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A prospective cohort study of geriatric syndromes among older medical patients admitted to acute care hospitals

Lakhan, Prabha, Jones, Mark, Wilson, Andrew, Courtney, Mary D., Hirdes, John, & Gray, Leonard C. (2011) A prospective cohort study of geriatric syndromes among older medical patients admitted to acute care hospitals. Journal of the American Geriatric Society, 59(11), pp. 2001-2008.

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              Abstract

              OBJECTIVES: To identify the prevalence of geriatric syndromes in the premorbid for all syndromes except falls (preadmission), admission, and discharge assessment periods and the incidence of new and significant worsening of existing syndromes at admission and discharge. DESIGN: Prospective cohort study. SETTING: Three acute care hospitals in Brisbane, Australia. PARTICIPANTS: Five hundred seventy-seven general medical patients aged 70 and older admitted to the hospital. MEASUREMENTS: Prevalence of syndromes in the premorbid (or preadmission for falls), admission, and discharge periods; incidence of new syndromes at admission and discharge; and significant worsening of existing syndromes at admission and discharge. RESULTS: The most frequently reported premorbid syndromes were bladder incontinence (44%), impairment in any activity of daily living (ADL) (42%). A high proportion (42%) experienced at least one fall in the 90 days before admission. Two-thirds of the participants experienced between one and five syndromes (cognitive impairment, dependence in any ADL item, bladder and bowel incontinence, pressure ulcer) before, at admission, and at discharge. A majority experienced one or two syndromes during the premorbid (49.4%), admission (57.0%), or discharge (49.0%) assessment period.The syndromes with a higher incidence of significant worsening at discharge (out of the proportion with the syndrome present premorbidly) were ADL limitation (33%), cognitive impairment (9%), and bladder incontinence (8%). Of the syndromes examined at discharge, a higher proportion of patients experienced the following new syndromes at discharge (absent premorbidly): ADL limitation (22%); and bladder incontinence (13%). CONCLUSION: Geriatric syndromes were highly prevalent. Many patients did not return to their premorbid function and acquired new syndromes.

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              17 citations in Scopus
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              15 citations in Web of Science®

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              ID Code: 47324
              Item Type: Journal Article
              Additional URLs:
              Keywords: Geriatric Syndromes, Hospital
              DOI: 10.1111/j.1532-5415.2011.03663.x
              ISSN: 0002-8614
              Subjects: Australian and New Zealand Standard Research Classification > MEDICAL AND HEALTH SCIENCES (110000) > CLINICAL SCIENCES (110300) > Geriatrics and Gerontology (110308)
              Australian and New Zealand Standard Research Classification > MEDICAL AND HEALTH SCIENCES (110000) > NURSING (111000) > Aged Care Nursing (111001)
              Australian and New Zealand Standard Research Classification > MEDICAL AND HEALTH SCIENCES (110000) > PUBLIC HEALTH AND HEALTH SERVICES (111700) > Epidemiology (111706)
              Divisions: Current > Research Centres > Centre for Health Research
              Current > QUT Faculties and Divisions > Faculty of Health
              Current > Institutes > Institute of Health and Biomedical Innovation
              Current > Schools > School of Nursing
              Copyright Owner: © 2011, Wiley Blackwell and the The American Geriatrics Society
              Copyright Statement: The definitive version is available at www3.interscience.wiley.com
              Deposited On: 30 Nov 2011 09:28
              Last Modified: 05 Dec 2011 11:29

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