A1 Vertaisarvioitu alkuperäisartikkeli tieteellisessä lehdessä
Self-rated health and objective health status as predictors of all-cause mortality among older people: a prospective study with a 5-, 10-, and 27-year follow-up
Tekijät: Wuorela M, Lavonius S, Salminen M, Vahlberg T, Viitanen M, Viikari L
Kustantaja: BMC
Julkaisuvuosi: 2020
Journal: BMC Geriatrics
Tietokannassa oleva lehden nimi: BMC GERIATRICS
Lehden akronyymi: BMC GERIATR
Artikkelin numero: 120
Vuosikerta: 20
Numero: 1
Sivujen määrä: 7
eISSN: 1471-2318
DOI: https://doi.org/10.1186/s12877-020-01516-9
Rinnakkaistallenteen osoite: https://research.utu.fi/converis/portal/detail/Publication/47006461
BackgroundDespite a non-specific nature of self-rated health (SRH), it seems to be a strong predictor of mortality. The aim of this study is to assess the association of SRH and objective health status (OH) with all-cause mortality in 70-year-old community-dwelling older people in Finland.MethodsA prospective study with 5-, 10- and 27-year follow-ups. SRH (n=1008) was assessed with a single question and OH (n=962) by the Rockwood's Frailty Index (FI). To assess the association of SRH and OH with mortality, Cox regression model was used.ResultsOf the 1008 participants, 138 (13.7%), 319 (31.6%), and 932 deceased (86.3%) during the 5-, 10- and 27-year follow-ups, respectively. In unadjusted models, subjects with poor SRH had almost eightfold risk for mortality compared to those with good SRH during the 5-year follow-up; among those with poor OH, the risk was fourfold compared to those with good OH. In the 10-year-follow up, both poor SRH and poor OH predicted about fourfold risk for mortality compared to those with good health. During the 27-year follow-up, OH was a stronger predictor of mortality than SRH. Poor SRH, compared to good SRH, showed 95% sensitivity and 34% specificity for 5-year mortality; corresponding figures for OH were 54 and 80%, respectively.ConclusionsSingle-item SRH seems to be able to capture almost the same as OH in predicting a short-term (less than 10years) mortality risk among older adults in clinical settings. The use of SHR may also enhance the focus on patient-centered care.
Ladattava julkaisu This is an electronic reprint of the original article. |  |
