European Geriatric Medicine最新文献

{"title":"Teaching Comprehensive Geriatric Assessment (CGA) in medical education: a scoping review.","authors":"Regina Roller-Wirnsberger, Carolin Herzog, Sonja Lindner-Rabl, Mathias Schlögl, Maddalena Illario, Maria Cristina Polidori, Katrin Singler","doi":"10.1007/s41999-025-01157-4","DOIUrl":"https://doi.org/10.1007/s41999-025-01157-4","url":null,"abstract":"<p><strong>Purpose: </strong>To gather and summarize evidence on educational and training formats for medical doctors in performing Comprehensive Geriatric Assessment (CGA) in under- and postgraduate medical education.</p><p><strong>Methods: </strong>A comprehensive literature review was conducted using the databases Medline, CINAHL, Cochrane and Embase to identify educational intervention studies and cohort studies related to CGA education and training for medical professionals. Additional references were incorporated through reference tracking. Studies included were then grouped according to competence level addressed during CGA trainings to create a current competence-based framework on educational tools to teach CGA to medical students and doctors.</p><p><strong>Results: </strong>Sixty eligible studies were identified, with 42 addressing the full implementation of CGA and 18 focusing on specific CGA domains. High variability in duration, intervention design and evaluation methods was consistently observed across the included studies.</p><p><strong>Conclusion: </strong>The findings underscore the need for further coordinated research in CGA education and training to consolidate evidence and pave the way to more innovative, high-quality healthcare systems capable of addressing the complexities of an aging society.</p>","PeriodicalId":49287,"journal":{"name":"European Geriatric Medicine","volume":" ","pages":""},"PeriodicalIF":3.5,"publicationDate":"2025-03-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143574365","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Predictors of mood disturbance in older adults: a longitudinal cohort study.","authors":"Feng-Yi Wang, Ling-Jie Fan, Lin-Nan Huo, Yang Lin, Ren-Gang Zhang, Yong-Hong Yang, Quan Wei","doi":"10.1007/s41999-025-01178-z","DOIUrl":"https://doi.org/10.1007/s41999-025-01178-z","url":null,"abstract":"<p><strong>Purpose: </strong>Given the significant mental health challenges faced by the aging population, this study aimed to identify key predictors of mood disturbances among older adults, focusing on socioeconomic, health, and cognitive factors.</p><p><strong>Methods: </strong>This post-hoc analysis utilized publicly available data from the National Health and Aging Trends Study (NHATS), a nationally representative longitudinal cohort study conducted in the United States. The analysis included 2,820 adults aged 65 years and above who were followed for three years (age average range 75-79 years, 54.7% female).</p><p><strong>Results: </strong>During the follow-up period, 21.8% of participants developed new-onset mood disturbances. High-income status is associated with decreased risk (OR 0.71, 95% CI 0.52-0.96), while being Black showed a risk effect compared to White participants (OR 1.38, 95% CI 1.06-1.29). With not good health status (OR 1.58, 95% CI 1.04-2.41), without presence of diabetes (OR 0.74, 95% CI 0.58-0.95), and poor memory status (OR 2.14, 95% CI 1.10-4.15) were significant predictors. Without fear of falling (OR 0.77, 95% CI 0.61-0.97) and increased physical performance (OR 0.94, 95% CI 0.91-0.98) also decreased risk. Income-stratified analysis revealed that low-income groups were particularly affected by cognitive function, middle-income by health status, and high-income by physical activity levels.</p><p><strong>Conclusion: </strong>Socioeconomic status, race, health conditions, and cognitive function are significant predictors of mood disturbances in older adults. These findings suggest the importance of developing targeted interventions based on income levels and addressing modifiable risk factors.</p>","PeriodicalId":49287,"journal":{"name":"European Geriatric Medicine","volume":" ","pages":""},"PeriodicalIF":3.5,"publicationDate":"2025-03-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143558502","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Approaches to characterising multimorbidity in older people accessing hospital care: a scoping review.","authors":"Jonathan G Bunn, Lewis Steell, Susan J Hillman, Miles D Witham, Avan A Sayer, Rachel Cooper","doi":"10.1007/s41999-025-01166-3","DOIUrl":"https://doi.org/10.1007/s41999-025-01166-3","url":null,"abstract":"<p><strong>Purpose: </strong>An increasing proportion of older adults accessing hospital care are living with multimorbidity, with a high degree of complexity of multimorbidity in older hospital populations expected. We aimed to assess approaches taken to characterise multimorbidity in older adults accessing hospital care, including how complexity is considered.