PMID: 9434660Jan 22, 1998Paper

Predictors of mortality in patients with bacteremia: the importance of functional status

Journal of the American Geriatrics Society
F DeulofeuV Mercadé

Abstract

To evaluate the influence of functional status on the outcome in older patients with bacteremia. Prospective study of all episodes of bacteremia that occurred in adults during a 27-month period (January 1991 to March 1993). A 280-bed community hospital. During the study period, bacteremia was diagnosed in 242 consecutive patients (incidence of 11.2 bacteremic episodes per 1000 hospital admissions). One hundred twenty-seven of these patients were 65 years of age or older, and 115 were less than age 65. On identification of a positive blood culture, data on demographics, clinical findings, and a series of factors frequently cited as predisposing to infection were collected. The patient's functional status was assessed using the Barthel index (a score of < 60 identifies moderately and highly dependent patients). The overall mortality rate was 14.9% (36 of 242). In the univariate analysis, mortality was associated significantly with age greater than 65 years, nosocomial infection, absence of fever, shock, leukocytosis or leukopenia, inappropriate therapy, more than one underlying disease, immuno-compromised state, and limited functional status. Multiple logistic regression analysis revealed that shock (OR = 27.6, 95% CI 5.7-133), a...Continue Reading

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Citations

Oct 20, 1998·Journal of the American Geriatrics Society·E L Marcus, A M Clarfield
Mar 8, 2003·Anaesthesia·U WaheedN Soni
Apr 9, 2005·The Pediatric Infectious Disease Journal·Saro H ArmenianAntonio C Arrieta
Aug 17, 2006·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·Daniel Z UslanLarry M Baddour
Mar 12, 2008·Expert Review of Medical Devices·Daniel Z Uslan
Jan 31, 2012·Journal of the American Geriatrics Society·Jeffrey M CaterinoKurt B Stevenson
Oct 14, 2014·International Journal of Nursing Practice·Shu-Hua LuYu-Tzu Dai
Dec 20, 2015·Virulence·Dafna YahavMical Paul
Jan 10, 2018·Medicine·Sonia JimenezUNKNOWN investigators of the ESPHERIA registry and the Venous Thromboembolic Disease Group of the Spanish Society of Emergency Medic
Sep 22, 2018·Frontiers in Immunology·Minakshi RanaBetty Diamond
Oct 9, 2002·Journal of the American Geriatrics Society·Gaetan GavazziAlain Franco
Nov 16, 2005·Aging Clinical and Experimental Research·Gaëtan GavazziAlain Franco
Sep 10, 2015·European Journal of Emergency Medicine : Official Journal of the European Society for Emergency Medicine·Juan González Del CastilloUNKNOWN Representing the Infectious Disease Group of Spanish Emergency Medicine Society
Nov 11, 1998·Journal of the American Geriatrics Society·P AltermanA Yaretzky
Dec 23, 2004·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·Kevin P HighThomas Yoshikawa
Jul 22, 2004·Journal of Palliative Medicine·Catherine L MaroneyR Sean Morrison
Nov 24, 2006·Internal and Emergency Medicine·Giuseppe GiannazzoStefano Grifoni
May 10, 2017·Expert Review of Anti-infective Therapy·Ronald G HallCarlos A Alvarez
Jun 5, 2019·The American Journal of Medicine·Caroline HyernardClaire Roubaud-Baudron

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