Dataset Information

A multicomponent approach to identify predictors of hospital outcomes in older in-patients: a multicentre, observational study.

ABSTRACT:

Background

The identification of older patients at risk of poor hospital outcomes (e.g. longer hospital stay, in-hospital mortality, and institutionalisation) is important to provide an effective healthcare service.

Objective

To identify factors related to older patients' clinical, nutritional, functional and socio-demographic profiles at admission to an acute care ward that can predict poor hospital outcomes.

Design and setting

The CRiteria to assess appropriate Medication use among Elderly complex patients project was a multicentre, observational study performed in geriatric and internal medicine acute care wards of seven Italian hospitals.

Subjects

One thousand one hundred twenty-three consecutively admitted patients aged 65 years or older.

Methods

Hospital outcomes were length of stay, in-hospital mortality, and institutionalisation.

Results

Mean age of participants was 81 years, 56% were women. Median length of stay was 10 (7-14) days, 41 patients died during hospital stay and 37 were newly institutionalised. Number of drugs before admission, metastasized cancer, renal failure or dialysis, infection, falls at home during the last year, pain, and walking speed were independent predictors of LoS. Total dependency in activities of daily living and inability to perform grip strength test were independent predictors of in-hospital mortality. Malnutrition and total dependency in activities of daily living were independent predictors of institutionalisation.

Conclusions

Our results confirm that not only diseases, but also multifaceted aspects of ageing such as physical function and malnutrition are strong predictors of hospital outcomes and suggest that these variables should be systematically recorded.

SUBMITTER: De Buyser SL

PROVIDER: S-EPMC4277310 | biostudies-literature | 2014

REPOSITORIES: biostudies-literature

ACCESS DATA

Publications

A multicomponent approach to identify predictors of hospital outcomes in older in-patients: a multicentre, observational study.

De Buyser Stefanie L SL Petrovic Mirko M Taes Youri E YE Vetrano Davide L DL Onder Graziano G

PloS one 20141226 12

<h4>Background</h4>The identification of older patients at risk of poor hospital outcomes (e.g. longer hospital stay, in-hospital mortality, and institutionalisation) is important to provide an effective healthcare service.<h4>Objective</h4>To identify factors related to older patients' clinical, nutritional, functional and socio-demographic profiles at admission to an acute care ward that can predict poor hospital outcomes.<h4>Design and setting</h4>The CRiteria to assess appropriate Medication ...[more]

PMID: 25542042

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Dataset Information

A multicomponent approach to identify predictors of hospital outcomes in older in-patients: a multicentre, observational study.

Background

Objective

Design and setting

Subjects

Methods

Results

Conclusions

Publications

A multicomponent approach to identify predictors of hospital outcomes in older in-patients: a multicentre, observational study.

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