Risk factors of functional decline during hospitalization in the oldest old

Abstract

ABSTRACT. Background and aims:

A prospective, multidimensional follow-up study of a geriatric hospitalised population: predictors of discharge and well-being

“…We therefore classified units according to their purpose, followed by a test of the internal homogeneity of each class and finally including the unit purpose variable in our predictor analyses. Previous studies have found different variables that predict LOS, such as number of medical comorbidities, MMSE score, functional status, Tinetti Scale score, and degree of social support [4,[25][26][27][28]. Our results support previous findings: although the unit purpose variable explained most of the LOS total variability, reason for admission, and BRASS score variables were still significant predictors.…”

Musculoskeletal health, frailty and functional decline

“…Measuring functional decline is of interest, similarly to the concept of frailty, for its ability to predict future mortality, morbidity, hospitalisation and institutionalisation [40][41][42]. Increased risk is associated with cognitive impairment, hospitalisation, poly-pharmacy, older age, history of fractures, malnutrition, low physical activity, lower strength, and depression [41][42][43][44][45][46][47][48][49].Musculoskeletal conditions have long been recognised as a major cause of functional impairment and disability.…”

“…Increased risk is associated with cognitive impairment, hospitalisation, poly-pharmacy, older age, history of fractures, malnutrition, low physical activity, lower strength, and depression [41][42][43][44][45][46][47][48][49].Musculoskeletal conditions have long been recognised as a major cause of functional impairment and disability. The total number of disability adjusted life years associated with musculoskeletal conditions worldwide has been estimated as over 30,000,000, and they remain one of the ten leading causes of disability worldwide [50].…”

The extent and cost of potentially avoidable admissions in hospital inpatients with palliative care needs: a cross-sectional study

“…In particular, survival rates are low, with one study identifying that 33.9% of patients admitted from a residential care facility died during the hospital admission 25. In addition, morbidity associated with hospitalisation is high for this population, with increased incidence of delirium, infections and overall functional decline during a hospital admission 26 27. Furthermore, mortality is high in residential care settings after an admission to hospital 28.…”