Predictors of falls and hospitalization outcomes in elderly patients admitted to an acute geriatric unit
| Autor: | Cristina Marchetto, Renata Marinello, Mario Molaschi, Laura Gastaldi, Laura Corsinovi, Laura Fissore, Federico Gariglio, Mauro Zanocchi, N. Aimonino, Mario Bo |
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| Jazyk: | angličtina |
| Rok vydání: | 2009 |
| Předmět: |
Male
Aging medicine.medical_specialty Health (social science) Activities of daily living Health Services for the Aged Poison control Patient Admission Catchment Area Health medicine Humans Prospective Studies Aged Polypharmacy business.industry Incidence (epidemiology) Tinetti test medicine.disease Comorbidity Hospitalization Italy Relative risk Acute Disease Emergency medicine Physical therapy Delirium Accidental Falls Female Geriatrics and Gerontology medicine.symptom business Gerontology |
| Popis: | We aimed to identify fall incidence, predictors and characteristics and to investigate hospitalization outcomes for elderly inpatients. In 340 men and 280 women consecutively admitted to a Acute Geriatric Ward of a University Hospital the following variables were evaluated: demographics, clinical history, main disease responsible for hospitalization, comorbidity (cumulative illness rating scale: CIRS 1 and 2) gait and balance deficit (Tinetti's scales), cognition/function (short portable mental status questionnaire: SPMSQ); activities of daily living: ADL; instrumental activities of daily living: IADL; delirium (confusion assessment method: CAM), drugs administered during hospitalization. Overall 80 falls occurred in 70 patients. The incidence rate of falls was of 6.0 per 1000 patient-days with 2.0 falls per bed/year. Age (relative risk=RR=1.050; 95% confidence interval=CI=1.013-1.087), delirium (RR=3.577; 95% CI 1.096-11.672), diabetes (RR=5.913; 95% CI 1.693-20.644), balance deficit (RR=0.914; 95% CI 0.861-0.970) and polypharmacy (RR=1.226; 95% CI 1.122-1.340) were independently predictive of falling. Fallers had a prolonged length of stay (LOS) (35.5+/-47.8 days vs. 23.2+/-27.2; p=0.01) and more frequent nursing home placements (12.9% vs.5.6%; p |
| Databáze: | OpenAIRE |
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