A multicomponent approach to identify predictors of hospital outcomes in older in-patients: a multicentre, observational study
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. To identify factors related to older patients' clinical, nutritional, functional and socio...
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| Veröffentlicht in: | PloS one 2014-12, Vol.9 (12), p.e115413-e115413 |
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| creator | De Buyser, Stefanie L Petrovic, Mirko Taes, Youri E Vetrano, Davide L Onder, Graziano |
| description | 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.
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.
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.
One thousand one hundred twenty-three consecutively admitted patients aged 65 years or older.
Hospital outcomes were length of stay, in-hospital mortality, and institutionalisation.
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.
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. |
| doi_str_mv | 10.1371/journal.pone.0115413 |
| format | Article |
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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.
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.
One thousand one hundred twenty-three consecutively admitted patients aged 65 years or older.
Hospital outcomes were length of stay, in-hospital mortality, and institutionalisation.
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.
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.</description><identifier>ISSN: 1932-6203</identifier><identifier>EISSN: 1932-6203</identifier><identifier>DOI: 10.1371/journal.pone.0115413</identifier><identifier>PMID: 25542042</identifier><language>eng</language><publisher>United States: Public Library of Science</publisher><subject>Activities of daily living ; Age ; Aged ; Aged, 80 and over ; Aging ; Cancer ; Comorbidity ; Criminal statistics ; Demographics ; Dialysis ; Drugs ; Elderly patients ; Family medical history ; Female ; Frailty ; Geriatric Assessment - methods ; Geriatrics ; Grip strength ; Health care ; Health care industry ; Hospital costs ; Hospital Mortality ; Hospital patients ; Hospitalization ; Humans ; Institutionalization ; Internal medicine ; Kidneys ; Length of Stay ; Male ; Malnutrition ; Medical research ; Medicin och hälsovetenskap ; Medicine and Health Sciences ; Mortality ; Nutrition therapy ; Observational studies ; Older people ; Pain ; Patient outcomes ; Patients ; Pressure ulcers ; Prognosis ; Prospective Studies ; Renal failure ; Researchers ; Risk Factors ; Sociodemographics ; Studies ; Walking</subject><ispartof>PloS one, 2014-12, Vol.9 (12), p.e115413-e115413</ispartof><rights>COPYRIGHT 2014 Public Library of Science</rights><rights>2014 De Buyser et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License: http://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>2014 De Buyser et al 2014 De Buyser et al</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c742t-ca1242bd42f7fd0e07c2c2f74ebcc63c1abaddf2fac10b3d2d4453e4d40204193</citedby><cites>FETCH-LOGICAL-c742t-ca1242bd42f7fd0e07c2c2f74ebcc63c1abaddf2fac10b3d2d4453e4d40204193</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4277310/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4277310/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,552,727,780,784,864,885,2102,2928,23866,27924,27925,53791,53793,79600,79601</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/25542042$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink><backlink>$$Uhttp://kipublications.ki.se/Default.aspx?queryparsed=id:130449551$$DView record from Swedish Publication Index$$Hfree_for_read</backlink></links><search><contributor>Laks, Jerson</contributor><creatorcontrib>De Buyser, Stefanie L</creatorcontrib><creatorcontrib>Petrovic, Mirko</creatorcontrib><creatorcontrib>Taes, Youri E</creatorcontrib><creatorcontrib>Vetrano, Davide L</creatorcontrib><creatorcontrib>Onder, Graziano</creatorcontrib><title>A multicomponent approach to identify predictors of hospital outcomes in older in-patients: a multicentre, observational study</title><title>PloS one</title><addtitle>PLoS One</addtitle><description>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.
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.
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.
One thousand one hundred twenty-three consecutively admitted patients aged 65 years or older.
Hospital outcomes were length of stay, in-hospital mortality, and institutionalisation.
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.
