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Factors predictive of outcome on admission to an acute geriatric ward
Author(s)Teresa Alarcón, Almudena Bárcena, Juan I González-Montalvo
Journal titleAge and Ageing, vol 28, no 5, September 1999
Pagespp 429-432
KeywordsGeriatric units ; Admission [hospitals] ; Discharge [hospitals] ; Self care capacity ; Mobility ; At risk ; Evaluation ; Spain.
AnnotationIn this Spanish study, 353 patients (mean age 81.8 years) admitted to an acute geriatric ward were assessed within 48 hours for social factors, geriatric problems, admission diagnoses, medication, function and mental ability. Logistic regression analysis showed that variable predicting hospital mortality were Barthel index on admission, pre-morbid disability and polypharmacy. The only variable independently predictive of prolonged stay in hospital was a Barthel score of <45 on admission. Functional disability on admission was predictive of institutionalisation on discharge. Variables predicting mortality within six months were Barthel index on admission <65, presence of pressure sores, malnutrition and polypharmacy. Variables independently predictive of institutionalisation were mental state and a low pension. Those who took more than five drugs on admission were more likely to attend accident and emergency and be re-admitted. Limited activities of daily living (ADLs) and geriatric problems on admission are the strongest predictive factors of outcome, independent of diagnoses. (RH).
Accession NumberCPA-991021208 A
ClassmarkLDB: LD:QKH: LD:QKJ: CA: C4: CA3: 4C: 76S

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