کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
3325110 1590500 2015 4 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Emergency Department Geriatric Assessment and Short-Term Mortality in Hospitalized Elderly Medical Patients
ترجمه فارسی عنوان
ارزیابی جراحی اورژانس و مرگ و میر کوتاه مدت در بیماران بستری شده در بیمارستان های سالمندان
کلمات کلیدی
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی طب سالمندان و علم پیری شناسی
چکیده انگلیسی

SummaryBackgroundWe studied which elements of an emergency department geriatric assessment (EDGA) are associated with a short-term mortality in hospitalized elderly medical patients.MethodsThis was a retrospective cohort study. Medical charts of all consecutive elderly (aged ≥ 75 years) patients who had undergone an EDGA and had been admitted to internal medicine departments of a tertiary medical center between April 2010 and June 2011 were reviewed. The study group included patients who died within 3 months, and the control group included patients who survived during this time. A regression analysis was used to study which of the following elements of an EDGA were independently associated with a 3-month mortality: caregiver support, independence in activities of daily living, immobility, incontinence, cognitive decline, recurrent falls, and the number of medications.ResultsThe final cohort included 368 patients: 236 (64.1%) women; the mean age was 84.3 ± 5.3 years. Overall, 61 (16.6%) patients died within 3 months. Dead patients were significantly more dependent, more immobile, and more incontinent compared with those who survived (p < 0.0001 for all). A regression analysis showed that only immobility was independently associated with a 3-month mortality (odds ratio 1.9; p = 0.001). A 3-month cumulative survival was significantly higher in ambulant patients relative to cane/walker users, in cane/walker users relative to patients who needed assistance, and in patients who needed assistance relative to totally immobile patients (p < 0.0001).ConclusionImmobility documented during an EDGA at the time of admission is associated with 3-month mortality in hospitalized elderly medical patients.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: International Journal of Gerontology - Volume 9, Issue 4, December 2015, Pages 211–214
نویسندگان
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