PS2.085Individual common co-morbidities and 5 year mortality in the oldest old of a community-dwelling

Author(s): 
Assumpta Ferrer Feliu(1), F Formiga(2), H Sanz(3), L Tarín(1), D Mestre(1), F Mera(1), on behalf of the  Octabaix Group
(1) Health Care Centre “El Plà” CAP, Sant Feliu de Llobregat, Barcelona, Spain
(2) Geriatric Unit, Internal Medicine Service, Hospital Universitari de Bellvitge, Spain
(3) ISGlobal, Barcelona Centre International Health Research (CRESIB), Hospital Clinic, Spain
Corresponding author: PhD Fellow Assumpta Ferrer, Institut Catala Salud, Department of Family Medicine, Sant Feliu Llobregat, Spain.
E-mail: aferrer.cp.ics@gencat.cat
Text: 
Background and Aim: Co-morbidity has been associated with higher mortality. The objective of this study is to analyse co-morbidity predictors of 5-year mortality in the oldest old.
Method: A community-based, prospective cohort involving 328 subjects aged 85 at baseline was analysed. Socio-demographic variables and data from the geriatric assessment were evaluated. Information on the presence of multi-morbidity (>1disease) and sixteen common chronic conditions was collected: hypertension, diabetes mellitus, dyslipidaemia, ischaemic cardiomyopathy, heart failure, stroke, chronic obstructive pulmonary disease (COPD), atrial fibrillation, peripheral arterial disease, Parkinson's disease, cancer, dementia, anemia, chronic kidney disease (CKD), visual impairment and deafness.
Results: At baseline, 202 were women (61.6%) and the rate of multi-morbidity was 95.1%. The mean (SD) number of comorbid conditions was 4.5 (3.5-5.4). The mean Charlson Index value was 1.5 (0-7). The only significant differences of disease prevalence according to gender were the greater number of men with COPD (p= 0.016) and malignancy (pConclusions:  Dementia, chronic obstructive pulmonary disease and malignancy are the best predictors among the individual common chronic conditions studied of mortality, in these oldest old community-dwelling subjects after a 5 year follow-up period.