Bril, I. (Ineke) (2016) Onderzoek bij de oudere mens naar factoren gerelateerd aan opnameduur en de kans op heropname. thesis, Medicine.
![[img]](https://umcg.studenttheses.ub.rug.nl/style/images/fileicons/text.png) |
Text
BrilI.pdf Restricted to Registered users only Download (1MB) |
Abstract
Introduction: In the growing group elderly there exists a lot of diversity between individuals, which may be caused, among other things, by the degree of (multi)morbidity. This combination of mental and physical disabilities (also called „frailty‟) makes the assessment of the elderly patient complex and so it is difficult to offer sufficiently individualized care. The aim of this study is to define factors (that can be identified out of the patient) which contribute to the variance in length of hospital stay and readmission to hospital. Furthermore, predictors of (temporary) nursing home placement after hospitalization was examined. The presented assessment is a first start to offer elderly with multiple and complex health problems the right, personalized care. Method: In this retrospective cohort study we examined elderly aged 70 and older, whom have had at least one hospital stay in the Isala Clinics in 2014 for at least 3 ours. Information was collected from available „stuctured data entry‟ data; extra data were derived from the electronic database for a part of the participants. Statistical analyses was carried out using univariate analysis. Results: We included 8203 participants, of which 781 had extra data from electronic database. There were 4085 men and 4118 women with an median age of 78 years (IR 74,0-83,0) and an median socioeconomic status of 0,34 (IR -0,25;0,50). Readmission within 90 days occurred in about one fifth of inpatients. After hospital discharge 77,1% of the elderly went home, 3,7% admitted in rest homes and 8,9% had an transfer to the nursing home. Predictors for readmission were medication for chronic diseases (p = 0,000) and chronic illness (p = 0,044). Medication for chronic diseases was a predictor for length of hospital stay (p = 0,000) just like cognitive impairment (p = 0,021). Nursing home admission before hospitalization is neither a predictor for length of stay or readmission. However, there was a tendency of a shorter length of stay by those who are already admitted in an nursing home. There was a great variance within diagnoses by discharge, what limited the accuracy of length of hospital stay. Conclusion: The presented results are a start in order to clarify the complex needs of the individual frail elderly. Further research is needed to allow early identification of the frail elderly.
| Item Type: | Thesis (Thesis) |
|---|---|
| Supervisor name: | Bilo, Prof. Dr. H.J.G. Internist and Diabetes Kenniscentrum – Isala Klinieken Zwolle |
| Faculty: | Medical Sciences |
| Date Deposited: | 25 Jun 2020 10:39 |
| Last Modified: | 25 Jun 2020 10:39 |
| URI: | https://umcg.studenttheses.ub.rug.nl/id/eprint/117 |
Actions (login required)
 |
View Item |