Risk factors for early emergency hospital readmission in elderly medical patients.

Abstract:

BACKGROUND: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. OBJECTIVE:The aim of this study was to study the risk factors for early emergency readmission in the elderly medical patient. METHODS: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. RESULTS:In bivariate analyses for the risk factors of early emergency readmission, institutional caregiver, 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 = 1.13, 95% CI = 1.08-1.19), no income (OR = 2. 28, 95% CI = 1.19-4.37), adverse drug reaction (OR = 4.19, 95% CI = 1.56-11.2), advanced malignancy (OR = 2.45, 95% CI = 1.37-4.37), congestive heart failure (OR = 1.63, 95% CI = 1.05-2.53), chronic obstructive airways disease (OR = 2.1, 95% CI = 1.47-3.02), end-stage renal failure (OR = 5.48, 95% CI = 1.69-17.75), dysphagia (OR = 3.9, 95% CI = 1.5-10.11) and the number of comorbid diseases (OR = 1.3, 95% CI = 1.13-1.49) were significant risk factors for early emergency readmissions. Living in a private old aged home was associated with a lower risk of readmissions (OR = 0.53, 95% CI = 0. 36-0.93). CONCLUSIONS:Definite medical, functional and socio-economic factors were found to be risk factors for early emergency readmissions in the elderly medical patient. A multiple risk factors intervention approach should be considered in designing future prevention strategies.

journal_name

Gerontology

journal_title

Gerontology

authors

Chu LW,Pei CK

doi

10.1159/000022091

keywords:

subject

Has Abstract

pub_date

1999-07-01 00:00:00

pages

220-6

issue

4

eissn

0304-324X

issn

1423-0003

pii

22091

journal_volume

45

pub_type

杂志文章
  • Effects of aging on muscle fibers and collagen content of the diaphragm: a comparison with the rectus abdominis muscle.

    abstract::Age-related changes of muscle fiber and collagen content of the diaphragm (DIA) and rectus abdominis (RA) muscles were examined in rats aged 1, 4, 8 and 18 months. The cross-sectional areas of all muscle fiber types (I, IIa, IIb) and the amount of collagen in both DIA and RA increased up to the age of 8 months after w...

    journal_title:Gerontology

    pub_type: 杂志文章

    doi:10.1159/000213796

    authors: Rodrigues CJ,Rodrigues Júnior AJ,Bohm GM

    更新日期:1996-01-01 00:00:00

  • Combined effects of cognitive impairment and hypertension on total mortality in elderly people: the Kangwha Cohort study.

    abstract:BACKGROUND:Previous studies have shown links between cognitive impairment and hypertension as well as mortality. However, combined effects of these two conditions on mortality have not been fully explored. OBJECTIVE:To assess the combined effect of cognitive impairment and hypertension on all-cause mortality among the...

    journal_title:Gerontology

    pub_type: 杂志文章

    doi:10.1159/000323759

    authors: Gombojav B,Yi SW,Sull JW,Nam CM,Ohrr H

    更新日期:2011-01-01 00:00:00

  • Do all systems age together?

    abstract:BACKGROUND:Aging changes in different body system are well described, but few studies have considered the relationship between them. OBJECTIVE:The purpose of this study was, therefore, to investigate the interrelationships between markers of aging in different parts of the body. METHODS:A cross-sectional study design...

    journal_title:Gerontology

    pub_type: 杂志文章

    doi:10.1159/000022068

    authors: Aihie Sayer A,Osmond C,Briggs R,Cooper C

    更新日期:1999-01-01 00:00:00

  • Postural influences on urinary incontinence in the elderly.

    abstract::To evaluate the requirement for provocative cystometry in urodynamic investigation in the elderly with urinary incontinence, 100 consecutive patients, who were referred on the basis of defined clinical criteria, were first studied by supine cystometry followed by provocative tests where necessary. The most satisfactor...

