Vital signs as determinants of immediate and longer term mortality outcome of patients admitted from Nursing Homes

Aging Clinical and Experimental Research

Volumn 23, Issue 4, 2011, Pages 309-315

  Myint, Phyo K ^a,b   Trepte, Nicola J B ^c   Parker, Richard A ^d   Sultanzadeh, Sayed J ^e   Patel, Jasmine ^c   Mallinson, Robert ^c   Potter, John F ^a,b  

^a NORFOLK AND NORWICH UNIVERSITY HOSPITAL   (United Kingdom)

^b UNIVERSITY OF EAST ANGLIA   (United Kingdom)

^c IPSWICH HOSPITAL   (United Kingdom)

^d UNIVERSITY OF CAMBRIDGE   (United Kingdom)

^e Doncaster and Bassetlaw Hospitals NHS Foundation Trust   (United Kingdom)

Author keywords

Acute admissions; Length of stay mortality; Nursing home; Outcome; Vital signs

Indexed keywords

AGED; ARTICLE; BODY TEMPERATURE; BREATHING RATE; CLINICAL DECISION MAKING; COHORT ANALYSIS; FEMALE; GLASGOW COMA SCALE; HOSPITAL READMISSION; HUMAN; LENGTH OF STAY; MAJOR CLINICAL STUDY; MALE; MORTALITY; NURSING HOME PATIENT; OUTCOME ASSESSMENT; PROGNOSIS; PULSE RATE; SURVIVAL TIME; SYSTOLIC BLOOD PRESSURE; UNITED KINGDOM; VITAL SIGN;

AGED; AGED, 80 AND OVER; FEMALE; GREAT BRITAIN; HOSPITAL MORTALITY; HOSPITALIZATION; HUMANS; KAPLAN-MEIER ESTIMATE; LENGTH OF STAY; MALE; MIDDLE AGED; NURSING HOMES; PROGNOSIS; PROSPECTIVE STUDIES; RETROSPECTIVE STUDIES; VITAL SIGNS;

EID: 84855424072     PISSN: 15940667     EISSN: 17208319     Source Type: Journal    
DOI: 10.3275/7622     Document Type: Article

References (19)

1. Subbe CP, Kruger M, Rutherford P, Gemmel L. Validation of a modified Early Warning Score in medical admissions. Q J Med 2001; 94: 521-6. (Pubitemid 32998342)
2. Paterson R, MacLeod DC, Thetford D et al. Prediction of in-hospital mortality and length of stay using an early warning scoring system: clinical audit. Clin Med 2006; 6: 281-4. (Pubitemid 43954028)
3. Groarke JD, Gallagher J, Stack J et al. Use of an admission Early Warning Score to predict patient morbidity and mortality and treatment success - a prospective cohort study. Eur J Intern Med 2008; 19: e8.
4. Cei M, Bartolomei C, Mumoli N. In-hospital mortality and morbidity of elderly medical patients can be predicted at admission by the Modified Early Warning Score: a prospective study. Int J Clin Pract 2009; 63: 591-5.
5. Rubinstein LZ, Ouslander JG, Wieland D. Dynamics and clinical implications of the nursing home-hospital interface. Clin Geriatr Med 1988; 4: 471-91. (Pubitemid 19057483)
6. Leach D, Tumberg L. Coping with emergency admissions. Royal College of Physicians of London, March 1997.
7. Beringer TR, Flanagan P. Acute medical bed usage by nursing home residents. Ulster Med J 1999; 68: 27-9.
8. Finucane PM, Wundke R, Whitehead C, Williamson L, Baggoley CJ. Profile of people referred to an emergency department from residential care. Aust NZ J Med 1999; 29: 494-9. (Pubitemid 29426385)
9. Bowman CE, Elford J, Dovey J, Campbell S, Barrowclough H. Acute hospital admissions from nursing homes: some may be avoidable. Postgrad Med J 2001; 77: 40-2. (Pubitemid 32055948)
10. Ahearn DJ, Jackson TB, McIlmoyle J, Weatherburn AJ. Improving end of life care for nursing home residents: an analysis of hospital mortality and readmission rates. Postgrad Med J 2010; 86: 131-5.
11. Myint PK, Kamath AV, Vowler SL, Maisey DN, Harrison BD. Severity assessment criteria recommended by the British Thoracic Society (BTS) for community-acquired pneumonia (CAP) and older patients. Should SOAR (systolic blood pressure, oxygenation, age and respiratory rate) criteria be used in older people? A compilation study of two prospective cohorts. Age Ageing 2006; 35: 286-91.
12. Myint PK, Al-Jawad M, Chacko SM, Chu GS, Vowler SL, May HM. Prevalence, characteristics and outcomes of people aged 65 years and over with an incidental rise in cardiac troponin I. An observational prospective cohort study. Cardiology 2008; 110: 62-7. (Pubitemid 351489169)
13. Cox DR. Regression models and life tables. J R Stat Soc B 1972; 34: 187-220.
14. Taylor IC, McConnell JG. Admission of nursing home patients to geriatric medical wards. Ulster Med J 1994; 63: 170-5.
15. Koval KJ, Zuckerman JD. Functional recovery after fracture of the hip. J Bone Joint Surg Am 1994; 76: 751-8.
16. Mitchell SL, Kiely DK, Hamel MB. Dying with advanced dementia in the nursing home. Arch Intern Med 2004; 164: 321-6. (Pubitemid 38176474)
17. Menec VH, MacWilliam L, Aoki FY. Hospitalizations and deaths due to respiratory illnesses during influenza seasons: a comparison of community residents, senior housing residents, and nursing home residents. J Gerontol Med Sci 2002; 57A: M629-35.
18. Molloy DW, Guyatt GH, Russo R et al. Systematic implementation of an advance directive program in nursing homes, a randomized controlled trial. JAMA 2000; 283: 1437-44. (Pubitemid 30151822)
19. Mott PD, Barker WH. Hospital and medical use by nursing home patients: the effect of patient care plans. J Am Geriatr Soc 1988; 36: 47-53. (Pubitemid 18021916)