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Low morale associated with increased risk of mortality in the elderly

Creator:

Julián Benito-León, Elan D. Louis, Jesús Rivera-Navarro, María José Medrano, Saturio Vega and Félix Bermejo-Pareja

Type: Report
Region: Republic of Ireland
Northern Ireland
Description:

  Low morale is associated with increased risk of mortality in the elderly: a population-based prospective study (NEDICES) Objective: the study aimed to assess the association between morale and mortality. Design: we used data from the Neurological Disorders in Central Spain (NEDICES), a population-based study. Subjects: 2,516 older persons (mean age 75.7 years) participated in the study. Methods: Cox models were used to estimate risk of mortality. Morale was assessed using the Philadelphia Geriatric Center Morale Scale. Results: 489 (21.8%) participants died over a median follow-up of 5.9 years (range 0.1–7.7 years), including 253 (21.8%) deaths among 1,163 participants with low morale scores, 168 (19.3%) among 870 participants with moderate scores and 68 (14.1%) among participants with high scores. In an unadjusted Cox model, relative risk (RR) of mortality in participants with low morale scores = 1.69 (P < 0.001) and RR in participants with moderate scores = 1.47 (P < 0.01) were compared to the reference group (participants with high scores). In a Cox model that adjusted for a variety of demographic factors and co-morbidities, RR of mortality in participants with low morale scores = 1.35 (P <0.05) and moderate scores = 1.16 (not significant) were compared to the reference group. Conclusion: low morale may be an independent predictor of mortality in the elderly. By assessing morale, practitioners might be better positioned to identify patients with poorer prognoses.

Date:

29/03/2010

Rights: Public
Suggested citation:

Julián Benito-León, Elan D. Louis, Jesús Rivera-Navarro, María José Medrano, Saturio Vega and Félix Bermejo-Pareja. (2010) Low morale associated with increased risk of mortality in the elderly [Online]. Available from: http://publichealthwell.ie/node/12990 [Accessed: 18th October 2019].

  

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CARDI
 
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