    journal_title:Gerontology

    pub_type: 杂志文章

    doi:10.1159/000212791

    authors: Eastwood HD

    更新日期:1986-01-01 00:00:00

  • Study of age changes in the motor units of the first dorsal interosseous muscle in man.

    abstract::The effect of ageing on the threshold firing rate of motor units from the first dorsal interosseous muscle was investigated. Two groups of 9 healthy male subjects between the ages of 20-29 and 60-69 years took part in the study. The threshold firing rate of motor units in young subjects showed close agreement with pre...

    journal_title:Gerontology

    pub_type: 杂志文章

    doi:10.1159/000212939

    authors: Newton JP,Yemm R,McDonagh MJ

    更新日期:1988-01-01 00:00:00

  • Multifactorial memory training with older adults: how to foster maintenance of improved performance.

    abstract::The purpose of this study was to examine the effects of a multifactorial memory training program designed for normal older adults. The multifactorial program involved the training of three components that are critical to memory functioning: recoding operations, attentional functions and relaxation. Two controls groups...

    journal_title:Gerontology

    pub_type: 杂志文章

    doi:10.1159/000213035

    authors: Stigsdotter A,Bäckman L

    更新日期:1989-01-01 00:00:00

  • Systemic diseases in association with microbial species in oral biofilm from elderly requiring care.

    abstract:BACKGROUND:The oral cavity is a reservoir for colonization and infection of systemic organs by pathogenic bacteria. It is understood that aging, tooth eruption, hormonal changes, active disease, oral hygiene, and other factors have an influence on biofilm formation and bacterial accumulation in the oral cavity. OBJECT...

    journal_title:Gerontology

    pub_type: 杂志文章

    doi:10.1159/000071711

    authors: Senpuku H,Sogame A,Inoshita E,Tsuha Y,Miyazaki H,Hanada N

    更新日期:2003-09-01 00:00:00

  • Modelling survivorship kinetics: a two-parameter model.

    abstract::A mathematical model of survivorship kinetics is presented. It takes into account both deterministic and stochastic aspects of survival curves. Earlier reports [Piantanelli: Arch Gerontol Geriatr 1986;5:107-118; Piantanelli: Ann NY Acad Sci 1988; 521:99-109] described a model capable of making distinct predictions on ...

    journal_title:Gerontology

    pub_type: 杂志文章

    doi:10.1159/000213304

    authors: Piantanelli L,Rossolini G,Nisbet R

    更新日期:1992-01-01 00:00:00

  • Socio-Environmental, Lifestyle, Behavioural, and Psychological Determinants of Biological Ageing: The Singapore Longitudinal Ageing Study.

    abstract:INTRODUCTION:The identification of modifiable health span-promoting factors is a public health priority. OBJECTIVE:To explore the socio-environmental, lifestyle, behavioural, and psychological determinants of a clinical phenotypic measure of biological ageing in the Singapore Longitudinal Ageing Study (SLAS) cohort. ...

    journal_title:Gerontology

    pub_type: 杂志文章

    doi:10.1159/000511211

    authors: Ng TP,Zhong X,Gao Q,Gwee X,Chua DQL,Larbi A

    更新日期:2020-01-01 00:00:00

  • No neuron loss from hypothalamic nuclei of old male rats.

    abstract::Neuron density, volume of the area and total neuron number were measured in the medial preoptic area, supraoptic nucleus, paraventricular nucleus, anterior hypothalamic area, ventromedial nucleus, dorsomedial nucleus and arcuate nucleus of the hypothalamus in young adult male rats (3.5-5 months old) and in old male ra...

    journal_title:Gerontology

    pub_type: 杂志文章

    doi:10.1159/000212507

    authors: Peng MT,Hsü HK

    更新日期:1982-01-01 00:00:00

  • Is poly(A) tail length altered by aging or dietary restriction?

    abstract::We examined age- and diet-related alterations in RNA poly(A) tail length using high-resolution gel electrophoresis followed by Northern hybridization. The results demonstrate conclusively that there is no age-related decrease in the size of the Poly(A) tail of RNA isolated from the male Fischer 344 rat. In contrast, o...

