Cristin-resultat-ID: 1979076
Sist endret: 8. mars 2022, 15:25
NVI-rapporteringsår: 2022
Resultat
Vitenskapelig artikkel
2022

The association between geriatric treatment and 30-day readmission risk among medical inpatients aged ≥75 years with multimorbidity

Bidragsytere:
  • Marte Sofie Wang-Hansen
  • Hege Kersten
  • Jurate Saltyte Benth og
  • Torgeir Bruun Wyller

Tidsskrift

PLOS ONE
ISSN 1932-6203
e-ISSN 1932-6203
NVI-nivå 1

Om resultatet

Vitenskapelig artikkel
Publiseringsår: 2022
Publisert online: 2022
Volum: 17
Hefte: 1
Artikkelnummer: e0262340
Open Access

Importkilder

Scopus-ID: 2-s2.0-85122638934

Beskrivelse Beskrivelse

Tittel

The association between geriatric treatment and 30-day readmission risk among medical inpatients aged ≥75 years with multimorbidity

Sammendrag

Background: Readmission to hospital is frequent among older patients and reported as a post-discharge adverse outcome. The effect of treatment in a geriatric ward for acutely admitted older patients on mortality and function is well established, but less is known about the possible influence of such treatment on the risk of readmission, particularly in the oldest and most vulnerable patients. Our aim was to assess the risk for early readmission for multimorbid patients > 75 years treated in a geriatric ward compared to medical wards and to identify risk factors for 30-day readmissions. Methods: Prospective cohort study of patients acutely admitted to a medical department at a Norwegian regional hospital. Eligible patients were community-dwelling, multimorbid, receiving home care services, and aged 75+. Patients were consecutively included in the period from 1 April to 31 October 2012. Clinical data were retrieved from the referral letter and medical records. Results: We included 227 patients with a mean (SD) age of 86.0 (5.7) years, 134 (59%) were female and 59 (26%) were readmitted within 30 days after discharge. We found no statistically significant difference in readmission rate between patients treated in a geriatric ward versus other medical wards. In adjusted Cox proportional hazards regression analyses, lower age (hazard ratio (95% confidence interval) 0.95 (0.91-0.99) per year), female gender (2.17 (1.15-4.00)) and higher MMSE score (1.03 (1.00-1.06) per point) were significant risk factors for readmission. Conclusions: Lower age, female gender and higher cognitive function were the main risk factors for 30-day readmission to hospital among old patients with multimorbidity. We found no impact of geriatric care on the readmission rate.

Bidragsytere

Marte Sofie Wang-Hansen

  • Tilknyttet:
    Forfatter
    ved Medisinsk klinikk ved Sykehuset i Vestfold HF
  • Tilknyttet:
    Forfatter
    ved Institutt for klinisk medisin ved Universitetet i Oslo

Hege Kersten

  • Tilknyttet:
    Forfatter
    ved Fag- og forskning ved Sykehuset Telemark HF
  • Tilknyttet:
    Forfatter
    ved Seksjon for farmakologi og farmasøytisk ved Universitetet i Oslo
  • Tilknyttet:
    Forfatter
    ved Nasjonalt senter for aldring og helse ved Sykehuset i Vestfold HF
Aktiv cristin-person

Jurate Saltyte Benth

  • Tilknyttet:
    Forfatter
    ved Klinikk for Helseforskning og psykiatri ved Universitetet i Oslo
  • Tilknyttet:
    Forfatter
    ved Akershus universitetssykehus HF

Torgeir Bruun Wyller

  • Tilknyttet:
    Forfatter
    ved Geriatrisk avdeling ved Universitetet i Oslo
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