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A systematic literature review of factors affecting outcome in older medical patients admitted to hospital
Author(s)Susan E Campbell, D Gwyn Seymour, Willie R Primrose
Corporate AuthorACMEplus Project, University of Aberdeen
Journal titleAge and Ageing, vol 33, no 2, March 2004
Pagespp 110-115
Sourcehttp://www.ageing.oupjournals.org
KeywordsAdmission [hospitals] ; Literature reviews.
AnnotationThe ACMEplus Project aims to devise a standardised system for measuring case-mix and outcomes in older patients admitted to hospitals in different parts of Europe for primarily "medical" (i.e. not surgical or psychiatric) reasons. As a first step in this project, a systematic review was carried out to identify factors which had a significant influence on outcome in such patients. The main areas of assessment of case-mix were function, cognition, depression, illness severity, nutrition, social elements, aspects of diagnosis and demographic details. Statistically significant predictors were found for four outcome measures: length of stay; mortality; discharge destination; and readmission rate. Factors affecting outcome in older medical patients are complex. When looking at outcomes of hospital admission in older people, it is important not just to look at routinely available statistics, but also to take into account multifaceted aspects such as functional status and cognitive function. (RH).
Accession NumberCPA-040602214 A
ClassmarkLD:QKH: 64A

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