Short-term mortality and associated factors among older hospitalized patients: A narrative retrospective analysis of end-of-life care in an acute geriatric unit

IF 2.5 3区医学 Q3 GERIATRICS & GERONTOLOGY

Geriatric Nursing Pub Date : 2024-09-17 DOI:10.1016/j.gerinurse.2024.09.001

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引用次数: 0

Abstract

Objectives

To explore short-term mortality and its predictors among older patients hospitalized in a acute geriatric ward (AGW) in Northwestern Italy.

Design

Retrospective observational single-center cohort study.

Material and methods

Patients consecutively admitted for any reason between June 2021 and May 2022 were included in the analysis. Along with sociodemographic, clinical, and functional variables, prognosis estimation (Palliative Prognostic Index; PPI) at the time of admission was registered. Short-term all-cause mortality (in-hospital and within 3 months of discharge) was the primary outcome.

Results

About one-third of the total sample died in the short-term (32.4 %). Along with PPI score (OR 1.115, 95 %CI 1.034–1.202), short-term mortality was independently associated with functional dependency (OR 1.278, 95 %CI 1.170–1.395).

Conclusions

The high short-term mortality in our sample should call for the inclusion of palliative prognostic tools within the in-hospital comprehensive geriatric assessment to better recognize and appropriately manage older patients at the end of life.

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住院老年患者的短期死亡率及相关因素：对急诊老年病科临终关怀的叙述性回顾分析

材料与方法分析对象包括 2021 年 6 月至 2022 年 5 月间因任何原因连续入院的患者。除了社会人口学、临床和功能变量外，还登记了入院时的预后评估（姑息预后指数；PPI）。短期全因死亡率（院内和出院后 3 个月内）是主要结果。除了 PPI 评分（OR 1.115，95 %CI 1.034-1.202）之外，短期死亡率还与功能依赖性（OR 1.278，95 %CI 1.170-1.395）独立相关。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Geriatric Nursing 医学-护理

CiteScore

3.80

自引率

7.40%

发文量

257

审稿时长

>12 weeks

期刊介绍： Geriatric Nursing is a comprehensive source for clinical information and management advice relating to the care of older adults. The journal''s peer-reviewed articles report the latest developments in the management of acute and chronic disorders and provide practical advice on care of older adults across the long term continuum. Geriatric Nursing addresses current issues related to drugs, advance directives, staff development and management, legal issues, client and caregiver education, infection control, and other topics. The journal is written specifically for nurses and nurse practitioners who work with older adults in any care setting.