Prognostic value of defining characteristics in frail elderly syndrome: Hospital readmission and mortality outcomes.
Objective: To identify the most relevant clinical characteristics of the nursing diagnosis frail elderly syndrome (FES) in hospitalized patients aged 65 or older and analyze their impact on 9‐month mortality and hospital readmission. Methods: A prospective and prognostic accuracy study was conducted...
| Publicado en: | International Journal of Nursing Knowledge Vol. 35; no. 3; pp. 290 - 298 |
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| Autores principales: | , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Sage Publications Inc.
Jul2024
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=178441592&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 178441592 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 20473087 EUMV jtl: International Journal of Nursing Knowledge issn: 20473087 maglogo: Y pubinfo: dt: Jul2024 vid: 35 iid: 3 pid: 344 pub: Sage Publications Inc. place: Thousand Oaks, California artinfo: ui: 178441592 178441592 178441592 10.1111/2047-3095.12445 178441592 ppf: 290 ppct: 8 formats: tig: atl: Prognostic value of defining characteristics in frail elderly syndrome: Hospital readmission and mortality outcomes. aug: au: Roldán‐Chicano, María T. García‐López, María M. Martínez‐Pacheco, María C. Rodríguez‐Tello, Javier affil: Santa Lucía General University Hospital, Cartagena, Spain sug: subj: Frailty Syndrome Prognosis Frail Elderly Readmission Hospital Mortality Frailty Syndrome Mortality Disease Attributes Hospitalization of Older Persons NANDA Nursing Diagnoses Human Prospective Studies Convenience Sample Scales Logistic Regression ROC Curve Descriptive Statistics Academic Medical Centers Spain Questionnaires Record Review Male Female Self Report Severity of Illness Data Analysis Software Chi Square Test Fisher's Exact Test Mann-Whitney U Test Kruskal-Wallis Test Aged Aged, 80 and Over Odds Ratio Confidence Intervals Models, Statistical Sensitivity and Specificity Cardiac Output, Decreased Hopelessness Self Care Functional Status Activities of Daily Living Hygiene Memory Disorders Fatigue Social Isolation Aged: 65+ years Aged, 80 & over Male Female ab: Objective: To identify the most relevant clinical characteristics of the nursing diagnosis frail elderly syndrome (FES) in hospitalized patients aged 65 or older and analyze their impact on 9‐month mortality and hospital readmission. Methods: A prospective and prognostic accuracy study was conducted in patients aged 65 or older, who were admitted to hospital more than 24 h. A consecutive convenience sampling process was used. Assessment included defining characteristics (DCs) of FES, clinical fraility scale (CFS), frail scale (FS), and 9‐month mortality and hospital readmission. Statistical tests were used to verify associations between variables. Binary logistic regression analysis and area under the curve were used, to identify significant predictors for the outcomes and evaluate the prognostic accuracy of the DCs. Findings: This study involved 150 patients. CFS scored 65 patients (43.3%, confidence interval 95% 35.2% a 51.6) as frail and proved a prognostic value of mortality at 9 month from pre‐frail state (p = 0.020). The mean number of DCs for FES nursing diagnosis was 6.35 (SD = 3.14). Validated tools for measuring frailty were associated with all DCs, excepting nutritional imbalance: below body needs. The hospital readmission during the following 9 months was only statistically related to memory impairment (p = 0.07). Conclusion: Clinical frailty scale showed good results as a predictor of mortality. The study suggests exploring including it, in clinical manifestations of elderly frail syndrome. This study found that only memory impairment defining characteristic was predictive of hospital readmission. Further research should identify other relevant and prognostic clinical manifestations. Implication for nursing practice: These findings highlight the importance of being vigilant on cognitive decline during hospital admissions. The most prevalent and determinant DCs identified in this study indicate that clinical should focus on preserving functional and mental abilities as well as mobility. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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