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.</description><subject>Activities of daily living</subject><subject>Age</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Aging</subject><subject>Cancer</subject><subject>Comorbidity</subject><subject>Criminal statistics</subject><subject>Demographics</subject><subject>Dialysis</subject><subject>Drugs</subject><subject>Elderly patients</subject><subject>Family medical history</subject><subject>Female</subject><subject>Frailty</subject><subject>Geriatric Assessment - methods</subject><subject>Geriatrics</subject><subject>Grip strength</subject><subject>Health care</subject><subject>Health care industry</subject><subject>Hospital costs</subject><subject>Hospital Mortality</subject><subject>Hospital patients</subject><subject>Hospitalization</subject><subject>Humans</subject><subject>Institutionalization</subject><subject>Internal medicine</subject><subject>Kidneys</subject><subject>Length of Stay</subject><subject>Male</subject><subject>Malnutrition</subject><subject>Medical research</subject><subject>Medicin och hälsovetenskap</subject><subject>Medicine and Health Sciences</subject><subject>Mortality</subject><subject>Nutrition therapy</subject><subject>Observational studies</subject><subject>Older people</subject><subject>Pain</subject><subject>Patient outcomes</subject><subject>Patients</subject><subject>Pressure ulcers</subject><subject>Prognosis</subject><subject>Prospective Studies</subject><subject>Renal failure</subject><subject>Researchers</subject><subject>Risk 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multicomponent approach to identify predictors of hospital outcomes in older in-patients: a multicentre, observational study</title><author>De Buyser, Stefanie L ; Petrovic, Mirko ; Taes, Youri E ; Vetrano, Davide L ; Onder, Graziano</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c742t-ca1242bd42f7fd0e07c2c2f74ebcc63c1abaddf2fac10b3d2d4453e4d40204193</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2014</creationdate><topic>Activities of daily living</topic><topic>Age</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Aging</topic><topic>Cancer</topic><topic>Comorbidity</topic><topic>Criminal statistics</topic><topic>Demographics</topic><topic>Dialysis</topic><topic>Drugs</topic><topic>Elderly patients</topic><topic>Family medical history</topic><topic>Female</topic><topic>Frailty</topic><topic>Geriatric Assessment - methods</topic><topic>Geriatrics</topic><topic>Grip 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of poor hospital outcomes (e.g. longer hospital stay, in-hospital mortality, and institutionalisation) is important to provide an effective healthcare service.
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.
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.
One thousand one hundred twenty-three consecutively admitted patients aged 65 years or older.
Hospital outcomes were length of stay, in-hospital mortality, and institutionalisation.
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.
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.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>25542042</pmid><doi>10.1371/journal.pone.0115413</doi><oa>free_for_read</oa></addata></record> |
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| identifier | ISSN: 1932-6203 |
| ispartof | PloS one, 2014-12, Vol.9 (12), p.e115413-e115413 |
| issn | 1932-6203 1932-6203 |
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| source | MEDLINE; DOAJ Directory of Open Access Journals; SWEPUB Freely available online; Public Library of Science (PLoS) Journals Open Access; EZB-FREE-00999 freely available EZB journals; PubMed Central; Free Full-Text Journals in Chemistry |
| subjects | Activities of daily living Age Aged Aged, 80 and over Aging Cancer Comorbidity Criminal statistics Demographics Dialysis Drugs Elderly patients Family medical history Female Frailty Geriatric Assessment - methods Geriatrics Grip strength Health care Health care industry Hospital costs Hospital Mortality Hospital patients Hospitalization Humans Institutionalization Internal medicine Kidneys Length of Stay Male Malnutrition Medical research Medicin och hälsovetenskap Medicine and Health Sciences Mortality Nutrition therapy Observational studies Older people Pain Patient outcomes Patients Pressure ulcers Prognosis Prospective Studies Renal failure Researchers Risk Factors Sociodemographics Studies Walking |
| title | A multicomponent approach to identify predictors of hospital outcomes in older in-patients: a multicentre, observational study |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2024-12-25T18%3A06%3A47IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-gale_plos_&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=A%20multicomponent%20approach%20to%20identify%20predictors%20of%20hospital%20outcomes%20in%20older%20in-patients:%20a%20multicentre,%20observational%20study&rft.jtitle=PloS%20one&rft.au=De%20Buyser,%20Stefanie%20L&rft.date=2014-12-26&rft.volume=9&rft.issue=12&rft.spage=e115413&rft.epage=e115413&rft.pages=e115413-e115413&rft.issn=1932-6203&rft.eissn=1932-6203&rft_id=info:doi/10.1371/journal.pone.0115413&rft_dat=%3Cgale_plos_%3EA417793365%3C/gale_plos_%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=1640559814&rft_id=info:pmid/25542042&rft_galeid=A417793365&rft_doaj_id=oai_doaj_org_article_3a182de4e6fb4dbfb8cbbd290aaa6d07&rfr_iscdi=true |