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Pérez, I. Urreta, M. Elola, P. Aranegui" "autores" => array:4 [ 0 => array:4 [ "nombre" => "N." "apellidos" => "Pérez" "email" => array:1 [ 0 => "naiara.perezfernandez@osakidetza.net" ] "referencia" => array:2 [ 0 => array:2 [ "etiqueta" => "a" "identificador" => "aff0005" ] 1 => array:2 [ "etiqueta" => "*" "identificador" => "cor0005" ] ] ] 1 => array:3 [ "nombre" => "I." "apellidos" => "Urreta" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "b" "identificador" => "aff0010" ] ] ] 2 => array:3 [ "nombre" => "M." "apellidos" => "Elola" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "a" "identificador" => "aff0005" ] ] ] 3 => array:3 [ "nombre" => "P." "apellidos" => "Aranegui" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "a" "identificador" => "aff0005" ] ] ] ] "afiliaciones" => array:2 [ 0 => array:3 [ "entidad" => "Servicio de Medicina Interna, Hospital Universitario Donostia, Donostia-San Sebastián, Guipúzcoa, Spain" "etiqueta" => "a" "identificador" => "aff0005" ] 1 => array:3 [ "entidad" => "Servicio de Epidemiología Clínica, Hospital Universitario Donostia, Donostia-San Sebastián, Guipúzcoa, Spain" "etiqueta" => "b" "identificador" => "aff0010" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Validación externa de la regla NaURSE para predecir mortalidad intrahospitalaria en nonagenarios" ] ] "textoCompleto" => "In recent years, the worldwide population has aged. It is estimated that the population older than 65 years will represent 20% of the overall European population by 2025.<a class="elsevierStyleCrossRef" href="#bib0040">1</a> Between 1991 and 2001, the absolute number of individuals aged 90 years or more in Spain doubled.<a class="elsevierStyleCrossRef" href="#bib0045">2</a> This aging of the population will logically lead to an increase in hospitalizations, diagnostic and therapeutic procedures and costs. In 2014, the results were published from the derivation and external validation cohort for a simple prediction rule for hospital mortality in nonagenarian patients. The rule is based on acute disease markers and includes 4 variables collected at admission (1 point per item): sodium (>145mEq/L) and urea (>84mg/dL) concentrations in blood, respiratory rate (>20bpm) and shock index (heart rate/systolic blood pressure >1).<a class="elsevierStyleCrossRef" href="#bib0050">3</a> These variables, applied to elderly patients, constitute the abbreviation NaURSE (Na+, Urea, Respiratory rate, Shock index, Senility, Elderly). The endpoint for this study was all-cause death during hospitalization. The rule had an area under the receiver operating characteristic (ROC) curve of 0.69 (95% confidence interval [CI] 0.63–0.76).<a class="elsevierStyleCrossRef" href="#bib0050">3</a>The aim of this study was to validate this rule in a Spanish nonagenarian population.A retrospective, cross-sectional study was designed to extract all discharges of patients older than 90 years from the department of internal medicine for 2013 from the registry of University Hospital of Donostia (San Sebastian, Spain). The study analyzed 917 episodes from the 998 obtained, due to the loss of a number of the critical variables at admission. This resulted in a loss rate of 8%. The study cohort's mean age was 92.5 years (standard deviation, 2.7). The mortality rate was 13.6% and increased according to the risk levels predicted by the rule (0–4 points): 0 points – 15/211 (7.1%); 1 point – 57/492 (11.6%); 2 points – 32/172 (18.5%); 3 points – 17/37 (45.9%); and 4 points – 4/5 (80%). Statistically significant differences were found when comparing the patients who died with the survivors (p<0.005) in terms of age (93 vs. 92 years), frequency of dementia (60% vs. 30%), degree of dependence (Barthel index, 24 vs. 52) and respiratory disease as the reason for hospitalization (44% vs. 25%), respectively. The area under the ROC curve for the NaURSE rule was 0.65 (95% CI 0.56–0.70). The remaining results are shown in <a class="elsevierStyleCrossRef" href="#tbl0005">Table 1</a>.<elsevierMultimedia ident="tbl0005"></elsevierMultimedia>There have been few studies to date that have analyzed the factors associated with hospital mortality during the 10th decade of life. A number of studies<a class="elsevierStyleCrossRef" href="#bib0055">4</a> have shown that classic prognostic factors such as age, comorbidity and dependence are not associated with mortality. In the case of acute disease markers (blood pressure, heart rate, etc.), the results have been mixed.<a class="elsevierStyleCrossRefs" href="#bib0060">5,6</a> Furthermore, a number of models have limited practical applicability due to their complexity.