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To determine whether self-rated health (SRH) is an independent predictor for mortality in older Afro-Caribbean patients hospitalised for an acute condition.
Prospective cohort of patients recruited from the University Hospitals of Martinique Acute Care for Elders unit. Patients aged 75 or older and hospitalised for an acute condition were eligible. The outcome was time to death within the 36-week follow-up. SRH was the explanatory variable of interest. Cox’s Proportional Hazards model was used to estimate the relationship between SRH and mortality.
The 223 patients included in the study were aged 85.1 ± 5.5 years. In total, 123 patients reported “very good to good” health, and 100 “medium to very poor” health. Crude mortality rates at six months, 1, 2, and 3 years were 30.5, 34.8, 48.4, and 57.0%, respectively. By multivariate analysis, SRH reached significant relationship for all mortality timepoints. The adjusted hazard ratios for subjects who perceived their health as medium, poor or very poor was 1.6–2.7 times greater than that of subjects who reported good or very good health.
Assessment of SRH could have implications for clinical practice, particularly in helping practitioners to better estimate prognosis in the acute care settings.
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Carpenter, C. R., Shelton, E., Fowler, S., Suffoletto, B., Platts-Mills, T. F., Rothman, R. E., et al. (2015). Risk factors and screening instruments to predict adverse outcomes for undifferentiated older emergency department patients: a systematic review and meta-analysis. Academic Emergency Medicine, 22(1), 1–21. doi: 10.1111/acem.12569. CrossRefPubMed
Di Bari, M., Balzi, D., Roberts, A. T., Barchielli, A., Fumagalli, S., Ungar, A., et al. (2010). Prognostic stratification of older persons based on simple administrative data: development and validation of the “Silver Code,” to be used in emergency department triage. Journals of Gerontology. Series A, Biological Sciences and Medical Sciences, 65(2), 159–164. doi: 10.1093/gerona/glp043. CrossRef
Pilotto, A., Ferrucci, L., Franceschi, M., D’Ambrosio, L. P., Scarcelli, C., Cascavilla, L., et al. (2008). Development and validation of a multidimensional prognostic index for one-year mortality from comprehensive geriatric assessment in hospitalized older patients. Rejuvenation Research, 11(1), 151–161. doi: 10.1089/rej.2007.0569. CrossRefPubMedPubMedCentral
Dhaussy, G., Drame, M., Jolly, D., Mahmoudi, R., Barbe, C., Kanagaratnam, L., et al. (2012). Is health-related quality of life an independent prognostic factor for 12-month mortality and nursing home placement among elderly patients hospitalized via the emergency department? Journal of the American Medical Directors Association, 13(5), 453–458. doi: 10.1016/j.jamda.2011.10.002. CrossRefPubMed
Godard-Sebillotte, C., Drame, M., Basileu, T., Fanon, J. L., & Godaert, L. (2016). Is self-rated health an independent prognostic factor of six-week mortality in older patients hospitalized for an acute condition? Quality of Life Research, 25(9), 2335–2340. doi: 10.1007/s11136-016-1252-3. CrossRefPubMed
American Psychiatry Association. (1994). DSM-IV, diagnosis and statistical manual of mental disorders (4th ed.). Washington: American Psychiatry Association.
Laplante, J., Cole, M., McCusker, J., Singh, S., & Ouimet, M. A. (2005). Confusion assessment method. Validation of a French-language version. Perspective Infirmiere, 3(1), 12–14, 16–18, 20-12.
Basileu, T., Godaert, L., Stattner, C., & Fanon, J. (2014). Influence du niveau socio-éducatif sur l’interprétation du score du Mini Mental State chez les patients suivis en consultation spécialisée de la mémoire au Centre Hospitalier Universitaire de la Martinique. La Revue de Gériatrie, 39(7), 439–448
Rubenstein, L. Z., Harker, J. O., Salva, A., Guigoz, Y., & Vellas, B. (2001). Screening for undernutrition in geriatric practice: developing the short-form mini-nutritional assessment (MNA-SF). Journals of Gerontology. Series A, Biological Sciences and Medical Sciences, 56(6), M366–M372. CrossRef
Jylhä, M., Guralnik, J., Ferrucci, L., Jokela, J., & Heikkinen, E. (1998). Is self-rated health comparable across cultures and genders? Journals of Gerontology. Series B, Psychological Sciences and Social Sciences, 53(3), S144–S152. CrossRef
Lee, S. J., Moody-Ayers, S. Y., Landefeld, C. S., Walter, L. C., Lindquist, K., Segal, M. R., et al. (2007). The relationship between self-rated health and mortality in older Black and White Americans. Journal of the American Geriatrics Society, 55, 1624–1629. doi: 10.1111/j.1532-5415.2007.01360.x. CrossRefPubMed
Fayers, P. M., & Sprangers, M. A. G. (2002). Understanding self-rated health. The Lancet, 359(9302), 187–188. CrossRef
- Self-rated health as a predictor of mid-term and long-term mortality in older Afro-Caribbeans hospitalised via the emergency department
L. Allard Saint-Albin
- Springer International Publishing