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Verfasst von:Werner, Christian [VerfasserIn]   i
 Sturm, Melanie [VerfasserIn]   i
 Heldmann, Patrick [VerfasserIn]   i
 Fleiner, Tim [VerfasserIn]   i
 Bauer, Jürgen M. [VerfasserIn]   i
 Hauer, Klaus [VerfasserIn]   i
Titel:Predictors of 2-year post-discharge mortality in hospitalized older patients
Verf.angabe:Christian Werner, Melanie Sturm, Patrick Heldmann, Tim Fleiner, Jürgen M. Bauer and Klaus Hauer
E-Jahr:2024
Jahr:27 February 2024
Umfang:9 S.
Fussnoten:Gesehen am 29.07.2024
Titel Quelle:Enthalten in: Journal of Clinical Medicine
Ort Quelle:Basel : MDPI, 2012
Jahr Quelle:2024
Band/Heft Quelle:13(2024), 5, Artikel-ID 1352, Seite 1-9
ISSN Quelle:2077-0383
Abstract:Background: Understanding prognostic factors for adverse health outcomes is clinically relevant for improving treatment decision-making processes, potentially leading to enhanced patient prognosis. This secondary analysis of a prospective observational study aimed to identify independent factors associated with 2-year post-discharge mortality in acutely hospitalized older patients. Methods: All-cause mortality and date of death of 115 patients (83.3 ± 6.3 years, females: n = 75, 65.2%) admitted to acute geriatric wards were determined two years after hospital discharge through telephone interviews. Potential prognostic factors measured at hospital admission included demographic and clinical characteristics, nutritional, cognitive, and psychological status, Fried frailty phenotype, functioning in activities of daily living, locomotor capacity, and 24 h in-hospital mobility and objectively measured physical activity (PA) behaviors. Results: The 2-year mortality rate was 36.7% (n = 41). Univariate and multivariate Cox proportional hazards regression models revealed that mean daily PA level (hazards ratio (HR) = 0.59, 95% confidence interval (CI) 0.90-1.00; p = 0.042), frailty (HR = 3.39, 95% CI 1.20-9.51; p = 0.020), and underweight, in contrast to overweight (HR = 3.10, 95% CI 1.07-9.01; p = 0.038), at hospital admission were independently predictive of post-discharge mortality. Conclusion: PA, frailty, and underweight at hospital admission should be considered when evaluating long-term survival prognosis, establishing risk profiles, and developing personalized care pathways in acute hospital care of older adults.
DOI:doi:10.3390/jcm13051352
URL:Bitte beachten Sie: Dies ist ein Bibliographieeintrag. Ein Volltextzugriff für Mitglieder der Universität besteht hier nur, falls für die entsprechende Zeitschrift/den entsprechenden Sammelband ein Abonnement besteht oder es sich um einen OpenAccess-Titel handelt.

kostenfrei: Volltext: https://doi.org/10.3390/jcm13051352
 kostenfrei: Volltext: https://www.mdpi.com/2077-0383/13/5/1352
 DOI: https://doi.org/10.3390/jcm13051352
Datenträger:Online-Ressource
Sprache:eng
Sach-SW:geriatrics
 hospitalization
 mobility
 mortality
 risk factors
K10plus-PPN:1896769667
Verknüpfungen:→ Zeitschrift

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