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Predicting mortality in geriatric patients with fever in the emergency departments: a prospective validation study.
Akbari, Hamideh; Mirfazaelian, Hadi; Safaei, Arash; Aghdam, Hakime Ghafari; Akhgar, Atousa; Jalili, Mohammad.
Afiliación
  • Akbari H; Emergency Medicine Department, Imam Khomeini Hospital Complex, Tehran University of Medical Sciences, Tehran, Iran.
  • Mirfazaelian H; Emergency Medicine Department, Imam Khomeini Hospital Complex, Tehran University of Medical Sciences, Tehran, Iran.
  • Safaei A; Prehospital and Hospital Emergency Research Center, Tehran University of Medical Sciences, Tehran, Iran.
  • Aghdam HG; Mildura Base Public Hospital, Mildura, Australia.
  • Akhgar A; Emergency Medicine Department, Imam Khomeini Hospital Complex, Tehran University of Medical Sciences, Tehran, Iran.
  • Jalili M; Emergency Medicine Department, Imam Khomeini Hospital Complex, Tehran University of Medical Sciences, Tehran, Iran. at.akhgar@gmail.com.
BMC Geriatr ; 24(1): 758, 2024 Sep 14.
Article en En | MEDLINE | ID: mdl-39271973
ABSTRACT

OBJECTIVE:

Emergency physicians are always faced with the challenge of choosing the appropriate disposition for elderly patients in order to ensure an acceptable care plan and effective use of resources. A clinical decision rule, Geriatric Fever Score (GFS) has been proposed but not validated to help ED physicians with decision-making. This rule employs leukocytosis, severe coma, and thrombocytopenia as predictors of 30-day mortality. Through our study determines the performance of this clinical prediction rule in a prospective study in a setting different from where it was developed. METHOD AND MATERIALS In this prospective cohort study in a 1200-bed tertiary care, patients older than 65 years old who visited the ED with fever were enrolled. All elements of the rule were collected and the total score was calculated for each patient. Patients were also categorized as low risk (score 0-1) or high risk (score ≥ 2). Thirty-day follow-up was performed to determine the patient outcome (survival or mortality).

RESULTS:

A total of 296 patients were included in our final analysis. The mortality rate was 33.1% for patients with a Score of 0, 42.1% for a score of 1, 57.1% for a score of 2, and 100% for a score of 3. When divided into two risk groups, patients' mortality rates were as follows low risk group 37.9% and high-risk group 40.5%.

CONCLUSION:

Our study showed that elderly patients who present to ED with fever and have a score of 2 or higher on the Geriatric Fever Score are at higher risk of mortality at 30 days.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Servicio de Urgencia en Hospital / Fiebre Límite: Aged / Aged80 / Female / Humans / Male Idioma: En Revista: BMC Geriatr Asunto de la revista: GERIATRIA Año: 2024 Tipo del documento: Article País de afiliación: Irán Pais de publicación: Reino Unido
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Servicio de Urgencia en Hospital / Fiebre Límite: Aged / Aged80 / Female / Humans / Male Idioma: En Revista: BMC Geriatr Asunto de la revista: GERIATRIA Año: 2024 Tipo del documento: Article País de afiliación: Irán Pais de publicación: Reino Unido