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

Aging Clinical and Experimental Research

Volumn 25, Issue 6, 2013, Pages 691-701

  Dagani, Jessica ^a   Ferrari, Clarissa ^a   Boero, Maria Elena ^b   Geroldi, Cristina ^a   Giobbio, Gian Marco ^c   Maggi, Paolo ^c   Melegari, Anna Lucia ^b   Sattin, Guido ^d   Signorini, Matteo ^d   Volpe, Daniele ^d   Zanetti, Orazio ^a   De Girolamo, Giovanni ^a  

^a IRCCS ISTITUTO CENTRO SAN GIOVANNI DI DIO FATEBENEFRATELLI   (Italy)

^b Presidio Ospedaliero Riabilitativo Beata Vergine della Consolata   (Italy)

^c Hospital Sacro Cuore di Gesù   (Italy)

^d San Raffaele Arcangelo Hospital   (Italy)

Author keywords

Clinical outcomes; Geriatrics; Hospitalisation; Risk factors

Indexed keywords

AGED; AGED HOSPITAL PATIENT; ARTICLE; CEREBROVASCULAR ACCIDENT; COGNITIVE DEFECT; COHORT ANALYSIS; DAILY LIFE ACTIVITY; DEMENTIA; FEMALE; FOLLOW UP; FRACTURE; GERIATRIC HOSPITAL; HIGH RISK PATIENT; HOSPITAL DISCHARGE; HOSPITAL READMISSION; HUMAN; IMMOBILIZATION; LENGTH OF STAY; MAJOR CLINICAL STUDY; MALE; MINI MENTAL STATE EXAMINATION; MORTALITY; MOTOR DYSFUNCTION; MOTOR PERFORMANCE; OBSERVATIONAL STUDY; PATIENT ASSESSMENT; PATIENT MONITORING; PREDICTOR VARIABLE; PROSPECTIVE STUDY; SEX DIFFERENCE; TELEPHONE INTERVIEW; VERY ELDERLY; WELLBEING;

AGE FACTORS; AGED; AGED, 80 AND OVER; FEMALE; FOLLOW-UP STUDIES; GERIATRIC ASSESSMENT; HOSPITALIZATION; HUMANS; LENGTH OF STAY; LONGITUDINAL STUDIES; MALE; PATIENT DISCHARGE; PROSPECTIVE STUDIES;

EID: 84892853737     PISSN: 15940667     EISSN: 17208319     Source Type: Journal    
DOI: 10.1007/s40520-013-0153-3     Document Type: Article

References (36)

