Factors associated with mortality in hospitalized elders in an internal medicine department
The aim of this prospective cohort study was to determine the factors associated with mortality in elders admitted to an Internal Medicine Department of a public hospital in Lima. During 2019, 360 patients over 60 years of age were consecutively evaluated by applying the Comprehensive Geriatric Asse...
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| Format: | Article |
| Language: | Spanish |
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Instituto Nacional de Salud
2021-08-01
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| Series: | Revista Peruana de Medicina Experimental y Salud Pública |
| Subjects: | |
| Online Access: | https://rpmesp.ins.gob.pe/rpmesp/article/view/6982 |
| _version_ | 1818608005315297280 |
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| author | Jaime Lama-Valdivia Lucy Cedillo-Ramirez Alonso Soto |
| author_facet | Jaime Lama-Valdivia Lucy Cedillo-Ramirez Alonso Soto |
| author_sort | Jaime Lama-Valdivia |
| collection | DOAJ |
| description | The aim of this prospective cohort study was to determine the factors associated with mortality in elders admitted to an Internal Medicine Department of a public hospital in Lima. During 2019, 360 patients over 60 years of age were consecutively evaluated by applying the Comprehensive Geriatric Assessment tools and reviewing their medical records. During hospitalization, 45 (12.5%) died. There was a higher frequency of anemia (p=0.043), hypoalbuminemia (p=0.006), pressure ulcers (p=0.003), high comorbidity (p0.001), functional dependence (p0.001) and malnutrition (p=0.002) among deceased patients compared to non-deceased. In the multivariate model, the presence of delirium on admission was associated with a higher risk of hospital mortality (RR=3.64; 95% CI: 1.51- 8.76, p=0.004). Additional studies are required in our country to assess the prognostic value of delirium and other geriatric syndromes on mortality and other adverse outcomes |
| first_indexed | 2024-12-16T14:35:46Z |
| format | Article |
| id | doaj.art-e5519bc9bf3b4001a294130e9a822806 |
| institution | Directory Open Access Journal |
| issn | 1726-4634 1726-4642 |
| language | Spanish |
| last_indexed | 2024-12-16T14:35:46Z |
| publishDate | 2021-08-01 |
| publisher | Instituto Nacional de Salud |
| record_format | Article |
| series | Revista Peruana de Medicina Experimental y Salud Pública |
| spelling | doaj.art-e5519bc9bf3b4001a294130e9a8228062022-12-21T22:28:07ZspaInstituto Nacional de SaludRevista Peruana de Medicina Experimental y Salud Pública1726-46341726-46422021-08-013822849010.17843/rpmesp.2021.382.69822536Factors associated with mortality in hospitalized elders in an internal medicine departmentJaime Lama-Valdivia0Lucy Cedillo-Ramirez1Alonso Soto2Servicio de Geriatría, Hospital Nacional Hipólito Unanue, Lima, Perú. Facultad de Medicina Humana. Universidad Ricardo Palma, Lima, Perú. Médico especialista en Geriatría y doctor en MedicinaFacultad de Medicina Humana. Universidad Ricardo Palma, Lima, Perú. Instituto de Investigación en Ciencias Biomédicas, Facultad de Medicina Humana, Universidad Ricardo Palma, Lima, Perú. médica cirujanaInstituto de Investigación en Ciencias Biomédicas, Facultad de Medicina Humana, Universidad Ricardo Palma, Lima, Perú. Departamento de Medicina, Hospital Nacional Hipólito Unanue, Lima, Perú. médico especialista en Medicina Interna, doctor en Ciencias MédicasThe aim of this prospective cohort study was to determine the factors associated with mortality in elders admitted to an Internal Medicine Department of a public hospital in Lima. During 2019, 360 patients over 60 years of age were consecutively evaluated by applying the Comprehensive Geriatric Assessment tools and reviewing their medical records. During hospitalization, 45 (12.5%) died. There was a higher frequency of anemia (p=0.043), hypoalbuminemia (p=0.006), pressure ulcers (p=0.003), high comorbidity (p0.001), functional dependence (p0.001) and malnutrition (p=0.002) among deceased patients compared to non-deceased. In the multivariate model, the presence of delirium on admission was associated with a higher risk of hospital mortality (RR=3.64; 95% CI: 1.51- 8.76, p=0.004). Additional studies are required in our country to assess the prognostic value of delirium and other geriatric syndromes on mortality and other adverse outcomeshttps://rpmesp.ins.gob.pe/rpmesp/article/view/6982adulto mayormortalidad hospitalariafactores de riesgoevaluación geriátricadelirioenvejecimientohipoalbuminemiaúlcera por presióngeriatríamedicina interna |
| spellingShingle | Jaime Lama-Valdivia Lucy Cedillo-Ramirez Alonso Soto Factors associated with mortality in hospitalized elders in an internal medicine department Revista Peruana de Medicina Experimental y Salud Pública adulto mayor mortalidad hospitalaria factores de riesgo evaluación geriátrica delirio envejecimiento hipoalbuminemia úlcera por presión geriatría medicina interna |
| title | Factors associated with mortality in hospitalized elders in an internal medicine department |
| title_full | Factors associated with mortality in hospitalized elders in an internal medicine department |
| title_fullStr | Factors associated with mortality in hospitalized elders in an internal medicine department |
| title_full_unstemmed | Factors associated with mortality in hospitalized elders in an internal medicine department |
| title_short | Factors associated with mortality in hospitalized elders in an internal medicine department |
| title_sort | factors associated with mortality in hospitalized elders in an internal medicine department |
| topic | adulto mayor mortalidad hospitalaria factores de riesgo evaluación geriátrica delirio envejecimiento hipoalbuminemia úlcera por presión geriatría medicina interna |
| url | https://rpmesp.ins.gob.pe/rpmesp/article/view/6982 |
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