</p><p><strong>Methods: </strong>Following established scoping review guidelines, all published studies that characterised multimorbidity in a hospital population, with average age ≥ 65 years, were identified via a prespecified search strategy. Six electronic databases were searched to identify peer-reviewed literature published to September 2023 meeting eligibility criteria. Screening was undertaken by two independent reviewers, and data extracted using a standard proforma.</p><p><strong>Results: </strong>Of 5305 titles and abstracts screened, 75 papers, reporting on 72 unique study populations across 24 countries, met inclusion criteria. There was heterogeneity in most aspects of characterisation. Multimorbidity was defined in 43% (n = 31/72) of studies; most (n = 59/72, 82%) aimed to describe a multimorbidity-outcome association. Number of conditions considered ranged from 2 to 285 and weighted indices were used as a measure of multimorbidity in 75% (n = 54/72) of studies, with 56% (n = 40/72) using a version of the Charlson Comorbidity Index. Complexity was explicitly studied in 17% (n = 12/72) of studies.</p><p><strong>Discussion: </strong>Our review highlights heterogeneity in characterisation of multimorbidity in older adults accessing hospital care, with limited consideration of complexity. As the proportion of older adults accessing hospital care who are living with multimorbidity increases, better characterisation of their multiple conditions and associated complexity is a priority to ensure delivery of appropriately tailored care.</p>","PeriodicalId":49287,"journal":{"name":"European Geriatric Medicine","volume":" ","pages":""},"PeriodicalIF":3.5,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143538037","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Analysis of long-term prognosis of older patients after a first fall according to economic status.","authors":"Ana García-Martínez, Lourdes Artajona, Sergio García-Rosa, Victoria Torres Machado, Adriana Gil-Rodrigo, Carmen Pérez-Fonseca, Javier Jacob, Pere Llorens, Pablo Herrero, Francisco J Martín-Sánchez, Andrea Bellido, Montserrat Lázaro Del Nogal, Òscar Miró","doi":"10.1007/s41999-025-01174-3","DOIUrl":"https://doi.org/10.1007/s41999-025-01174-3","url":null,"abstract":"<p><strong>Purpose: </strong>Accidental falls are sentinel events of poor outcomes and future healthcare needs in older individuals. Understanding the effect of socioeconomic status (SES) on these needs is important for healthcare planning. The study aimed to investigate the association between SES and outcomes in a cohort of older fallers.</p><p><strong>Methods: </strong>A multicentre study was conducted including patients aged 65 years or older attending the emergency department (ED) of five Spanish hospitals after a first fall from September 1st, 2014, to August 31st, 2015. Sociodemographic features and past medical history were recorded. SES was evaluated using a proxy based on the mean income level at patients' zip code area. Outcomes after 5 years of the index fall included all-cause death, new fall-related visits to the ED, and fall-related fractures. Logistic regression was used to investigate the association between SES and outcomes.</p><p><strong>Results: </strong>The cohort included 716 patients (median age 79 years [IQR 72-85], 68% female). There were 439 patients (61.3%) with low and 277 (38.7%) with high SES. The group with low SES had significantly higher prevalence of depression (31.3% vs. 23%), polypharmacy (57.5% vs. 45.5%), or visual impairment (58.7% vs. 50.6%), whereas the percentage of patients with dependency (42.3% vs. 53.1%) or living alone (15.1% vs. 22.4%) was higher in the group with high SES. At the end of the 5-year follow-up, 250 patients (35.4%) died, 271 (49.3%) had a new fall-related visit, and 104 (20.6%) suffered a fall with fracture. None of these outcomes was associated with SES, irrespective of whether SES was considered as a dichotomous or a continuous variable.</p><p><strong>Conclusion: </strong>There are significant clinical differences based on SES in older patients attending the ED after a first fall. However, living in areas with lower SES was not associated with long-term outcomes in the context of a universal healthcare system. Further research is necessary to understand the interplay between SES and prognosis in this population.