How does hospitalization affect the frailty status of geriatric patients? Prospective study from internal medicine wards of a university hospital.

IF 1.8 4区医学 Q3 HEALTH CARE SCIENCES & SERVICES

Chronic Illness Pub Date : 2023-10-16 DOI:10.1177/17423953231209461

Serdar Ceylan, Merve Guner Oytun, Arzu Okyar Baş, Cafer Balci, Meltem Gulhan Halil, Mustafa Cankurtaran, Burcu Balam Doğu

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引用次数: 0

Abstract

Objectives: Frailty is a dynamic process. Frailty in the baseline, discharge, and post-discharge are important in the management of patients. We aimed to see how hospitalization affects frailty and to evaluate its effects on health outcomes.

Methods: It was conducted with patients aged 65 and over who were hospitalized in the internal medicine wards of a university hospital. Frailty was evaluated by Clinical Frailty Scale within the first 24 h of hospitalization, within 24 h before discharge, and at third months after discharge.

Results: Ninety-six (57.8%) of patients at baseline, 79 (50.6%) at discharge, and 68 (47.9%) at 3 months were frail. According to baseline, 12 (7.7%) patients changed from frail to non-frail at discharge, while 4 (2.6%) patients became frail (p = 0.08). According to the baseline, 18 (12.5%) patients went from frail to non-frail at 3 months, while 7 (4.9%) patients turned frail (p = 0.04). In regression analysis, living with frailty at discharge and low education level increased re-hospitalization. Five or more are considered living with frailty.

Discussion: Hospitalization may have positive effects on frailty in older adult patients hospitalized in internal medicine wards, the main effect is seen to be more significant in the post-discharge follow-up.

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住院治疗如何影响老年患者的虚弱状态？一所大学医院内科病房的前瞻性研究。

目标：脆弱是一个动态的过程。基线、出院和出院后的虚弱在患者管理中很重要。我们旨在了解住院治疗如何影响虚弱，并评估其对健康结果的影响。方法：对某大学医院内科住院的65岁及以上患者进行问卷调查。在最初的24小时内，通过临床虚弱量表评估虚弱程度住院h，24小时内出院前h，出院后第三个月。结果：基线时96名（57.8%）患者、出院时79名（50.6%）患者和3个月时68名（47.9%）患者身体虚弱。根据基线，12名（7.7%）患者在出院时从虚弱变为不虚弱，4名（2.6%）患者变为虚弱（p = 0.08）。根据基线，18名（12.5%）患者在3个月时从虚弱变为不虚弱，而7名（4.9%）患者变为虚弱（p = 0.04）。在回归分析中，出院时身体虚弱且受教育程度低的患者增加了再次住院。五个或五个以上被认为是虚弱的。讨论：住院治疗可能对内科病房住院的老年患者的虚弱有积极影响，主要影响在出院后随访中更为显著。

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

Chronic Illness Multiple-

CiteScore

3.80

自引率

0.00%

发文量

期刊介绍： Chronic illnesses are prolonged, do not resolve spontaneously, and are rarely completely cured. The most common are cardiovascular diseases (hypertension, coronary artery disease, stroke and heart failure), the arthritides, asthma and chronic obstructive pulmonary disease, diabetes and epilepsy. There is increasing evidence that mental illnesses such as depression are best understood as chronic health problems. HIV/AIDS has become a chronic condition in those countries where effective medication is available.