Hospitalisation en médecine interne des nonagénaires. Étude de 150 séjours

Jean, O. Saint; Thibert, JB; Holstein, J.; Bourdiol, M. C.; Verny, Marc; Bérigaud, S.; Verny, C.; Bouchon, J.P.

doi:10.1016/s0248-8663(05)81140-3

Cited by 5 publications

(2 citation statements)

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Section: Discussionmentioning

confidence: 99%

“…Very few studies have evaluated predictors of mortality in nonagenarian patients in internal and geriatric departments (Bień et al, 2015; Conde-Martel et al, 2012. Saint Jean et al, 1993; Sonnenblick et al, 2007; Zafrir et al, 2010). Prognosis of oldest-old patients may be poor after they are discharged from hospital, especially in those with severe comorbidity (Matzen et al, 2012; Oeyen et al, 2017).…”

Section: Discussionmentioning

confidence: 99%

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Mortality in the Oldest-Old Adults After Discharge From Acute Geriatric Ward

Tal

2023

Gerontology and Geriatric Medicine

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Aim: To examine risk factors for post-discharge mortality in the oldest-old patients. Methods: We have assessed the risk factors for mortality after discharge from acute geriatric ward in 448 patients aged ≥90. Results: Low albumin, high urea, and full dependence were risk factors for mortality within 1 month and within 1 year after discharge from hospital. Age-adjusted Charlson Comorbidity Index score, neuroleptic drug treatments and frailty were specific risk factors for post-discharge mortality within 1 year. By Cox regression analysis, the risk factors associated with higher hazard ratios for post-discharge mortality within 14 years follow-up were age-adjusted Charlson Comorbidity Index score, poor functional status, anemia and dementia as comorbidities, neuroleptic drug treatments, low albumin, high urea, and high vitamin B12. Conclusion: Optimal treatment of the condition due to which the patient has been hospitalized and of the medical complications that occurred during hospitalization, while preventing functional decline, might secure longer post-discharge survival.

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Section: Discussionmentioning

confidence: 99%