Risk factors for hospitalisation in community-dwelling pre-frail and frail older people: results of a longitudinal study.

Autor: van der Velde MGAM; Department of Internal Medicine, Máxima Medical Center Veldhoven, De Run 4600, Veldhoven, 5504 DB, The Netherlands. marleen.van.der.velde@mmc.nl.; Department of Health Services Research, CAPHRI School for Public Health and Primary Care, Aging and Long Term care Maastricht, Maastricht, The Netherlands. marleen.van.der.velde@mmc.nl., Op Het Veld LPM; Department of Healthcare Biometrics, Zuyd University of Applied Sciences, Heerlen, The Netherlands., van Rossum E; Department of Health Services Research, CAPHRI School for Public Health and Primary Care, Aging and Long Term care Maastricht, Maastricht, The Netherlands.; Research Centre on Community Care, Zuyd University of Applied Sciences, Heerlen, The Netherlands., Jansen MAC; Network Emergency Care Brabant, Tilburg, The Netherlands., Haak HR; Department of Internal Medicine, Máxima Medical Center Veldhoven, De Run 4600, Veldhoven, 5504 DB, The Netherlands.; Department of Health Services Research, CAPHRI School for Public Health and Primary Care, Aging and Long Term care Maastricht, Maastricht, The Netherlands., Kremers MNT; Emergency Department, Erasmus MC, Rotterdam, The Netherlands.
Jazyk: angličtina
Zdroj: BMC geriatrics [BMC Geriatr] 2024 Oct 19; Vol. 24 (1), pp. 850. Date of Electronic Publication: 2024 Oct 19.
DOI: 10.1186/s12877-024-05458-4
Abstrakt: Background: Older adults account for a large proportion of hospital admissions. In this study we aim to bridge a gap between medical and psychosocial factors in predicting hospitalisation.
Methods: Demographic and social characteristics of community-dwelling pre-frail and frail older people were collected by questionnaires every six months during a two year follow-up. Hospital admission within this period was dichotomised as yes/no. To define pre-frailty and frailty the Fried frailty criteria were used. Analysis of risk factors for hospitalisation was performed using multivariable logistic regression.
Results: Hospitalised participants (n = 1803) were more often male and frail in comparison to not-hospitalised participants. They also experienced more chronic diseases (54.5% ≥ 4 chronic diseases), poorer self-perceived health (SPH) (76.4% fair to very poor) and lack of informal care (20.1%). In multivariable logistic regression male gender (Odds ratio (OR) 1.65, p < 0.001), frailty (vs. pre-frailty) (OR 1.66, p = 0.002), reporting lower SPH (OR 3.12, p < 0.001) and lacking informal care (OR 1.69, p < 0.001) showed significant associations with hospital admission. Subgroup analysis of pre-frail and frail participants, showed consistent associations between male gender (respectively OR 1.61, p < 0.001 ; OR 1.72, p = 0.085), lower SPH (OR 2.23, p = 0.001; OR 31.16, p < 0.001), lack of informal care (OR 1.64, p = 0.005; OR 2.63, p = 0.012) and hospitalisation.
Conclusion: Frailty, male gender, lower SPH and lack of informal care are risk factors for hospitalisation within community-dwelling older people, showing the need of a holistic approach to possibly prevent hospitalisation. Further research should focus on evaluating individual factors for hospitalisation, particularly targeting pre-frail individuals.
(© 2024. The Author(s).)
Databáze: MEDLINE
Externí odkaz: