Can Waterlow score predict 30-day mortality and length of stay in acutely admitted medical patients (aged ≥65 years)? Evidence from a single centre prospective cohort study
| Autor: | Claire Barratt, Amelia Oliveira, Sophie Elands, Phillip Smith, Shah-Jalal Sarker, Chris Thorn, Tom Holme, Mary Lynch, James Wei Wang |
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| Jazyk: | angličtina |
| Rok vydání: | 2019 |
| Předmět: |
Male
medicine.medical_specialty Time Factors Geriatric Medicine 30-day mortality Risk management tools 030230 surgery Risk Assessment Severity of Illness Index 03 medical and health sciences 0302 clinical medicine Risk Factors Cause of Death 0502 economics and business medicine Humans Hospital Mortality Prospective Studies General hospital Prospective cohort study Stroke Original Research Aged Aged 80 and over business.industry 05 social sciences Significant difference General Medicine Length of Stay medicine.disease United Kingdom Single centre Logistic Models 30 day mortality Emergency medicine Linear Models Female business 050203 business & management Cohort study Waterlow Score |
| Zdroj: | BMJ Open |
| ISSN: | 2044-6055 |
| Popis: | ObjectiveThis study aimed to explore the potential for the Waterlow score (WS) to be used as a predictor of 30-day mortality and length of hospital stay (LHS) in acutely admitted medical patients aged 65 years and older.DesignProspective observational cohort study.SettingUK District General Hospital.Subjects834 consecutive patients aged 65 years and older admitted acutely to medical specialties between 30 May and 22 July 2014.MethodsAdmission WS (range 4–64) assessment paired with the patient’s status at 30 days in terms of mortality and their LHS.Primary outcomes30-day mortality and length of inpatient stay.Results834 consecutive acute medical admissions had their WS recorded. 30-day mortality was 13.1% (109 deaths). A significant difference in the distribution of WS (pConclusionThis study demonstrates an association between a high WS and both 30-day mortality and LHS. This is particularly significant for mortality in patients in the respiratory, stroke and cardiac subcategories. The WS, a nursing-led screening tool that is carried out on virtually all admissions to UK hospitals, could have additional use at the time of patient admission as a risk assessment tool for 30-day mortality as well as a predictor of LHS. |
| Databáze: | OpenAIRE |
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