    journal_title:Gerontology

    pub_type: 杂志文章

    doi:10.1159/000213527

    authors: Kristal BS,Conrad CC,Richarson A,Yu BP

    更新日期:1993-01-01 00:00:00

  • Complex Gait Is Related to Cognitive Functioning in Older People: A Cross-Sectional Study Providing an Innovative Test.

    abstract:BACKGROUND:Many studies have demonstrated an inverse relationship between gait performance and cognitive impairment. The main purposes of this study were: (1) to design and validate a complex gait test (CGT) in older people, (2) to analyze the effects of age and sex on CGT, and (3) to analyze the association between CG...

    journal_title:Gerontology

    pub_type: 杂志文章

    doi:10.1159/000508245

    authors: Latorre Román PÁ,Muñoz Jiménez M,Salas Sánchez J,Consuegra González P,Moreno Del Castillo R,Herrador Sánchez JA,López Ivanco MDA,Linares Jiménez C,Navas Morales JF,Párraga Montilla JA

    更新日期:2020-01-01 00:00:00

  • How can we not 'lose it' if we still don't understand how to 'use it'? Unanswered questions about the influence of activity participation on cognitive performance in older age--a mini-review.

    abstract::The 'use it or lose it' hypothesis of cognitive aging predicts that engagement in intellectual, social, and physical activities offers protective benefits from age-related cognitive decline and lowers dementia risk. Although this hypothesis has not yet been supported conclusively, there is some empirical evidence in f...

    journal_title:Gerontology

    pub_type: 杂志文章,评审

    doi:10.1159/000264918

    authors: Bielak AA

    更新日期:2010-01-01 00:00:00

  • The pathophysiology of dementia.

    abstract::Dementia is a symptom of a variety of specific structural brain diseases as well as several system degenerations. Alzheimer's disease presently is the commonest cause in the developed world, causing a cortical-subcortical degeneration of ascending cholinergic neurons and large pyramidal cells in the cerebral cortex. C...

    journal_title:Gerontology

    pub_type: 杂志文章

    doi:10.1159/000212832

    authors: Plum F

    更新日期:1986-01-01 00:00:00

  • Physiological and psychological predictors of walking speed in older community-dwelling people.

    abstract:BACKGROUND:Six-metre walking speed (SMWS) is a commonly used test for measuring functional performance in older people. However, apart from lower limb strength, few studies have examined the range of physiological and psychological factors that influence performance in this test. OBJECTIVE:To investigate the relative ...

    journal_title:Gerontology

    pub_type: 杂志文章

    doi:10.1159/000088703

    authors: Tiedemann A,Sherrington C,Lord SR

    更新日期:2005-11-01 00:00:00

  • Are hydrogen breath tests valid in the elderly?

    abstract::Hydrogen breath testing (HBT) is frequently used as an alternative to small bowel aspiration in the diagnosis of small intestinal bacterial overgrowth (SIBO). The role of the glucose HBT was assessed in 30 elderly patients. A positive HBT was recorded in 15 of 20 SIBO cases and 7 of 10 culture negatives (sensitivity 7...

    journal_title:Gerontology

    pub_type: 杂志文章

    doi:10.1159/000213769

    authors: Mac Mahon M,Gibbons N,Mullins E,O'Moore RR,Keane CT,Walsh JB,Coakley D

    更新日期:1996-01-01 00:00:00

  • Effects of Movement-Based Mind-Body Interventions on Physical Fitness in Healthy Older Adults: A Meta-Analytical Review.

    abstract:INTRODUCTION:Declines in physical fitness can notably affect healthy aging of older adults. Multimodal exercise training regimen such as mind-body interventions (MBIs) has been reported to mitigate these aging-related declines of physical function. This meta-analytical review aimed at pooling the effects of MBIs on phy...

