Pathways after inpatient admission in very advanced age: A Portuguese nationwide study

• Tipo: Artigo em Revista Científica Internacional
• Data: 2017

Autores

Brandao, D (Autor) Outra; Freitas A (Autor) FMUP; Ribeiro, O (Autor) Outra; Constança Paúl (Autor) ICBAS

Revista

Título: Archives of Gerontology and Geriatrics

Vol. 73

Páginas: 89-94

ISSN: 0167-4943

Editora: Elsevier

Indexação

ISI Web of Knowledge - 2 Citações

Scopus - 2 Citações

Outras Informações

ID Authenticus: P-00N-4H9

DOI: 10.1016/j.archger.2017.07.020

Abstract (EN): Introduction: Oldest old patients often have complex and multiple medical conditions, which are associated with higher rates of use of healthcare services, and a higher risk of experiencing adverse outcomes, such as mortality. This study investigated (a) the in-hospital mortality rate and predictors in patients aged 80+; (b) the destination patients have after hospital discharge. Methods: Nationwide study. All inpatient admissions by individuals aged 80 years and older between 2011 and 2014 in Portugal were considered. Exploratory descriptive analyses of data regarding in-hospital mortality and destination after discharge were performed; multivariate logistic regression analyses were conducted to identify predictors of in-hospital mortality. Results: A total of 614,807 episodes of hospital admissions were analysed. A mortality rate of 15.4% was observed. In the majority of episodes, patients returned home (78.6%). Increased age, male gender, increased length of stay, unplanned attendance, medical DRG type, increased severity of illness and mortality risk, and comorbidities were significant predictors of in-hospital mortality. Discussion: This study strengthens the importance of implementing health policies specifically to the oldest old, namely with the promotion of the use of primary care services. That would expectably concur to a better management of the most common medical conditions in this population, and a decrease in hospital unplanned attendances.

Idioma: Inglês

Tipo (Avaliação Docente): Científica

Nº de páginas: 6