지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2022.11
- 수록면
- 984 - 990 (7page)
- DOI
- 10.3349/ymj.2021.0838
이용수
초록· 키워드
오류제보하기
Purpose: Frail older adults have a higher risk of hospital readmission due to decline in physical, functional, and psychological health status. The impact of readmission on individuals, families, or the healthcare system is tremendously devastating. This study aimed to investigate factors associated with hospital readmission of frail older adults.
Materials and Methods: This was a retrospective descriptive study based on multi-professional health assessments found in elec tronic medical records of patients from a university-affiliated hospital in Seoul, Korea. The participants were 141 older adults who were admitted to the geriatric department with medical problems. Frailty, components of the comprehensive geriatric assess ment including nutrition, physical functions, psychological and cognitive status, clinical data including length of hospital stay, and readmission within 30, 90, and 180 days were collected. Survival analysis was performed, and Cox proportional hazard re gression model was used to investigate the risk factors for readmission.
Results: The statistically significant variables at each time point were slightly different. However, at most time points, disease-relat ed problems (i.e., comorbidities and medications) and body functions (i.e., grip strength and physical activity) were included. The median duration until readmission was 27 days, and grip strength was found to be significantly related to readmission (p=0.020).
Conclusion: After discharge, both medical services to manage the medical condition and intervention to maintain physical func tion are needed to prevent frail older adults from being readmitted to the hospital.
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