Abstract：
BACKGROUND AND OBJECTIVES:The clinical problems and needs of our oldest old (≥85 years) are often substantially different from those of younger patients, and are arguably different from younger elderly patients (age 65-84). With the increasing number of frail oldest olds residing in Nursing Homes (NH), we aim to identify differences in prognostic indicators and outcomes in this age group compared to younger NH residents. METHODS:We retrospectively identified all consecutive admissions from NHs to an Acute Medical Assessment Unit between January 2005 and December 2007. Admission prognostic indicators and outcomes at follow-up were compared between younger (<85) and older (≥85) age groups. Using multiple regression methods controlling for potential confounders, we compared in-hospital mortality and long-term survival after discharge between the groups. RESULTS:Three hundred and sixteen patients (mean age 84.3, SD 8.34 years) were included (68 % females). Admission characteristics were mostly similar between age groups. In-hospital mortality rates were not significantly different between groups, even after adjusting for possible confounders. Oldest old patients had a significantly greater hazard of dying after discharge (HR 1.37; 1.03-1.83) compared to the younger group after removing explanatory variables with more than 5 % missing data. CONCLUSION:Whilst the admission characteristics are similar between younger and older patients from NHs, there is evidence to suggest worse long-term survival prospects for oldest old patients.
journal_name
Aging Clin Exp Resjournal_title
Aging clinical and experimental researchauthors
Honney K,Trepte NJ,Parker RA,Patel J,Mallinson R,Sultanzadeh SJ,Potter JF,Myint PKdoi
10.1007/s40520-013-0145-3subject
Has Abstractpub_date
2014-04-01 00:00:00pages
153-60issue
2eissn
1594-0667issn
1720-8319journal_volume
26pub_type
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