ArticleBMC geriatrics2020
Functional Independence Measure score is associated with mortality in critically ill elderly patients admitted to an intermediate care unit.
Article in BMC geriatrics, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.
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13 citing papers in PubMed, 32 citations in OpenAlex.
- Transition of care from post-acute services for the older adults in Quebec: a pilot impact evaluation.BMC health services research · 2024Trial
- Functional Independence Measure assessed early after admission predicts home discharge in older adults admitted to acute general medical wards: a retrospective cohort study.Family medicine and community health · 2026Observational
- Trends, Predictors, and Outcomes of Monitored Acute Care Unit Admissions in Older Adults: 10-Year Retrospective Analysis.Interactive journal of medical research · 2026Article
- Evaluating performance on the Glittre-ADL test in men with long COVID 3 years after a SARS-CoV-2 infection.Journal of exercise science and fitness · 2024Article
- The impact of age on mortality in the intensive care unit: a retrospective cohort study in Malaysia.Acute and critical care · 2024Article
- Effectiveness of percutaneous balloon compression (PBC) in improving physical function and quality of life in trigeminal neuralgia: a retrospective study.Acta neurochirurgica · 2023Article
- Preoperative Vitamin D Deficiency is Associated with Increased One-Year Mortality in Chinese Geriatric Hip Fracture Patients - A Propensity Score Matching Study.Clinical interventions in aging · 2023Article
- A Global Survey on Diagnostic, Therapeutic and Preventive Strategies in Intensive Care Unit-Acquired Weakness.Medicina (Kaunas, Lithuania) · 2022Article
- [Intensive Care Unit-Acquired Weakness : A nationwide survey on diagnostics, monitoring and treatment strategies on German intensive care units].Die Anaesthesiologie · 2022Article
- Impact on 6-month outcomes of hospital trajectory in critically ill older patients: analysis of the ICE-CUB2 clinical trial.Annals of intensive care · 2022Article
- How Do Geriatric Scores Predict 1-Year Mortality in Elderly Patients with Suspected Pneumonia?Geriatrics (Basel, Switzerland) · 2021Article
- Rapid preoperative predicting tools for 1-year mortality and walking ability of Asian elderly femoral neck fracture patients who planned for hip arthroplasty.Journal of orthopaedic surgery and research · 2021Article
- Comparison of Peripheral Nerve Block and Spinal Anesthesia in Terms of Postoperative Mortality and Walking Ability in Elderly Hip Fracture Patients - A Retrospective, Propensity-Score Matched Study.Clinical interventions in aging · 2021Article
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7 authors at 2 institutions in 1 country.
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No grant is acknowledged in the PubMed record.
Abstract
backgroundAge alone is not a robust predictor of mortality in critically ill elderly patients. Chronic health status and functional status before admission could be better predictors. This study aimed to determine whether functional status, assessed using the Functional Independence Measure (FIM), could be an independent predictor of mortality in a geriatric population admitted to an intermediate care unit (IMCU).
methodsA monocentric, retrospective, observational study of all patients aged ≥75 years old admitted to Geneva University Hospitals' geriatric IMCU between 01.01.2012 and 31.05.2016. The study's primary outcome metrics were one-year mortality's associations with a pre-admission FIM score and other relevant prospectively recorded prognostic variables.
resultsA total of 345 patients were included (56% female, mean age 85 +/- 6.5 years). Mean FIM score was 66 +/- 26. One-year mortality was 57%. Dichotomized low (≤ 63) and high FIM (> 63) scores were associated with one-year mortalities of 68 and 44%, respectively. Logistic regression calculations found an association between pre-admission FIM score and one-year mortality (p < 0.0001), including variables usually associated with mortality (e.g., age, sex, comorbidities, mini-mental health state score, renal function). Multivariate survival analysis showed a significant difference between groups, with a hazard ratio of 0.29 (95% CI: 0.13-0.65) for patients with high FIM scores.
conclusionsIn the present study, higher functional status, assessed using the FIM tool before admission to an IMCU, was significantly and independently associated with lower one-year mortality. This opens up perspectives on the potential value of FIM for establishing a finer prognosis and better triage of critically ill older patients.
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