://hdl.handle.net/11454/62437
dc.identifier.volume14en_US
dc.identifier.wosWOS:000533539600005en_US
dc.identifier.wosqualityQ4en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.language.isoenen_US
dc.publisherTaiwan Soc Geriatric Emergency & Critical Care Medicine-Tsgecmen_US
dc.relation.ispartofInternational Journal of Gerontologyen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectmortalityen_US
dc.subjectpalliative careen_US
dc.subjectelderlyen_US
dc.titleFactors Determining Mortality in Geriatric Palliative Care Patientsen_US
dc.typeArticleen_US

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