Do elderly patients with hip pain following trauma require hospital admission?

BACKGROUND: Chronic obstructive pulmonary disease (COPD) is associated with significant mortality. It is currently the fourth leading cause of death in Canada and the world.OBJECTIVES: To describe the mortality of elderly patients in Ontario after hospital admission for COPD.METHODS: A retrospective cohort study was conducted using the Discharge Abstract Database from the Canadian Institute for Health Information. Patients aged 65 years and older who were admitted to hospital between 2001 and 2004 with primary discharge diagnoses labelled with International Classification of Diseases, Ninth Revision codes 491, 492 and 496 were included in the study.RESULTS: Mortality rates were 8.81, 12.10, 14.53 and 27.72 per 100 COPD hospital admissions at 30, 60, 90 and 365 days after hospital discharge, respectively. Mortality also increased with age, and men had higher rates than women. No significant differences in mortality rates were found between different socioeconomic groups (P>0.05). Patients with shared care of a family physician or general practitioner and a specialist had significantly lower mortality rates than the overall rate (P<0.05), and their rates were approximately one-half the rate of patients with only one physician.CONCLUSIONS: Hospitalization with COPD is associated with significant mortality. Patients who were cared for by both a family physician or general practitioner and a specialist had significantly lower mortality rates than those cared for by only one physician, suggesting that continuous and coordinated care results in better survival.

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BET 2: Do all patients presenting to the emergency department with renal colic require hospital admission?: Table 2

Emergency Medicine Journal ◽

10.1136/emermed-2012-202054.3 ◽

2012 ◽

Vol 29 (12) ◽

pp. 1015-1016 ◽

Cited By ~ 1

Keyword(s):

Emergency Department ◽

Hospital Admission ◽

Renal Colic ◽

Require Hospital Admission

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Physical function of elderly patients with multimorbidity upon acute hospital admission versus 3 weeks post-discharge

Disability and Rehabilitation ◽

10.1080/09638288.2017.1294211 ◽

2017 ◽

Vol 40 (11) ◽

pp. 1280-1287 ◽

Cited By ~ 7

Author(s):

Kjersti Moen ◽

Heidi Ormstad ◽

Marte Sofie Wang-Hansen ◽

Therese Brovold

Keyword(s):

Elderly Patients ◽

Hospital Admission ◽

Physical Function ◽

Acute Hospital ◽

Post Discharge ◽

Acute Hospital Admission

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Baseline Functional Status and One-year Mortality After Hospital Admission in Elderly Patients: a prospective cohort study

Revista de la Facultad de Ciencias Médicas de Córdoba ◽

10.31053/1853.0605.v77.n3.28771 ◽

2020 ◽

Vol 77 (3) ◽

pp. 143-148

Author(s):

Victoria Sáenz ◽

Nicolas Zuljevic ◽

Cristina Elizondo ◽

Iñaki Martin Lesende ◽

Diego Caruso

Keyword(s):

Cohort Study ◽

Elderly Patients ◽

Hospital Admission ◽

Functional Status ◽

Prospective Cohort ◽

Functional Decline ◽

Long Term Outcomes ◽

One Year

Introduction: Hospitalization represents a major factor that may precipitate the loss of functional status and the cascade into dependence. The main objective of our study was to determine the effect of functional status measured before hospital admission on survival at one year after hospitalization in elderly patients. Methods: Prospective cohort study of adult patients (over 65 years of age) admitted to either the general ward or intensive Care units (ICU) of a tertiary teaching hospital in Buenos Aires, Argentina. Main exposure was the pre-admission functional status determined by means of the modified “VIDA” questionnaire, which evaluates the instrumental activities of daily living. We used a multivariate Cox proportional hazards model to estimate the effect of prior functional status on time to all-cause death while controlling for measured confounding. Secondarily, we analyzed the effect of post-discharge functional decline on long-term outcomes. Results: 297 patients were included in the present study. 12.8% died during hospitalization and 86 patients (33.2%) died within one year after hospital discharge. Functional status prior to hospital admission, measured by the VIDA questionnaire (e.g., one point increase), was associated with a lower hazard of all-cause mortality during follow-up (Hazard Ratio [HR]: 0.96; 95% Confidence Interval [CI]: 0.94–0.98). Finally, functional decline measured at 15 days after hospital discharge, was associated with higher risk of all-cause death during follow-up (HR: 2.19, 95% CI: 1.09–4.37) Conclusion: Pre-morbid functional status impacts long term outcomes after unplanned hospitalizations in elderly adults. Future studies should confirm these findings and evaluate the potential impact on clinical decision-making.

