Mortality in the Oldest-Old Adults After Discharge From Acute Geriatric Ward
Aim: To examine risk factors for post-discharge mortality in the oldest-old patients. Methods: We have assessed the risk factors for mortality after discharge from acute geriatric ward in 448 patients aged ≥90. Results: Low albumin, high urea, and full dependence were risk factors for mortality with...
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| Format: | Article |
| Language: | English |
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SAGE Publishing
2023-05-01
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| Series: | Gerontology and Geriatric Medicine |
| Online Access: | https://doi.org/10.1177/23337214231156300 |
| _version_ | 1797821731905208320 |
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| author | Sari Tal MD |
| author_facet | Sari Tal MD |
| author_sort | Sari Tal MD |
| collection | DOAJ |
| description | Aim: To examine risk factors for post-discharge mortality in the oldest-old patients. Methods: We have assessed the risk factors for mortality after discharge from acute geriatric ward in 448 patients aged ≥90. Results: Low albumin, high urea, and full dependence were risk factors for mortality within 1 month and within 1 year after discharge from hospital. Age-adjusted Charlson Comorbidity Index score, neuroleptic drug treatments and frailty were specific risk factors for post-discharge mortality within 1 year. By Cox regression analysis, the risk factors associated with higher hazard ratios for post-discharge mortality within 14 years follow-up were age-adjusted Charlson Comorbidity Index score, poor functional status, anemia and dementia as comorbidities, neuroleptic drug treatments, low albumin, high urea, and high vitamin B12. Conclusion: Optimal treatment of the condition due to which the patient has been hospitalized and of the medical complications that occurred during hospitalization, while preventing functional decline, might secure longer post-discharge survival. |
| first_indexed | 2024-03-13T09:57:07Z |
| format | Article |
| id | doaj.art-e646f1b43b524399923c3f3081e00396 |
| institution | Directory Open Access Journal |
| issn | 2333-7214 |
| language | English |
| last_indexed | 2024-03-13T09:57:07Z |
| publishDate | 2023-05-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | Gerontology and Geriatric Medicine |
| spelling | doaj.art-e646f1b43b524399923c3f3081e003962023-05-23T19:03:23ZengSAGE PublishingGerontology and Geriatric Medicine2333-72142023-05-01910.1177/23337214231156300Mortality in the Oldest-Old Adults After Discharge From Acute Geriatric WardSari Tal MD0Geriatrics Department, Kaplan Medical Center, Affiliated With the Hebrew University of Jerusalem, Rehovot, IsraelAim: To examine risk factors for post-discharge mortality in the oldest-old patients. Methods: We have assessed the risk factors for mortality after discharge from acute geriatric ward in 448 patients aged ≥90. Results: Low albumin, high urea, and full dependence were risk factors for mortality within 1 month and within 1 year after discharge from hospital. Age-adjusted Charlson Comorbidity Index score, neuroleptic drug treatments and frailty were specific risk factors for post-discharge mortality within 1 year. By Cox regression analysis, the risk factors associated with higher hazard ratios for post-discharge mortality within 14 years follow-up were age-adjusted Charlson Comorbidity Index score, poor functional status, anemia and dementia as comorbidities, neuroleptic drug treatments, low albumin, high urea, and high vitamin B12. Conclusion: Optimal treatment of the condition due to which the patient has been hospitalized and of the medical complications that occurred during hospitalization, while preventing functional decline, might secure longer post-discharge survival.https://doi.org/10.1177/23337214231156300 |
| spellingShingle | Sari Tal MD Mortality in the Oldest-Old Adults After Discharge From Acute Geriatric Ward Gerontology and Geriatric Medicine |
| title | Mortality in the Oldest-Old Adults After Discharge From Acute Geriatric Ward |
| title_full | Mortality in the Oldest-Old Adults After Discharge From Acute Geriatric Ward |
| title_fullStr | Mortality in the Oldest-Old Adults After Discharge From Acute Geriatric Ward |
| title_full_unstemmed | Mortality in the Oldest-Old Adults After Discharge From Acute Geriatric Ward |
| title_short | Mortality in the Oldest-Old Adults After Discharge From Acute Geriatric Ward |
| title_sort | mortality in the oldest old adults after discharge from acute geriatric ward |
| url | https://doi.org/10.1177/23337214231156300 |
| work_keys_str_mv | AT saritalmd mortalityintheoldestoldadultsafterdischargefromacutegeriatricward |