    journal_title:Gerontology

    pub_type: meta分析

    doi:10.1159/000512675

    authors: Ebner SA,Meikis L,Morat M,Held S,Morat T,Donath L

    更新日期:2021-01-27 00:00:00

  • Nerve cell loss in the myenteric plexus of the human esophagus in relation to age: a preliminary investigation.

    abstract::Morphometric measurements have been carried out on the human myenteric esophageal neurons at the ages of 20-40 and more than 70 years. The number of neurons decreases after 70 years of age, which is accompanied by an increase in the sizes of the neurons. In percentage terms the decrease in the number of neurons in the...

    journal_title:Gerontology

    pub_type: 杂志文章

    doi:10.1159/000213658

    authors: Meciano Filho J,Carvalho VC,de Souza RR

    更新日期:1995-01-01 00:00:00

  • Is primary biliary cirrhosis a different disease in the elderly?

    abstract::We examined the presenting features, clinical course and prognosis in relation to age in 121 patients with primary biliary cirrhosis (PBC) for a mean follow-up of 4.6 years. 35 patients (29%) were over age 65 years at presentation/detection. There was a higher proportion of patients asymptomatic of liver disease in th...

    journal_title:Gerontology

    pub_type: 杂志文章

    doi:10.1159/000212701

    authors: Lehmann AB,Bassendine MF,James OF

    更新日期:1985-01-01 00:00:00

  • Principles of control and selection in mammalian aging.

    abstract::Acquisition of immunologic self-tolerance by clonal deletion in the thymus is concluded to be a critical process in immune aging and is found to be transiently protected from genetic instability by means of a feedback surveillance which functions at the expense of chronic thymic involution. In the immune control of ma...

    journal_title:Gerontology

    pub_type: 杂志文章,评审

    doi:10.1159/000213604

    authors: Hartwig M

    更新日期:1994-01-01 00:00:00

  • The decrease in noradrenaline concentration in the posterior tibial artery with age.

    abstract::The concentrations of noradrenaline and adrenaline were studied in specimens of the posterior tibial artery obtained from 18 subjects at postmortem examination. The mean noradrenaline concentration was 167 ng/g artery (range 17-449 ng/g) and the mean adrenaline concentration was 5 ng/g (range 0--21 ng/g). There was no...

    journal_title:Gerontology

    pub_type: 杂志文章

    doi:10.1159/000212263

    authors: Neubauer B,Christensen NJ

    更新日期:1978-01-01 00:00:00

  • Predictors of improvement or decline in instrumental activities of daily living among community-dwelling older Japanese.

    abstract:BACKGROUND:To explore predictors of functional improvement or decline in instrumental activities of daily living (IADL) among community-dwelling older people. METHODS:Of all the residents (>or=65 years, n = 1,673) living in Yoita town, Niigata prefecture, Japan, in 2000, 1,544 subjects who participated in the baseline...

    journal_title:Gerontology

    pub_type: 杂志文章

    doi:10.1159/000151221

    authors: Fujiwara Y,Yoshida H,Amano H,Fukaya T,Liang J,Uchida H,Shinkai S

    更新日期:2008-01-01 00:00:00

  • The Longitudinal Relationship of Perceived Stress Predicting Subsequent Decline in Executive Functioning in Old Age Is Attenuated in Individuals with Greater Cognitive Reserve.

    abstract:BACKGROUND:Cognitively stimulating activities contribute to the accumulation of cognitive reserve that is proposed to be instrumental for maintaining cognitive functioning in aging. Adopting a novel, more general conceptual perspective including models of vulnerability, we argue that cognitive reserve may modify the lo...

    journal_title:Gerontology

    pub_type: 杂志文章

    doi:10.1159/000501293

    authors: Ihle A,Rimmele U,Oris M,Maurer J,Kliegel M

    更新日期:2020-01-01 00:00:00

  • Aging and decision-making: a neurocognitive perspective.