<a class="elsevierStyleCrossRef" href="#bib0070">7</a> Reproducible predictors are therefore difficult to find, which is probably due to the significant heterogeneity in these patients’ physical, psychological and social situation. Specific patient subgroups therefore need to be identified to better define the prediction models.In conclusion, the application of the NaURSE rule to a local population older than 90 years confirmed its modest capacity for predicting mortality in hospitalized patients. The rule's performance increases dramatically in patients with higher scores, which could help adjust the clinical decisions and therapeutic effort for patients with a higher probability of death in the immediate term. Even so, this rule should not substitute clinical judgment based on an individual assessment of each patient." "pdfFichero" => "main.pdf" "tienePdf" => true "NotaPie" => array:1 [ 0 => array:2 [ "etiqueta" => "☆" "nota" => "Please cite this article as: Pérez N, Urreta I, Elola M, Aranegui P. Validación externa de la regla NaURSE para predecir mortalidad intrahospitalaria en nonagenarios. Rev Clín Esp. 2018;218:110–111." ] ] "multimedia" => array:1 [ 0 => array:8 [ "identificador" => "tbl0005" "etiqueta" => "Table 1" "tipo" => "MULTIMEDIATABLA" "mostrarFloat" => true "mostrarDisplay" => false "detalles" => array:1 [ 0 => array:3 [ "identificador" => "at1" "detalle" => "Table " "rol" => "short" ] ] "tabla" => array:2 [ "leyenda" => "Abbreviations: 95% CI, 95% confidence interval; LR+/LR−, positive and negative likelihood ratios; PPV/NPV, positive/negative predictive value." "tablatextoimagen" => array:1 [ 0 => array:2 [ "tabla" => array:1 [ 0 => """ <table border="0" frame="\n \t\t\t\t\tvoid\n \t\t\t\t" class=""><thead title="thead"><tr title="table-row"><th class="td" title="table-head " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">NaURSE score \t\t\t\t\t\t\n \t\t\t\t</th><th class="td" title="table-head " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">Sensitivity % (95% CI) \t\t\t\t\t\t\n \t\t\t\t</th><th class="td" title="table-head " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">Specificity % (95% CI) \t\t\t\t\t\t\n \t\t\t\t</th><th class="td" title="table-head " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">LR+ \t\t\t\t\t\t\n \t\t\t\t</th><th class="td" title="table-head " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">LR− \t\t\t\t\t\t\n \t\t\t\t</th><th class="td" title="table-head " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">PPV % (95% CI) \t\t\t\t\t\t\n \t\t\t\t</th><th class="td" title="table-head " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">NPV % (95% CI) \t\t\t\t\t\t\n \t\t\t\t</th><th class="td" title="table-head " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">Crude accuracy rate (%) \t\t\t\t\t\t\n \t\t\t\t</th></tr></thead><tbody title="tbody"><tr title="table-row"><td class="td" title="table-entry " align="char" valign="top">>0 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">88.0 (81.0–93.1) \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">24.7 (21.8–27.9) \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">1.2 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">0.5 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">15.6 (13.0–18.5) \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">92.9 (88.5–96.0) \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">33.4 \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry " align="char" valign="top">>1 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">42.4 (33.6–51.6) \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">79.7 (76.7–82.4) \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">2.1 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">0.7 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">24.8 (19.1–31.1) \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">89.8 (87.3–91.9) \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">74.6 \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry " align="char" valign="top">>2 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">16.8 (10.7–24.5) \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">97.4 (96.0–98.4) \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">6.3 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">0.9 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">50.0 (34.2–65.8) \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">88.1 (85.8–90.2) \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">86.4 \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td 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accuracy rate for mortality of the NaURSE rule in the study