TY - JOUR
T1 - Social and medical risk indicators for 8-year mortality in a Swedish urban elderly population
AU - Augustsson, Olga
AU - Matousek, Michael
AU - Eriksson, Bo G.
AU - Rothenberg, Elisabet
AU - Steen, Bertil
N1 - Funding Information:
We wish to express our gratitude to all who have contributed to this investigation, especially Bertil Wärne, MD, who performed the medical examination in all subjects, and Valter Sundh, BSc, for data processing. This study was supported by grants from the Hjalmar Svensson Foundation, the Göteborg Medical Society, the Medical Faculty at Göteborg University, the Wilhelm and Martina Lundgren Foundation, the Swedish Bread Research Institute, the Dr Félix Neubergh Foundation, the Swedish National Board of Health and Welfare, the Economic Association Swedish Fish (Svensk Fisk), the Swedish Nutrition Foundation and the Lions Foundation.
PY - 2003/3
Y1 - 2003/3
N2 - The aim of this study was to identify and evaluate social and medical risk indicators for mortality in an urban elderly population. Altogether 217 subjects (144 women and 73 men, mean age 78 years, range 69-96 years of age) participated in an examination 1990/91. Eighty-eight persons (55 women and 33 men) had died, and 129 subjects (89 women and 40 men) were alive January 1, 1999. Several risk indicators were found and those with the highest statistical explanatory power to predict mortality were: tremor, inability for heavy housework, a pathological second heart sound, low triceps skinfold, low diastolic blood pressure and decreased appetite. A multivariate model (MVM) utililizing both social and medical risk indicators, and a clinical model (CM) based on the judgement of a registered nurse identified 49 and 34%, respectively, of those who died during the 8-year period (n=88). A third risk group, the intervention group, comprising individuals selected by either the MVM or CM models, identified 56% of those who died. The latter procedure could be used to define risk groups for mortality in future intervention studies. The combination of social and medical risk indicators in MVM, and a CM might be used in studies with larger sample sizes in order to increase the knowledge in this field.
AB - The aim of this study was to identify and evaluate social and medical risk indicators for mortality in an urban elderly population. Altogether 217 subjects (144 women and 73 men, mean age 78 years, range 69-96 years of age) participated in an examination 1990/91. Eighty-eight persons (55 women and 33 men) had died, and 129 subjects (89 women and 40 men) were alive January 1, 1999. Several risk indicators were found and those with the highest statistical explanatory power to predict mortality were: tremor, inability for heavy housework, a pathological second heart sound, low triceps skinfold, low diastolic blood pressure and decreased appetite. A multivariate model (MVM) utililizing both social and medical risk indicators, and a clinical model (CM) based on the judgement of a registered nurse identified 49 and 34%, respectively, of those who died during the 8-year period (n=88). A third risk group, the intervention group, comprising individuals selected by either the MVM or CM models, identified 56% of those who died. The latter procedure could be used to define risk groups for mortality in future intervention studies. The combination of social and medical risk indicators in MVM, and a CM might be used in studies with larger sample sizes in order to increase the knowledge in this field.
KW - Risk indicators
KW - Social
KW - Urban
U2 - 10.1016/S0167-4943(02)00082-1
DO - 10.1016/S0167-4943(02)00082-1
M3 - Article
C2 - 12849089
AN - SCOPUS:0037372266
SN - 0167-4943
VL - 36
SP - 155
EP - 171
JO - Archives of Gerontology and Geriatrics
JF - Archives of Gerontology and Geriatrics
IS - 2
ER -