Risk factors for Early emergency hospital readmission in elderly medical patients.
Early emergency readmissions is a common and important problem in the elderly patient.
Identification of the risk factors for early emergency readmissions is needed to prevent this occurring.
The aim of this study was to study the risk factors for early emergency readmission in the elderly medical patient.
A case-control study (sex-and age-matched) was conducted from March to December 1996. 380 elderly (age 65 years or over) medical patients with emergency hospital readmission (within 28 days) and 380 matched controls were recruited from an acute university general hospital in Hong Kong.
Potential risk factors which included demographic, socio-economic, principal medical diseases, comorbid diseases, dysphagia, physical functional status and mental status were studied.
In bivariate analyses for the risk factors of early emergency readmission, institutional carer, previous visiting nurse service, adverse drug reaction, chronic obstructive pulmonary disease, end-stage renal failure, mobility being chair-or bed-bound, dysphagia, use of a nasogastric tube feeding, urinary incontinence and bowel incontinence were significant.
Readmission cases had higher mean number of comorbid diseases, lower mean Barthel Index, higher mean number of impairments in Activities of Daily Living (ADL) tasks and lower mean Abbreviated Mental Test score than controls.
In multivariate logistic regression model, the number of ADL impairments (OR=1. (...)
Mots-clés Pascal : Admission hôpital, Urgence, Facteur risque, Facteur sociodémographique, Hong Kong, Chine, Asie, Personne âgée, Homme, Réadmission hopital
Mots-clés Pascal anglais : Hospital admission, Emergency, Risk factor, Sociodemographic factor, Hong Kong, China, Asia, Elderly, Human
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 99-0387124
Code Inist : 002B27B14C. Création : 22/03/2000.