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Dangers Inherent in Hospital Admission of Elderly Patients

Gerontologia Clinica ◽

10.1159/000244830 ◽

1964 ◽

Vol 6 (3) ◽

pp. 180-184 ◽

Cited By ~ 1

Author(s):

T.N. Rudd

Keyword(s):

Elderly Patients ◽

Hospital Admission

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Spontaneous Iliopsoas Tendon Rupture: An Uncommon Cause of Hip Pain in Elderly Patients

PM&R ◽

10.1016/j.pmrj.2015.07.007 ◽

2015 ◽

Vol 8 (1) ◽

pp. 75-77

Author(s):

Mohammed Emam ◽

Constantine Farmakidis ◽

Se Won Lee ◽

Stanley F. Wainapel

Keyword(s):

Elderly Patients ◽

Tendon Rupture ◽

Hip Pain ◽

Iliopsoas Tendon

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Associations between Early Surgery and Postoperative Outcomes in Elderly Patients with Distal Femur Fracture: A Retrospective Cohort Study

Journal of Clinical Medicine ◽

10.3390/jcm10245800 ◽

2021 ◽

Vol 10 (24) ◽

pp. 5800

Author(s):

Norio Yamamoto ◽

Hiroyuki Ohbe ◽

Yosuke Tomita ◽

Takashi Yorifuji ◽

Mikio Nakajima ◽

...

Keyword(s):

Postoperative Complications ◽

Elderly Patients ◽

Hospital Admission ◽

Distal Femur ◽

Femur Fracture ◽

Early Surgery ◽

Distal Femur Fracture ◽

Delayed Surgery ◽

Surgery Group ◽

Hospitalization Costs

Previous literature has provided conflicting results regarding the associations between early surgery and postoperative outcomes in elderly patients with distal femur fractures. Using data from the Japanese Diagnosis Procedure Combination inpatient database from April 2014 to March 2019, we identified elderly patients who underwent surgery for distal femur fracture within two days of hospital admission (early surgery group) or at three or more days after hospital admission (delayed surgery group). Of 9678 eligible patients, 1384 (14.3%) were assigned to the early surgery group. One-to-one propensity score matched analyses showed no significant difference in 30-day mortality between the early and delayed groups (0.5% versus 0.5%; risk difference, 0.0%; 95% confidence interval, −0.7% to 0.7%). Patients in the early surgery group had significantly lower proportions of the composite outcome (death or postoperative complications), shorter hospital stays, and lower total hospitalization costs than patients in the delayed surgery group. Our results showed that early surgery within two days of hospital admission for geriatric distal femur fracture was not associated with a reduction in 30-day mortality but was associated with reductions in postoperative complications and total hospitalization costs.

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Variations in the management of diarrhoea induced by cancer therapy: results from an international, cross-sectional survey among European oncologists

ESMO Open ◽

10.1136/esmoopen-2019-000607 ◽

2019 ◽

Vol 4 (6) ◽

pp. e000607 ◽

Cited By ~ 2

Author(s):

Maximilian Kordes ◽

Marco Gerling

Keyword(s):

Hospital Admission ◽

Online Survey ◽

Treatment Guidelines ◽

Adverse Outcomes ◽

Cytotoxic Agents ◽

Common Side Effect ◽

Cross Sectional Survey ◽

Cross Sectional ◽

Require Hospital Admission ◽

Bowel Rest

BackgroundChemotherapy-induced diarrhoea (CID) is a common side effect of cancer treatment. While cytotoxic agents are the main cause of CID, targeted drugs, immunotherapy and radiotherapy can also cause diarrhoea. Patients with severe CID often require hospital admission for intravenous fluid resuscitation and supportive treatment. In other patient populations, such as children with infectious diarrhoea, therapy is based on evidence from randomised-controlled clinical trials. In contrast, few trials have investigated CID management, and hence, treatment guidelines are largely based on expert opinion.MethodsWe conducted an online survey on CID management and institutional routines across Europe to obtain a more detailed picture of current practice in CID treatment. We analysed the responses from a total of 156 clinicians from 83 different medical centres in 31 countries.ResultsCID (any grade) is recognised as a common clinical problem in patients undergoing antitumoral treatment and it can require hospital admission in a substantial subgroup of patients. There is a strong consensus among clinicians as to the choice of resuscitation strategies and drug treatment for severe CID; 85.9% (n=134) of all respondents prefer intravenous crystalloid fluids and 95.5% (n=149) routinely use loperamide. In sharp contrast, we have identified disparities in the use of bowel rest in CID; approximately half of all participants (57.7%; n=90) consider bowel rest in initial CID management, while the remainder (42.3%; n=66) does not.ConclusionsAs previous studies have shown that bowel rest is associated with adverse outcomes in diarrhoea due to causes other than chemotherapy, the results from this survey suggest that further research is needed as to its role in CID.

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