Stephen J.LurieMD, PhD, Senior EditorIndividualAuthorJody W.ZylkeMD, Contributing EditorIndividualAuthor
To the Editor: Walter et al1
recently validated a prognostic index for mortality in older adults after
hospitalization. We repeated their study in a sample of elderly hospitalized
patients aged 75 years or more consecutively admitted to our acute care for
the elderly medical unit (ACE-MU) during a 16-month period.
Our ACE-MU is similar to that described by Landefeld et al.2 Approximately 70% of patients are admitted through
the emergency department and 30% after an outpatient clinic visit. A multidimensional
evaluation, including information on demographics (ie, age, sex, education,
living site prior to admission and after discharge, living conditions, and
caregiver or formal support availability), cognitive and affective status,
physical health, and functional abilities, was performed on the first day
after admission by a trained staff of geriatricians using a standard protocol.
The sample comprised 840 consecutive patients. Mortality at 6 months was our
primary outcome measure.
Rozzini R, Sabatini T, Trabucchi M. Prediction of 6-Month Mortality Among Older Hospitalized Adults. JAMA. 2001;286(11):1315-1316. doi:10.1001/jama.286.11.1311