</p>","PeriodicalId":49287,"journal":{"name":"European Geriatric Medicine","volume":" ","pages":""},"PeriodicalIF":3.5,"publicationDate":"2025-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143525094","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Challenges, current innovations, and opportunities for managing type 2 diabetes in frail older adults: a position paper of the European Geriatric Medicine Society (EuGMS)-Special Interest Group in Diabetes.","authors":"Virginia Boccardi, Gülistan Bahat, Cafer Balci, Isabelle Bourdel-Marchasson, Antoine Christiaens, Lorenzo Maria Donini, Sibel Cavdar, Stefania Maggi, Serdar Özkök, Tajana Pavic, Stany Perkisas, Stefano Volpato, Muhammad Shoaib Zaidi, Andrej Zeyfang, Alan J Sinclair","doi":"10.1007/s41999-025-01168-1","DOIUrl":"https://doi.org/10.1007/s41999-025-01168-1","url":null,"abstract":"<p><strong>Purpose: </strong>This position paper aims to address the challenges of managing type 2 diabetes mellitus (T2DM) in frail older adults, a diverse and growing demographic with significant variability in health status. The primary research questions are: How can frailty assessment be effectively integrated into diabetes care? What strategies can optimize glycaemic control and outcomes for frail older adults? How can innovative tools and technologies, including artificial intelligence (AI), improve the management of this population?</p><p><strong>Methods: </strong>The paper uses the 5 I's framework (Identification, Innovation, Individualization, Integration, Intelligence) to integrate frailty into diabetes care, proposing strategies such as frailty tools, novel therapies, digital technologies, and AI systems. It also examines metabolic heterogeneity, highlighting anorexic-malnourished and sarcopenic-obese phenotypes.</p><p><strong>Results: </strong>The proposed framework highlights the importance of tailoring glycaemic targets to frailty levels, prioritizing quality of life, and minimizing treatment burden. Strategies such as leveraging AI tools are emphasized for their potential to enhance personalized care. The distinct management needs of the two metabolic phenotypes are outlined, with specific recommendations for each group.</p><p><strong>Conclusion: </strong>This paper calls for a holistic, patient-centered approach to diabetes care for frail older adults, ensuring equity in access to innovations and prioritizing quality of life. It highlights the need for research to fill evidence gaps, refine therapies, and improve healthcare integration for better outcomes in this vulnerable group.</p>","PeriodicalId":49287,"journal":{"name":"European Geriatric Medicine","volume":" ","pages":""},"PeriodicalIF":3.5,"publicationDate":"2025-02-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143516416","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Validation of the Frail-VIG frailty index in geriatric population with femur fracture.","authors":"Gemma Badosa-Collell, Joan Carles Trullàs, Cristina Moreno, Eva Ruiz-Ruiz, Jordi Amblàs-Novellas","doi":"10.1007/s41999-025-01167-2","DOIUrl":"https://doi.org/10.1007/s41999-025-01167-2","url":null,"abstract":"<p><strong>Purpose: </strong>Our aim is to analyse whether the Frail-VIG index (frailty index validated in the geriatric population) maintains its predictive capacity for mortality in geriatric patients with femur fracture (FF).</p><p><strong>Methods: </strong>Observational prospective cohort study including patients over 65 years of age consecutively admitted for FF to a community hospital. Patients were classified according to their frailty degree into three groups: none/initial frailty (Frail-VIG index < 0.36), moderate frailty (Frail-VIG index: 0.36-0.50), and advanced frailty (Frail-VIG index > 0.50). The association between 12-month mortality and frailty was estimated in an adjusted Cox regression model and expressed as hazard ratio (HR) with 95% confidence interval (95% CI). ROC curves were analysed to assess the prognostic capacity of Frail-VIG index. The reliability and feasibility were also assessed.</p><p><strong>Results: </strong>150 patients were included (78% women and mean age 88 years). Patients with advanced frailty had more geriatric syndromes and comorbidities and worse cognitive, emotional, and functional status. In-hospital and 30-day mortality were similar between the three groups. After 12 months of follow-up, all-cause mortality was higher in patients with moderate and advanced frailty with an adjusted HR (95% CI) of 3.1 (1.33-7.43; p = 0.009) and 3.93 (1.52-10.1; p = 0.005), respectively. The under the ROC curve area at 12 months was 0.71 (0.62-0.80). The intraclass correlation coefficient for reliability was 0.891 (0.804-0.891) and the feasibility showed a mean (SD) of 4.83 (1.39) min.