Outcomes of hospitalized elderly patients with geriatric syndrome: report of a community hospital reform plan in Taiwan
Journal
Archives of Gerontology and Geriatrics
Journal Volume
50
Pages
S30-S33
Date Issued
2010
Abstract
The purpose of this study was to evaluate the outcomes of elderly inpatients with geriatric syndromes. A prospective study involving patients aged 65 years and older in 12 community hospitals was performed. Baseline data, which included demographic characteristics, mini mental status exam, geriatric depression scale (GDS), mini nutritional assessment (MNA), activities of daily living (ADL), and instrumental activities of daily living (IADL), were collected in geriatric assessments. The primary outcome was functional deterioration; additional outcomes included mortality, re-hospitalization, and emergency department visits, as identified by telephone interview and chart review. A total of 1,008 patients were recruited: 31.2% of the participants were ADL intact, 21.3% were IADL-intact, 11.5% had depression, 29.3% had nutritional problems, and 60.3% had impaired cognition at baseline. During follow-up, 172 patients (19.3%) died, 43.8% reported ADL deterioration, and 45.9% reported IADL deterioration. On multivariate analysis, older age, low mini mental state examination (MMSE) score, and low MNA score were predictors of functional deterioration. Under the interdisciplinary team care of the Community Hospital Reform Plan (CHRP), most of the elderly patients maintained or increased their functional capacity; the one-year mortality rate was higher than that of the general population but lower than that of other studies targeting the frail elderly. ? 2010 Elsevier Ltd
SDGs
Other Subjects
aged; article; cognitive defect; community care; daily life activity; elderly care; female; health care policy; health status; hospitalization; human; male; neuropsychological test; organization and management; outcome assessment; prospective study; statistics; syndrome; Taiwan; Activities of Daily Living; Aged; Cognition Disorders; Community Health Services; Female; Health Care Reform; Health Services for the Aged; Health Status; Hospitalization; Humans; Male; Neuropsychological Tests; Outcome Assessment (Health Care); Prospective Studies; Severity of Illness Index; Syndrome; Taiwan
Publisher
Elsevier Ireland Ltd
Type
journal article