Relationship between mortality and the laboratory values at admission to palliative care unit in geriatric patients with no diagnosis of malignancy

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dc.authorid0000-0002-6574-273X
dc.authorid0000-0002-5943-9320
dc.contributor.authorSargın, Mehmet.
dc.contributor.authorDemirel, Huzeyfe Feyyaz.
dc.date.accessioned2020-03-26T20:19:13Z
dc.date.available2020-03-26T20:19:13Z
dc.date.issued2019
dc.departmentSelçuk Üniversitesi, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümüen_US
dc.description.abstractIntroduction: With a global rise in the elderly population, the need for palliative care units (PCU) is also increasing. Moreover, it is important to determine the prognosis in these patients. Thus, the present study aimed to evaluate the relationship between mortality and the biomarkers at admission to PCU, in the geriatric patients with no diagnosis of malignancy. Materials and Method: Medical records of the patients hospitalised in the Isparta City Hospital PCU, between 01.03.2017 and 31.03.2018, were retrospectively reviewed. Age, gender, neutrophil, lymphocyte and platelet counts, mean platelet volume and the C-reactive protein and albumin values, at admission to the PCU, were evaluated. Results: The median age of the patients was 81 years (interquartile range: 73-87 years), and 58.5% (n=76) of the patients were female. The mortality rate of the patients was 21.5% (n=28). An albumin value<3.5 g/dL (odds ratio 35.40, 95% confidence interval (CI)=4.86-257.65 and p<0.001) was determined as an independent risk factor. The cut-off for the mean albumin value according to the receiver operating characteristic analysis, performed to predict the mortality rate, was 3.5 g/dL, with sensitivity and specificity values as 89% and 92%, respectively. The positive and negative predictive values and the positive and negative likelihood ratio values were 0.75, 0.96, 11.38 and 0.12, respectively (area under the curve=0.937 and 95% CI=0.880-0.994, p<0.0001). Conclusion: Albumin values may effectively predict the prognosis of geriatric PCU patients, not diagnosed with malignancy.en_US
dc.identifier.citationSargin, M., Demirel, H. F. (2019). Relationship Between Mortality and the Laboratory Values at Admission to Palliative Care Unit in Geriatric Patients with No Diagnosis of Malignancy. Turkish Journal of Geriatrics/Türk Geriatri Dergisi, 22(4), 434-442.
dc.identifier.doi10.31086/tjgeri.2020.122en_US
dc.identifier.endpage442en_US
dc.identifier.issn1304-2947en_US
dc.identifier.issn1307-9948en_US
dc.identifier.issue4en_US
dc.identifier.scopusqualityQ4en_US
dc.identifier.startpage434en_US
dc.identifier.urihttps://dx.doi.org/10.31086/tjgeri.2020.122
dc.identifier.urihttps://hdl.handle.net/20.500.12395/38155
dc.identifier.volume22en_US
dc.identifier.wosWOS:000505782900007en_US
dc.identifier.wosqualityQ4en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.institutionauthorSargın, Mehmet.
dc.language.isoenen_US
dc.publisherGUNES KITABEVI LTD STIen_US
dc.relation.ispartofTURKISH JOURNAL OF GERIATRICS-TURK GERIATRI DERGISIen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.selcuk20240510_oaigen_US
dc.subjectPalliative Careen_US
dc.subjectGeriatricsen_US
dc.subjectMortalityen_US
dc.subjectSerum Albuminen_US
dc.titleRelationship between mortality and the laboratory values at admission to palliative care unit in geriatric patients with no diagnosis of malignancyen_US
dc.typeArticleen_US

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