Cieľ: Mortalita je najtvrdší výstup charakterizujúci závažnosť ochorení a výsledok zdravotnej starostlivosti. Je spájaná najmä so staršími pacientmi. Informácie o 24-hodinovej nemocničnej mortalite (M24) u seniorov hospitalizovaných na nechirurgických pracoviskách sú limitované.

Aim: Mortality is the hardest outcome characterising the severity of diseases and the result of the health care. It is connected mainly with elderly patients (pts.). Information on 24-hours hospital mortality (M24) in seniors admitted to nonsurgical departments is scarce. Patients and methods: In a retrospective observational study, we investigated M24 in pts. of 65 years of age and older, who were discharged from an university geriatric department in years 2016-2018. The identification of diseases which primarily led to M24 and their classification was independently performed by authors from geriatric and internal medicine departments. Results: We proved that M24 is rather frequent (2.3 % out of all hospitalised pts.). There was a 2.4-fold M24 incidence increase from the age 65-69 years up to ≥ 90 years (from 1.4 to 3.3 %). The average age of deceased M24 pts. (n = 101) was 80.8 years and was not different from the age of those who deceased later. The majority of M24 (58.4 %) occurred during the first 12 hours after the admission to the hospital. There were many diseases (n = 25) that primarily led to M24 with dominating cardiovascular pathologies (39.6 %), followed closely by infective diseases (33.7 %). Therapeutically irreversible advanced chronic diseases led to M24 in 15.8 %. There was a higher frequency of acute diseases therapeutically irreversibly decompensating pre-existing diseases (43.6 %) than that of acute diseases incompatible with survival (33.7 %).

1 interná klinika LF UK a UN Bratislava

1 klinika geriatrie LF UK a UN Bratislava

24-hours mortality in seniors hospitalised with medical conditions

Citace poskytuje Crossref.org