Survival After Discharge From Geriatrics vs. Internal Medicine Wards, by Risk Status and Diagnosis
| Autor: | A. Giordano, Mauro Di Bari, Giulia Carreras, Luca Degli Esposti, Roberto Bernabei, Daniela Balzi, Niccolò Marchionni, Paola Michelozzi |
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| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
Risk status
Geriatrics medicine.medical_specialty Health (social science) Acute Care and Hospitalization business.industry After discharge Health Professions (miscellaneous) Abstracts Emergency medicine medicine Session 2878 (Poster) Life-span and Life-course Studies business AcademicSubjects/SOC02600 |
| Zdroj: | Innovation in Aging |
| ISSN: | 2399-5300 |
| Popis: | In randomized clinical trials, compared to Internal Medicine (IM), admission to Geriatrics (G) improved clinical outcomes of frail older patients accessing the Emergency Department (ED). Whether this advantage is maintained also in the “real world” is uncertain. We compared long-term survival of patients admitted to G or IM wards after stratification for background risk and across a variety of discharge diagnoses. Data were derived from the “Silver Code National Project (SCNP)”, an observational study of 180,079 unselected 75+ years old persons, admitted via the ED to IM (n=169,717, 94.2%) or G (n=10,362) wards in Italy. The Dynamic Silver Code (DSC), based on administrative data, was applied to balance for background risk between participants admitted to G or IM. One-year mortality was 33.7%, it was lower in participants discharged from G than IM (32.1 and 33.8%, respectively; p |
| Databáze: | OpenAIRE |
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