Please use this identifier to cite or link to this item: http://hdl.handle.net/2445/162276
Title: Causes, mortality rates and risk factors of death in community-dwelling Europeans aged 50 years and over: Results from the Survey of Health, Ageing and Retirement in Europe 2013-2015
Author: Conde Sala, Josep Lluís
Garre-Olmo, J.
Calvó-Perxas, L.
Turró-Garriga, Oriol
Vilalta Franch, Joan
López Pousa, Secundino
Keywords: Envelliment
Mortalitat
Factors de risc en les malalties
Comorbiditat
Depressió psíquica
Símptomes
Aging
Mortality
Risk factors in diseases
Comorbidity
Mental depression
Symptoms
Issue Date: 3-Apr-2020
Publisher: Elsevier B.V.
Abstract: Objective: To determine mortality rates and to rank the causes and predictors of mortality using a wide range of sociodemographic and clinical variables. Materials and Methods: It is a prospective population-based cohort study of adults living in the community, 2013-15 (N = 48,691, age ≥50; deceased = 1,944). Clinical and sociodemographic data were obtained from the Survey of Health, Ageing and Retirement in Europe (SHARE): Age, Gender, Marital Status, Years of Schooling, Income, Loneliness, Cognition, Self-Rated Health, Diseases, Activities of daily living (ADL), Frailty and Mobility. Mortality rates were calculated. A Cox proportional hazards model were used to determine risk-adjusted mortality ratios with confidence intervals (99% CI). Results: The crude mortality rate was 18.39 (1000 person-years at risk), (99% CI, 18.37-18.42). The factors most associated with an increased mortality risk were older age, lower self-rated health, lower cognition, male gender, ADL deficits, higher comorbidity, frailty and loneliness. The diseases with a higher mortality risk were: cancer (Hazard ratio, HR = 2.67), dementia (HR = 2.19), depressive symptoms (HR = 2.10), fractures (hip, femur) (HR = 1.57), stroke (HR = 1.55), chronic lung disease (HR = 1.52), diabetes (HR = 1.36) and heart attack (HR = 1.21). Conclusions: The main mortality risk factors, associated independently in the eight diseases were: older age, poor self-rated health, ADL deficits, male gender, lower cognition, comorbidity and the presence of depressive symptoms. The need to evaluate and treat the depressive symptoms that accompanies diseases with higher risk of mortality is stressed.
Note: Versió postprint del document publicat a: https://doi.org/10.1016/j.archger.2020.104035
It is part of: Archives of Gerontology and Geriatrics, 2020, vol. 89, p. 104035
URI: http://hdl.handle.net/2445/162276
Related resource: https://doi.org/10.1016/j.archger.2020.104035
ISSN: 0167-4943
Appears in Collections:Articles publicats en revistes (Cognició, Desenvolupament i Psicologia de l'Educació)

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