کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
5500860 1534416 2017 6 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Pathways after inpatient admission in very advanced age: A Portuguese nationwide study
ترجمه فارسی عنوان
مسیرهای پس از بستری شدن در سن بسیار پیشرفته: یک مطالعه در سراسر کشور پرتغال
کلمات کلیدی
مرگ و میر در بیمارستان، 80 سال و بالاتر، قسمت های بستری، قدیمی ترین قدیمی،
موضوعات مرتبط
علوم زیستی و بیوفناوری بیوشیمی، ژنتیک و زیست شناسی مولکولی سالمندی
چکیده انگلیسی


- The oldest old (i.e. those aged 80+) are one of the fastest growing age segments.
- The effect of increased age in mortality is not clear in the available literature.
- Our study verified an in-hospital mortality rate of 15.4% among patients aged 80+.

IntroductionOldest old patients often have complex and multiple medical conditions, which are associated with higher rates of use of healthcare services, and a higher risk of experiencing adverse outcomes, such as mortality. This study investigated (a) the in-hospital mortality rate and predictors in patients aged 80+; (b) the destination patients have after hospital discharge.MethodsNationwide study. All inpatient admissions by individuals aged 80 years and older between 2011 and 2014 in Portugal were considered. Exploratory descriptive analyses of data regarding in-hospital mortality and destination after discharge were performed; multivariate logistic regression analyses were conducted to identify predictors of in-hospital mortality.ResultsA total of 614,807 episodes of hospital admissions were analysed. A mortality rate of 15.4% was observed. In the majority of episodes, patients returned home (78.6%). Increased age, male gender, increased length of stay, unplanned attendance, medical DRG type, increased severity of illness and mortality risk, and comorbidities were significant predictors of in-hospital mortality.DiscussionThis study strengthens the importance of implementing health policies specifically to the oldest old, namely with the promotion of the use of primary care services. That would expectably concur to a better management of the most common medical conditions in this population, and a decrease in hospital unplanned attendances.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Archives of Gerontology and Geriatrics - Volume 73, November 2017, Pages 89-94
نویسندگان
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