</p><p><strong>Conclusion: </strong>The Frail-VIG index has a good predictive capacity for 12-month mortality in geriatric population with FF and also shows very good reliability and feasibility.</p>","PeriodicalId":49287,"journal":{"name":"European Geriatric Medicine","volume":" ","pages":""},"PeriodicalIF":3.5,"publicationDate":"2025-02-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143505309","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The eyes have it! Visual hallucinations with facial distortions during delirium.","authors":"Aayushi Tripathi, Shaun T O'Keeffe","doi":"10.1007/s41999-025-01172-5","DOIUrl":"https://doi.org/10.1007/s41999-025-01172-5","url":null,"abstract":"<p><p>Recurrent complex visual hallucinations (RCVH), particularly of people, are common during delirium and in dementia, especially Lewy body disease, and acquired eye disease. Studies in those with acquired eye disease suggest that facial distortions, with exaggerated eyes and mouths, are a common feature. We report, and discuss the possible mechanism, of two examples of similar facial distortions in hallucinations occurring during delirium, including one where the patient was able to draw what he experienced. The hallucinations in this report are consistent with the Perception and Attention Deficit model for RCVH and suggest that in delirium, where attentiveness is reduced, the eyes and mouth may receive much of the available attentional focus resulting in hallucinated faces with exaggeration of these features.</p>","PeriodicalId":49287,"journal":{"name":"European Geriatric Medicine","volume":" ","pages":""},"PeriodicalIF":3.5,"publicationDate":"2025-02-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143505223","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Identifying long-term patterns and predictors of concurrent psychotropic medicine use in residential aged care using group-based multi-trajectory modelling: the 'MEDTRAC-Psychotropics' longitudinal cohort study.","authors":"Nasir Wabe, Isabelle Meulenbroeks, Desiree Chantelle Firempong, Rachel Urwin, Andrea Timothy, Magdalena Z Raban, Virginia Mumford, Johanna Westbrook","doi":"10.1007/s41999-025-01171-6","DOIUrl":"https://doi.org/10.1007/s41999-025-01171-6","url":null,"abstract":"<p><strong>Purpose: </strong>Psychotropic medicines are commonly used in residential aged care facilities (RACFs) despite notable safety concerns. No prior studies have examined the longitudinal concurrent use of psychotropic medicines. We aimed to identify trajectories of concurrent use of three psychotropic medication classes over time and determine predictors of trajectory group membership for residents with and without dementia.</p><p><strong>Methods: </strong>A retrospective longitudinal cohort study including 30 RACFs in Sydney, Australia. The study participants included 2837 newly admitted permanent residents (n = 1344 with dementia) aged ≥ 65 years. We monitored weekly exposure to three psychotropic classes-antidepressants, antipsychotics, and anxiolytics/hypnotics-over three years. We used group-based multi-trajectory modelling to identify concurrent psychotropic medicine use.</p><p><strong>Results: </strong>At baseline, 38.5%, 19.6%, and 16.7% of residents with dementia received antidepressants, antipsychotics, and anxiolytics/hypnotics, respectively, compared to 32.8%, 7.1%, and 16.5% in residents without dementia. The concurrent use of multiple psychotropic classes occurred in 23.3% of non-dementia and 31.6% of dementia cohorts. The model identified 6-group and 4-group trajectories as the optimal fit for dementia and non-dementia cohorts, respectively. Psychotropic use trajectories mostly remained stable over time in non-dementia cohorts, while dementia cohorts showed more diverse and fluctuating use. Multinomial logistic regressions identified eleven predictors of trajectory membership in dementia and nine in non-dementia cohorts.</p><p><strong>Conclusion: </strong>One in three residents with dementia and one in five without dementia concurrently use multiple psychotropics often for extended periods, which may put residents at risk. Further research should assess the appropriateness of such use and consider strategies for improving health outcomes.