Functional Status among Polymedicated Geriatric Inpatients at Discharge: A Population-Based Hospital Register Analysis.

Details

Ressource 1Download: Functional Status among Polymedicated Geriatric Inpatients at Discharge - A Population-Based Hospital Register Analysis.pdf (325.88 [Ko])
State: Public
Version: Final published version
License: CC BY 4.0
Serval ID
serval:BIB_CDB032E3C131
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Functional Status among Polymedicated Geriatric Inpatients at Discharge: A Population-Based Hospital Register Analysis.
Journal
Geriatrics
Author(s)
Pereira F., Wernli B., von Gunten A., Carral MDR, Martins M.M., Verloo H.
ISSN
2308-3417 (Electronic)
ISSN-L
2308-3417
Publication state
Published
Issued date
03/09/2021
Peer-reviewed
Oui
Volume
6
Number
3
Pages
86
Language
english
Notes
Publication types: Journal Article
Publication Status: epublish
Abstract
This study explored and compared the functional status of polymedicated and non-polymedicated geriatric inpatients at hospital discharge. We used a cross-sectional registry of geriatric patients' hospital records from a multi-site public hospital center in Switzerland. The analysis included all inpatients aged 65 years old or more admitted between 1 January 2015 and 31 December 2017 (n = 53,690), of whom 67.5% were polymedicated at hospital discharge, 52.1% were women (n = 18,909), and 42.7% were 75-84 years old (n = 15,485). On average, the polymedicated patients' hospital lengths of stay were six days longer, they presented with more than three comorbidities, and they were prescribed more than nine medications at hospital discharge (p < 0.001). They showed more frequent general mobility decline (43.2% vs. 41.9%), gait disorders (46.2% vs. 43%), fatigue (48.6% vs. 43.4%) and dependence on lower-body care (49.7% vs. 47.6%), and presented a higher malnutrition risk (OR = 1.411; 95%CI 1.263-1.577; p < 0.001). However, the non-polymedicated inpatients had proportionally more physical and cognitive impairments. The comparison of the functional status of polymedicated and non-polymedicated geriatric inpatients at hospital discharge is important for clinicians trying to identify and monitor those who are most vulnerable to functional decline, and to design targeted strategies for the prevention of functional impairment and related adverse health outcomes.
Keywords
cognitive disorders, epidemiology, functional status, hospital discharge, hospital register, older adults, physical impairment, polypharmacy, population-based
Pubmed
Web of science
Open Access
Yes
Create date
04/10/2021 11:36
Last modification date
13/10/2021 6:42
Usage data