C-Reactive Protein and Albumin Levels as Useful Tools for Predicting In-Hospital Outcomes in Polish Nonagenarians.

IF 3.5 3区医学 Q2 GERIATRICS & GERONTOLOGY

Clinical Interventions in Aging Pub Date : 2023-09-14 eCollection Date: 2023-01-01 DOI:10.2147/CIA.S422895

Michal Mazurkiewicz, Wojciech Lizurej, Lukasz Mazurkiewicz, Arkadiusz Majewski, Slawomir Tobis, Maciej Cymerys

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引用次数: 0

Abstract

Purpose: The admissions of nonagenarians to internal medicine wards are rising. The aim of this study was to analyse the causes of ward admission and blood and renal parameters as potential mortality predictors in this age group.

Patients and methods: Out of 1140 patients, 111 nonagenarians aged 90+ admitted to the Internal Medicine Ward in one general hospital in Poznan in 2019 were studied. Medical records of these patients were analysed to find factors attributable to the hospitalisation.

Results: The leading causes of admission were infections and cardiovascular diseases, and the main causes of death were cardiovascular diseases. Elevated C-reactive protein (CRP) level was a statistically significant death predictor. Equally, decreased albumin level was found to be a mortality predictor. No such relationships were obtained for haematological or renal parameters.

Conclusion: Our study uniquely analysed a relatively large group of hospitalised nonagenarians and identified those who need particular attention in the ward by identifying those with the highest risk of death. CRP and albumin levels may serve as useful indicators of in-hospital mortality in this age group.

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C-反应蛋白和白蛋白水平是预测波兰非遗传性疾病患者住院结果的有用工具。

目的：进入内科病房的九旬老人人数正在增加。本研究的目的是分析该年龄组的入院原因以及作为潜在死亡率预测因素的血液和肾脏参数。患者和方法：在1140名患者中，对2019年波兹南一家综合医院内科病房收治的111名90岁以上的90多岁老人进行了研究。对这些患者的医疗记录进行了分析，以找出导致住院的因素。结果：住院原因以感染和心血管疾病为主，死亡原因以心血管疾病为主。C反应蛋白（CRP）水平升高是一个具有统计学意义的死亡预测因子。同样，白蛋白水平的降低被发现是死亡率的预测因素。在血液学或肾脏参数方面没有获得这样的关系。结论：我们的研究独特地分析了一个相对较大的住院九旬老人群体，并通过确定死亡风险最高的人群来确定病房中需要特别关注的人群。CRP和白蛋白水平可作为该年龄组住院死亡率的有用指标。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Clinical Interventions in Aging GERIATRICS & GERONTOLOGY-

CiteScore

6.80

自引率

2.80%

发文量

193

审稿时长

6-12 weeks

期刊介绍： Clinical Interventions in Aging, is an online, peer reviewed, open access journal focusing on concise rapid reporting of original research and reviews in aging. Special attention will be given to papers reporting on actual or potential clinical applications leading to improved prevention or treatment of disease or a greater understanding of pathological processes that result from maladaptive changes in the body associated with aging. This journal is directed at a wide array of scientists, engineers, pharmacists, pharmacologists and clinical specialists wishing to maintain an up to date knowledge of this exciting and emerging field.