Low morale is associated with increased risk of mortality in the elderly: a population-based prospective study (NEDICES)
Identifieur interne : 000457 ( Main/Exploration ); précédent : 000456; suivant : 000458Low morale is associated with increased risk of mortality in the elderly: a population-based prospective study (NEDICES)
Auteurs : Julin Benito-Len [Espagne] ; Elan D. Louis ; Jess Rivera-Navarro ; Mara Jos Medrano ; Saturio Vega ; Flix Bermejo-Pareja [Espagne]Source :
- Age and Ageing [ 0002-0729 ] ; 2010-05.
Abstract
Objective: the study aimed to assess the association between morale and mortality. Design: we used data from the Neurological Disorders in Central Spain (NEDICES), a population-based study. Subjects: 2,516 older persons (mean age 75.7 years) participated in the study. Methods: Cox models were used to estimate risk of mortality. Morale was assessed using the Philadelphia Geriatric Center Morale Scale. Results: 489 (21.8%) participants died over a median follow-up of 5.9 years (range 0.17.7 years), including 253 (21.8%) deaths among 1,163 participants with low morale scores, 168 (19.3%) among 870 participants with moderate scores and 68 (14.1%) among participants with high scores. In an unadjusted Cox model, relative risk (RR) of mortality in participants with low morale scores = 1.69 (P < 0.001) and RR in participants with moderate scores = 1.47 (P < 0.01) were compared to the reference group (participants with high scores). In a Cox model that adjusted for a variety of demographic factors and co-morbidities, RR of mortality in participants with low morale scores = 1.35 (P <0.05) and moderate scores = 1.16 (not significant) were compared to the reference group. Conclusion: low morale may be an independent predictor of mortality in the elderly. By assessing morale, practitioners might be better positioned to identify patients with poorer prognoses.
Url:
DOI: 10.1093/ageing/afq028
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Louis</name></author><author><name sortKey="Rivera Navarro, Jess" sort="Rivera Navarro, Jess" uniqKey="Rivera Navarro J" first="Jess" last="Rivera-Navarro">Jess Rivera-Navarro</name></author><author><name sortKey="Medrano, Mara Jos" sort="Medrano, Mara Jos" uniqKey="Medrano M" first="Mara Jos" last="Medrano">Mara Jos Medrano</name></author><author><name sortKey="Vega, Saturio" sort="Vega, Saturio" uniqKey="Vega S" first="Saturio" last="Vega">Saturio Vega</name></author><author><name sortKey="Bermejo Pareja, Flix" sort="Bermejo Pareja, Flix" uniqKey="Bermejo Pareja F" first="Flix" last="Bermejo-Pareja">Flix Bermejo-Pareja</name></author></titleStmt><publicationStmt><idno type="wicri:source">ISTEX</idno><idno type="RBID">ISTEX:4EB8E03E64DA7993E5DEF97F89741E27350A9E7E</idno><date when="2010" year="2010">2010</date><idno type="doi">10.1093/ageing/afq028</idno><idno type="url">https://api.istex.fr/document/4EB8E03E64DA7993E5DEF97F89741E27350A9E7E/fulltext/pdf</idno><idno type="wicri:Area/Main/Corpus">002F52</idno><idno type="wicri:Area/Main/Curation">002B62</idno><idno type="wicri:Area/Main/Exploration">000457</idno></publicationStmt><sourceDesc><biblStruct><analytic><title level="a">Low morale is associated with increased risk of mortality in the elderly: a population-based prospective study (NEDICES)</title><author><name sortKey="Benito Len, Julin" sort="Benito Len, Julin" uniqKey="Benito Len J" first="Julin" last="Benito-Len">Julin Benito-Len</name><affiliation wicri:level="3"><country xml:lang="fr">Espagne</country><wicri:regionArea>2 de Octubre, Madrid</wicri:regionArea><placeName><settlement type="city">Madrid</settlement><region nuts="2" type="region">Communauté de Madrid</region></placeName></affiliation><affiliation><wicri:noCountry code="syntax">???</wicri:noCountry></affiliation></author><author><name sortKey="Louis, Elan D" sort="Louis, Elan D" uniqKey="Louis E" first="Elan D." last="Louis">Elan D. 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Design: we used data from the Neurological Disorders in Central Spain (NEDICES), a population-based study. Subjects: 2,516 older persons (mean age 75.7 years) participated in the study. Methods: Cox models were used to estimate risk of mortality. Morale was assessed using the Philadelphia Geriatric Center Morale Scale. Results: 489 (21.8%) participants died over a median follow-up of 5.9 years (range 0.17.7 years), including 253 (21.8%) deaths among 1,163 participants with low morale scores, 168 (19.3%) among 870 participants with moderate scores and 68 (14.1%) among participants with high scores. In an unadjusted Cox model, relative risk (RR) of mortality in participants with low morale scores = 1.69 (P < 0.001) and RR in participants with moderate scores = 1.47 (P < 0.01) were compared to the reference group (participants with high scores). In a Cox model that adjusted for a variety of demographic factors and co-morbidities, RR of mortality in participants with low morale scores = 1.35 (P <0.05) and moderate scores = 1.16 (not significant) were compared to the reference group. Conclusion: low morale may be an independent predictor of mortality in the elderly. By assessing morale, practitioners might be better positioned to identify patients with poorer prognoses.</div></front></TEI><affiliations><list><country><li>Espagne</li></country><region><li>Communauté de Madrid</li></region><settlement><li>Madrid</li></settlement></list><tree><noCountry><name sortKey="Louis, Elan D" sort="Louis, Elan D" uniqKey="Louis E" first="Elan D." last="Louis">Elan D. Louis</name><name sortKey="Medrano, Mara Jos" sort="Medrano, Mara Jos" uniqKey="Medrano M" first="Mara Jos" last="Medrano">Mara Jos Medrano</name><name sortKey="Rivera Navarro, Jess" sort="Rivera Navarro, Jess" uniqKey="Rivera Navarro J" first="Jess" last="Rivera-Navarro">Jess Rivera-Navarro</name><name sortKey="Vega, Saturio" sort="Vega, Saturio" uniqKey="Vega S" first="Saturio" last="Vega">Saturio Vega</name></noCountry><country name="Espagne"><region name="Communauté de Madrid"><name sortKey="Benito Len, Julin" sort="Benito Len, Julin" uniqKey="Benito Len J" first="Julin" last="Benito-Len">Julin Benito-Len</name></region><name sortKey="Bermejo Pareja, Flix" sort="Bermejo Pareja, Flix" uniqKey="Bermejo Pareja F" first="Flix" last="Bermejo-Pareja">Flix Bermejo-Pareja</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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