</p>","PeriodicalId":49287,"journal":{"name":"European Geriatric Medicine","volume":" ","pages":""},"PeriodicalIF":3.5,"publicationDate":"2025-02-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143505221","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Mortality following hip fracture surgery in patients with dementia: a Swedish multiple national register study.","authors":"Michael Axenhus, Sara J Hägg, Maria Eriksdotter, Margareta Hedström, Dorota Religa","doi":"10.1007/s41999-025-01163-6","DOIUrl":"https://doi.org/10.1007/s41999-025-01163-6","url":null,"abstract":"<p><strong>Purpose: </strong>Hip fractures in older adults are a significant risk factor for morbidity and mortality, with the presence of dementia further complicating outcomes. The purpose of this study was to investigate the association between hip fractures and mortality of patients with dementia and dementia types in comparison to those without dementia following hip fracture surgery.</p><p><strong>Methods: </strong>Utilizing data from the Swedish Hip Fracture Register (SHR), Swedish Registry for Cognitive/Dementia Disorders (SveDem), National Patient Register (NPR), and National Prescribed Drug Register (PDR), we conducted a retrospective analysis of 111,353 patients aged 65 and older who underwent hip fracture surgery between 2010 and 2018. Patients were categorized into two cohorts: those with and without a known diagnosis of dementia prior to the hip fracture. Multivariable Cox regression analyses were used to evaluate mortality risk factors.</p><p><strong>Results: </strong>Of the study sample, 22% had dementia. Dementia patients exhibited higher mortality rates at 30 days with 13% vs. 6%, (p < 0.001), 4 months with 27% vs. 12%, (p < 0.001) and at 1 year with 39% vs. 20%, post-fracture (p < 0.001). Higher ASA grades, poor baseline walking ability, and long-term care residency were also associated with increased mortality. Parkinson's disease dementia was associated with a higher mortality compared to other dementias during the first 4 months post-operatively.</p><p><strong>Conclusion: </strong>Our findings revealed an association between dementia diagnosis and higher risk of mortality following hip fracture surgery. These findings underscore the need for specialized post-operative care. Involving specific post-operative geriatric competence, such as orthogeriatric or orthogeriatric models of care could potentially improve outcomes. Further research is needed to explore the impact of dementia severity and subtype on mortality.</p>","PeriodicalId":49287,"journal":{"name":"European Geriatric Medicine","volume":" ","pages":""},"PeriodicalIF":3.5,"publicationDate":"2025-02-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143484534","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Acute readmissions among care home residents aged 65+ years: a register-based study.","authors":"Gitte Schultz Kristensen, Jens Søndergaard, Karen Andersen-Ranberg, Christian Backer Mogensen","doi":"10.1007/s41999-025-01162-7","DOIUrl":"https://doi.org/10.1007/s41999-025-01162-7","url":null,"abstract":"<p><strong>Purpose: </strong>Care home residents are characterised by multimorbidity, cognitive impairment, and physical disabilities, resulting in a high risk of acute admissions and readmissions. The risk factors for acute readmissions may differ from those affecting older adults in the community. This study aims to identify risk factors associated with acute readmissions among care home residents within 30 days of discharge from an acute hospital admission.</p><p><strong>Methods: </strong>We included all care home residents aged 65 + years living in Southern Jutland in Denmark from 2014 to 2019 who were discharged from their first acute hospital admission (lasting 12 + h) in the study period. Data on baseline characteristics, index admissions, 30-day readmissions, and mortality were obtained from the highly valid Danish national health registries. Cox regression was employed to identify factors associated with acute readmissions.</p><p><strong>Results: </strong>The care home residents had a mean age of 83.9-86.2 at index admission, and 57.0-62.3% were women. Of 2108 initial admissions, 328 (15.6%) resulted in an acute readmission, and 302 (14.3%) died within 30 days of follow-up. Notably, nearly half of the readmissions occurred within 1 week of discharge. Being a new care home resident (care home residency < 3 months) was associated with acute readmission (HR 1.40), as was a medical history of cancer (HR 1.31), diabetes (HR 1.45), atrial fibrillation (HR 1.54), and COPD/asthma (HR 1.36). Conversely, dementia was associated with a significantly lower risk of acute readmission (HR 0.71).</p><p><strong>Conclusion: </strong>Our findings can help identify care home residents at elevated risk of readmission shortly after discharge.</p>","PeriodicalId":49287,"journal":{"name":"European Geriatric Medicine","volume":" ","pages":""},"PeriodicalIF":3.5,"publicationDate":"2025-02-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143469675","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}