    abstract::Neuropsychological research contributes to a better understanding of cognitive mechanisms involved in making advantageous decisions, which is important for everyday life. Using laboratory gambling tasks, it has been demonstrated that both structural and functional brain changes can result in disadvantageous decision-m...

    journal_title:Gerontology

    pub_type: 杂志文章

    doi:10.1159/000248829

    authors: Brand M,Markowitsch HJ

    更新日期:2010-01-01 00:00:00

  • Disorders in peripheral arterial system in asymptomatic elderly: plethysmographic semiology at rest, during postural, effort and pharmacological tests.

    abstract::The vascular system of 30 old asymptomatic patients (average age 62.5 years) was studied by reflection plethysmography. The plethysmogram (PTG) was recorded from the forefinger of the left hand at rest, during two postural tests (+45 degrees arm-up and -45 degrees arm-down), after physical work, and during the infusio...

    journal_title:Gerontology

    pub_type: 杂志文章

    doi:10.1159/000212317

    authors: Strozzi C,Cocco G,Destro A,Padovan G,Abbasciano V,Tosatti S

    更新日期:1979-01-01 00:00:00

  • Protein phosphotransferases from liver of ageing rats.

    abstract::Cyclic AMP-dependent and -independent protein kinase have been isolated from livers of rats at 3, 9, 18 and 30 months of age. A preliminary characterization reported here reveals that in addition to a decrease in their activities due to ageing and a likely shift to cyclic AMP-independent casein kinase activity at 30 m...

    journal_title:Gerontology

    pub_type: 杂志文章

    doi:10.1159/000212605

    authors: Kumar R,Chiero L,Rodriguez D

    更新日期:1984-01-01 00:00:00

  • Zika Virus Infection in the Elderly: Possible Relationship with Guillain-Barré Syndrome.

    abstract::The Zika virus (ZIKV) outbreak in French Polynesia, in 2013, and in Brazil, in 2015, was correlated with neurological complications, which comprised, among others, congenital microcephaly and Guillain-Barré syndrome (GBS), which includes a group of acute autoimmune neuropathies generally reported after respiratory or ...

    journal_title:Gerontology

    pub_type: 杂志文章,评审

    doi:10.1159/000453579

    authors: Savino W,Messias CV,Mendes-da-Cruz DA,Passos P,Ferreira AC,Nascimento OJ

    更新日期:2017-01-01 00:00:00

  • Urinary characteristics and infection in the very aged.

    abstract::In the course of a health survey covering 561 inhabitants of Tampere, Finland, aged 85 or over, morning urine specimens were studied. 82% of the participants were women. Significant bacteriuria was recorded in 27% of the subjects, 13% of the men and 30% of the women. Pyuria was recorded in 47% of the total material. R...

    journal_title:Gerontology

    pub_type: 杂志文章

    doi:10.1159/000212664

    authors: Heinämäki P,Haavisto M,Mattila K,Rajala S

    更新日期:1984-01-01 00:00:00

  • Do subchondral bone changes exacerbate or precede articular cartilage destruction in osteoarthritis of the elderly?

    abstract::Research into the aetiology of osteoarthritis has for several decades been concentrated on the destruction of the articular cartilage, the initiating events being believed to be changes in the proteoglycans and subsequently in the supporting collagenous framework, whereafter the disease is irreversible. Recent evidenc...

    journal_title:Gerontology

    pub_type: 杂志文章,评审

    doi:10.1159/000213866

    authors: Bailey AJ,Mansell JP

    更新日期:1997-01-01 00:00:00

  • Aging and Decision-Making: A Conceptual Framework for Future Research - A Mini-Review.

    abstract::Age differences in decision-making are of theoretical interest and have important practical implications, but relevant lines of work are distributed across multiple disciplines and often lack integration. The present review proposes an overarching conceptual framework with the aim of connecting disjointed aspects of t...

    journal_title:Gerontology

    pub_type: 杂志文章,评审

    doi:10.1159/000485247

    authors: Löckenhoff CE

    更新日期:2018-01-01 00:00:00