population." ] ] ] "bibliografia" => array:2 [ "titulo" => "References" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0015" "bibliografiaReferencia" => array:7 [ 0 => array:3 [ "identificador" => "bib0040" "etiqueta" => "1" "referencia" => array:1 [ 0 => array:1 [ "referenciaCompleta" => "Equipo Portal Mayores [Internet]. Indicadores estadísticos básicos 2008. Madrid: Portal Mayores, Informes Portal Mayores, n 89. Available from: <a href="http://envejecimiento.csic.es/documentos/documentos/pm-indicadoresbasicos08.pdf">http://envejecimiento.csic.es/documentos/documentos/pm-indicadoresbasicos08.pdf</a> [updated 4.2.09; cited 24.11.14; accessed 2.2.15]." ] ] ] 1 => array:3 [ "identificador" => "bib0045" "etiqueta" => "2" "referencia" => array:1 [ 0 => array:3 [ "comentario" => "Available from: http://www.imserso.es/InterPresent1/groups/imserso/documents/binario/idi35_06uam.pdf" "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Estudio bio-psico-social sobre personas de 90 y más años (90 Y+). Proyecto Investigación I+D+I" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:5 [ 0 => "M.D. Zamarrón Cassinello" 1 => "R. Fernández-Ballesteros" 2 => "J. Díaz Nicolás" 3 => "P. Montero" 4 => "M.D. López Bravo" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:2 [ "tituloSerie" => "IMSERSO" "fecha" => "2007" ] ] ] ] ] ] 2 => array:3 [ "identificador" => "bib0050" "etiqueta" => "3" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "A simple 5-point scoring system, NaURSE (Na+, Urea Respiratory Rate and Shock Index in the Elderly), predicts in-hospital mortality in oldest old" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "A.H. Wilson" 1 => "A.C. Kidd" 2 => "J. Skinner" 3 => "P. Musonda" 4 => "Y. Pai" 5 => "C.J. Lunt" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1093/ageing/afu002" "Revista" => array:6 [ "tituloSerie" => "Age Ageing" "fecha" => "2014" "volumen" => "43" "paginaInicial" => "352" "paginaFinal" => "357" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/24487652" "web" => "Medline" ] ] ] ] ] ] ] ] 3 => array:3 [ "identificador" => "bib0055" "etiqueta" => "4" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Age, co-morbidity and poor mobility: no evidence of predicting in-patient death and acute hospital length of stays in oldest-old" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "Y. Pai" 1 => "C. Butchart" 2 => "C.J. Lunt" 3 => "P. Musonda" 4 => "N. Gautham" 5 => "R.L. Soiza" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1093/qjmed/hcr028" "Revista" => array:6 [ "tituloSerie" => "QJM" "fecha" => "2011" "volumen" => "104" "paginaInicial" => "671" "paginaFinal" => "679" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/21406460" "web" => "Medline" ] ] ] ] ] ] ] ] 4 => array:3 [ "identificador" => "bib0060" "etiqueta" => "5" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Vital signs as determinants of immediate and longer term mortality outcome of patients admitted from nursing homes" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "P.K. Myint" 1 => "N.J. Trepte" 2 => "R.A. Parker" 3 => "S.J. Sultanzadeh" 4 => "J. Patel" 5 => "R. Mallinson" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.3275/7622" "Revista" => array:7 [ "tituloSerie" => "Aging Clin Exp Res" "fecha" => "2011" "volumen" => "23" "paginaInicial" => "309" "paginaFinal" => "315" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/21447994" "web" => "Medline" ] ] "itemHostRev" => array:3 [ "pii" => "S0140673614610539" "estado" => "S300" "issn" => "01406736" ] ] ] ] ] ] ] 5 => array:3 [ "identificador" => "bib0065" "etiqueta" => "6" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Prognostication in acutely admitted older patients by nurses and physicians" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:6 [ 0 => "B.M. Buurman" 1 => "B.C. van Munster" 2 => "J.C. Korevaar" 3 => "A. Abu-Hanna" 4 => "M. Levi" 5 => "S.E. de Rooij" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1007/s11606-008-0741-7" "Revista" => array:6 [ "tituloSerie" => "J Gen Intern Med" "fecha" => "2008" "volumen" => "23" "paginaInicial" => "1883" "paginaFinal" => "1889" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/18769983" "web" => "Medline" ] ] ] ] ] ] ] ] 6 => array:3 [ "identificador" => "bib0070" "etiqueta" => "7" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Development of a tool for defining and identifying the dying patient in hospital: criteria for Screening and Triaging to Appropriate aLternative care (CriSTAL)" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "M. Cardona-Morrell" 1 => "K. 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Revista Clínica Española (English Edition)

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