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Estratificacion pronostica

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4 papers 0 to 25 followers
By M. Carmen Martinez Velasco Internal Medicine
Vivian Isaac, Chia-Yi Wu, Chun-Ta Huang, Bernhard T Baune, Chia-Lin Tseng, Craig S McLachlan
Neutrophil to lymphocyte ratio (NLR) is an easy measurable laboratory marker used to evaluate systemic inflammation. Elevated NLR is associated with poor survival and increased morbidity in cancer and cardiovascular disease. However, the usefulness of NLR to predict morbidity and mortality in a hospital setting for patients with multiple chronic conditions has not been previously examined. In this study, we investigate the association between NLR and mortality in multimorbid medical inpatients. Two hundred thirty medical in-patients with chronic conditions were selected from a single academic medical center in Taiwan...
June 2016: Medicine (Baltimore)
Siran M Koroukian, Nicholas Schiltz, David F Warner, Jiayang Sun, Paul M Bakaki, Kathleen A Smyth, Kurt C Stange, Charles W Given
BACKGROUND: The strategic framework on multiple chronic conditions released by the US Department of Health and Human Services calls for identifying homogeneous subgroups of older adults to effectively target interventions aimed at improving their health. OBJECTIVE: We aimed to identify combinations of chronic conditions, functional limitations, and geriatric syndromes that predict poor health outcomes. DESIGN, SETTING AND PARTICIPANTS Data from the 2010-2012 Health and Retirement Study provided a representative sample of U...
June 2016: Journal of General Internal Medicine
Bettina Beglinger, Martin Rohacek, Selina Ackermann, Ralph Hertwig, Julia Karakoumis-Ilsemann, Susanne Boutellier, Nicolas Geigy, Christian Nickel, Roland Bingisser
The association between the physician's first clinical impression of a patient with nonspecific complaints and morbidity and mortality is unknown. The aim was to evaluate the association of the physician's first clinical impression with acute morbidity and mortality. We conducted a prospective observational study with a 30-day follow-up. This study was performed at the emergency departments (EDs) of 1 secondary and 1 tertiary care hospital, from May 2007 to February 2011. The first clinical impression ("looking ill"), expressed on a numerical rating scale from 0 to 100, age, sex, and the Charlson Comorbidity Index (CCI) were evaluated...
February 2015: Medicine (Baltimore)
Dina Zekry, Fran├žois R Herrmann, Ulrich M Vischer
BACKGROUND: Association between body mass index (BMI) and long-term mortality is poorly studied in older hospitalized populations. METHODS: The researchers prospectively studied the impact of the BMI, comorbidities, and malnutrition on long-term mortality in 444 patients (mean age 85.3┬▒6.7 years; 74.0% women) receiving geriatric inpatient care. All-cause mortality was determined using simple and multiple Cox proportional hazard models. RESULTS: Higher BMI was associated with a higher prevalence of diabetes, hypertension, and heart failure, but with a lower prevalence of malignancies...
June 2013: Journals of Gerontology. Series A, Biological Sciences and Medical Sciences
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