Evidence map›Paper›PMID 29914394›Full record

ArticleBMC geriatrics2018

Mortality and associated risk factors for older adults admitted to the emergency department: a hospital cohort.

Carmen García-Peña, Mario Ulises Pérez-Zepeda, Leslie Viridiana Robles-Jiménez, Sergio Sánchez-García, Ricardo Ramírez-Aldana, Pamela Tella-Vega

Abstract read
In one paragraph

Article in BMC geriatrics, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

18 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Observational
  4. Article
  5. Review
  6. Article
  7. Article
  8. Observational
  9. Review
  10. Article
  11. Article
  12. Observational
  13. Article
  14. Article
  15. Article
  16. Observational
  17. Article
  18. Observational
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Carmen García-PeñaDirección de Investigación, Instituto Nacional de Geriatría, Periférico Sur No. 2767, Mexico City, Mexico. mcgarciapena@gmail.com.
Mario Ulises Pérez-ZepedaDirección de Investigación, Instituto Nacional de Geriatría, Periférico Sur No. 2767, Mexico City, Mexico.
Leslie Viridiana Robles-JiménezInstituto Nacional de Psiquiatría Ramón de la Fuente Muñiz, Mexico City, Mexico.
Sergio Sánchez-GarcíaUnidad de Investigación en Epidemiología y Servicios de Salud, Área Envejecimiento, Mexico City, Mexico.
Ricardo Ramírez-AldanaFacultad de Ciencias. Universidad Nacional Autónoma de México, Mexico City, Mexico.
Pamela Tella-VegaDirección de Investigación, Instituto Nacional de Geriatría, Periférico Sur No. 2767, Mexico City, Mexico.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundOlder emergency department patients are more vulnerable than younger patients, yet many risk factors that contribute to the mortality of older patients remain unclear and under investigation. This study endeavored to determine mortality and factors associated with mortality in patients over 60 years of age who were admitted to the emergency departments of two general hospitals in Mexico City.

methodsThis is a hospital cohort study involving adults over 60 years of age admitted to the emergency department and who are beneficiaries of the Mexican Institute of Social Security and residents of Mexico City. All causes of mortality from the time of emergency department admission until a follow-up home visit after discharge were measured. Included risk factors were: socio-demographic, health-care related, mental and physical variables, and in-hospital care-related. Survival functions were estimated using Kaplan-Meier curves. Hazard ratios (HR) were derived from Cox regression models in a multivariate analysis.

resultsFrom the 1406 older adults who participated in this study, 306 (21.8%) did not survive. Independent mortality risk factors found in the last Cox model were age (HR = 1.02, 95% CI, 1.005-1.04; p = 0.01), length of stay in the ED (HR = 1.003, 95% CI = 0.99, 1.04; p = 0.006), geriatric care trained residents model in Hospital A (protective factor) (HR = 0.66, 95% CI = 0.46, 0.96; p = 0.031), and the FRAIL scale (HR of 1.34 95% CI, 1.02-1.76; p = 0.033).

conclusionsRisk factors for mortality in patients treated at Mexican emergency departments are length of stay and variables related to frailty status.

Indexed as

Emergency Service, HospitalHospitalizationAgedAged, 80 and overAge FactorsCohort StudiesFemaleFrailtyHealth StatusHospital MortalityHumansMaleMiddle AgedProportional Hazards ModelsRisk FactorsAcute careEmergency medicineGeriatricsMortality

Identifiers

PMID29914394
PMCPMC6006959

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.