1. Ministero del Lavoro e delle Politiche Sociali. Rapporto 2010 sulla non sufficienza in Italia. Available at: http://www.lavoro.gov.it/Lavoro/Notizie/ 20100721-Rapporto-nonautosufficienza-2010.htm. Accessed 20 Dec 2012
2. Bernabei R, Landi F, Zuccalà G (2002) Health care for older persons in Italy. Aging Clin Exp Res 14(4):247-251
3. Campbell SE, Seymour DG, Primrose WR et al (2005) A multicentre European study of factors affecting the discharge destination of older people admitted to hospital: analysis of in-hospital data from the ACMEplus project. Age Ageing 34(5):467-475
4. Alarcón T., Bárcena A, González-Montalvo JI, Penãlosa C, Salgado A (1999) Factors predictive of outcome on admission to an acute geriatric ward. Age Ageing 28(5):429-432
5. Astell AJ, Clark SA, Hartley N.T. (2008) Predictors of discharge destination for 234 patients admitted to a combined geriatric medicine/old age psychiatry unit. Int J Geriatr Psychiatry 23(9):903-908
6. Campbell SE, Seymour DG, Primrose WR; ACMEPLUS Project (2004) A systematic literature review of factors affecting outcome in older medical patients admitted to hospital. Age Ageing 33(2):110-115
7. Guerini F, Frisoni GB, Morghen S, Speciale S., Bellelli G, Trabucchi M. (2010) Clinical instability as a predictor of negative outcomes among elderly patients admitted to a rehabilitation ward. J Am Med DirAssoc 11(6):443-448
8. Bellelli G, Magnifico F, Trabucchi M. (2008) Outcomes at 12 months in a population of elderly patients discharged from a rehabilitation unit. J Am Med DirAssoc 9(1):55-64
9. Carosella L, Pahor M, Pedone C., Zuccalà G, Manto A, Carbonin P (1999) Pharmacosurveillance in hospitalized patients in Italy. Study design of the 'Gruppo Italiano di Farmacovigilanza nell'Anziano' (GIFA). Pharmacol Res 40(3):287-295
10. Nobili A, Licata G, Salerno F et al (2011) Polypharmacy, length of hospital stay, and in-hospital mortality among elderly patients in internal medicine wards. The REPOSI study. Eur J Clin Pharmacol 67(5):507-519
11. Folstein MF, Folstein SE, McHugh P.R. (1975) "Mini-mental state". A practical method for grading the cognitive state of patients for the clinician. J Psychiatr Res 12(3):189-198
12. Collin C, Wade DT, Davies S, Horne V. (1988) The Barthel ADL Index: a reliability study. Int Disabil Stud 10(2):61-63
13. Lawton MP, Brody E.M. (1969) Assessment of older people: self-maintaining and instrumental activities of daily living. Gerontologist 9(3):179-186
14. Volicer L, Hurley AC, Lathi D.C., Kowall N.W. (1994) Measurement of severity in advanced Alzheimer's disease. J Gerontol 49(5):M223-M226
15. Tinetti ME, Williams TF, Mayewski R. (1986) Fall Risk Index for elderly patients based on number of chronic disabilities. Am J Med 80:429-434
16. Parker MJ, Currie CT, Thorngren K.G. (1998) Standardised audit of hip fractures in Europe. Hip Int 8:10-15
17. Charlson ME, Pompei P, Ales K.L., MacKenzie C.R. (1987) A new method of classifying prognostic comorbidity in longitudinal studies: development and validation. J Chronic Dis 40(5): 373-383
18. Zekry D, Loures Valle BH, Graf C, et al. (2012) Prospective comparison of 6 comorbidity indices as predictors of 1-year posthospital discharge institutionalization, readmission, and mortality in elderly individuals. J Am Med Dir Assoc 13(3):272-278
19. Cummings JL (1997) The Neuropsychiatric Inventory: assessing psychopathology in dementia patients. Neurology 48(5 Suppl 6):S10-S16
20. Yesavage JA, Brink TL, Rose T.L., et al (1982-1983) Development and validation of a geriatric depression screening scale: a preliminary report. J Psychiatr Res 17(1): 37-49
21. Blaylock A, Cason C. (1992) Discharge planning: predicting patients' needs. J Gerontol Nurs 18(7):5-10
22. Gindin J, Walter-Ginzburg A, Geitzen M, et al (2007) Predictors of rehabilitation outcomes: a comparison of Israeli and Italian geriatric post-acute care (PAC) facilities using the minimum data set (MDS). J Am Med Dir Assoc 8(4):233-242
23. Kales HC, Valenstein M, Kim HM et al (2007) Mortality risk in patients with dementia treated with antipsychotics versus other psychiatric medications. Am J Psychiatry 164(10):1568-1576
24. Gambier N, Simoneau G, Bihry N et al (2012) Efficacy of early clinical evaluation in predicting direct home discharge of elderly patients after hospitalization in internal medicine. South Med J 105(2):63-67
25. Bertozzi B, Barbisoni P, Franzoni S., Rozzini R, Frisoni GB, Trabucchi M. (1996) Factors related to length of stay in a geriatric evaluation and rehabilitation unit. Aging (Milano) 8(3):170-175
26. Di Iorio A., Longo A, Mitidieri Costanza A, et al. (1999) Factors related to the length of in-hospital stay of geriatric patients. Aging (Milano) 11(3):150-154
27. Isaia G, Maero B, Gatti A et al (2009) Risk factors of functional decline during hospitalization in the oldest old. Aging Clin Exp Res 21(6):453-457
28. Zanocchi M, Maero B, Francisetti F et al (2003) Multidimensional assessment and risk factors for prolonged hospitalization in the elderly. Aging Clin Exp Res 15(4):305-309
29. Creditor MC (1993) Hazards of hospitalization of the elderly. Ann Intern Med 118(3):219-223
30. Graf C (2006) Functional decline in hospitalised older adults. Am J Nurs 106(1):58-67
31. Jónsson P.V., Noro A, Finne-Soveri H et al (2008) Admission profile is predictive of outcome in acute hospital care. Aging Clin Exp Res 20(6):533-539
32. Inouye SK, Peduzzi PN, Robison J.T., Hughes JS, Horwitz RI, Concato J. (1998) Importance of functional measures in predicting mortality among older hospitalised patients. JAMA 279(15): 1187-1193
33. Minicuci N, Maggi S, Noale M et al (2003) Predicting mortality in older patients. The VELCA Study. Aging Clin Exp Res 15(4):328-335
34. Marengoni A, Nobili A, Romano V et al (2013) Adverse clinical events and mortality during hospitalization and 3 months after discharge in cognitively impaired elderly patients. J Gerontol A Biol Sci Med Sci 68(4):419-425
35. Librero J, Peiro S, Ordinana R. (1999) Chronic comorbidity and outcomes of hospital care: length of stay, mortality, and readmission at 30 and 365 days. J Clin Epidemiol 52:171-179
36. Bellelli G, Bernardini B, Pievani M., Frisoni GB, Guaita A, Trabucchi M. (2012) A score to predict the development of adverse clinical events after transition from acute hospital wards to post-acute care settings. Rejuvenation Res 15(6):553-563