Language:

Association between frailty and 30-day outcomes after discharge from hospital

Canadian Medical Association journal (CMAJ), 2015-08, Vol.187 (11), p.799-804 [Peer Reviewed Journal]

2015 Canadian Medical Association or its licensors. ;COPYRIGHT 2015 Joule Inc. ;Copyright 8872147 Canada Inc. Aug 11, 2015 ;2015 8872147 Canada Inc. or its licensors 2015 ;ISSN: 0820-3946 ;EISSN: 1488-2329 ;DOI: 10.1503/cmaj.150100 ;PMID: 26009583 ;CODEN: CMAJAX

Full text available

Citations Cited by

Actions
1. Add to My Research
2. Remove from My Research
3. E-mail
4. Print
5. Permalink
6. Citation
7. EasyBib
8. EndNote
9. RefWorks
10. Delicious
11. Export RIS
12. Export BibTeX

Title:
Association between frailty and 30-day outcomes after discharge from hospital
Author: Kahlon, Sharry ; Pederson, Jenelle ; Majumdar, Sumit R ; Belga, Sara ; Lau, Darren ; Fradette, Miriam ; Boyko, Debbie ; Bakal, Jeffrey A ; Johnston, Curtis ; Padwal, Raj S ; McAlister, Finlay A
Subjects: Activities of daily living ; Admission and discharge ; Adult ; Aged ; Aged, 80 and over ; Analysis ; Canada ; Cause of Death ; Cohort Studies ; Discharge ; Diseases ; Female ; Follow-Up Studies ; Frail Elderly ; Frailty ; Hospital admission and discharge ; Hospitalization - statistics & numerical data ; Hospitals ; Hospitals, Teaching ; Humans ; Length of Stay ; Male ; Middle Aged ; Patient admissions ; Patient Discharge - statistics & numerical data ; Patient Outcome Assessment ; Patient Readmission - statistics & numerical data ; Physiological aspects ; Predictive Value of Tests ; Prospective Studies ; Recurrence (Disease) ; Relapse ; Risk Assessment ; Risk factors ; Severity of Illness Index ; Statistics ; Survival Analysis ; Time Factors
Is Part Of: Canadian Medical Association journal (CMAJ), 2015-08, Vol.187 (11), p.799-804
Description: Readmissions after hospital discharge are common and costly, but prediction models are poor at identifying patients at high risk of readmission. We evaluated the impact of frailty on readmission or death within 30 days after discharge from general internal medicine wards. We prospectively enrolled patients discharged from 7 medical wards at 2 teaching hospitals in Edmonton. Frailty was defined by means of the previously validated Clinical Frailty Scale. The primary outcome was the composite of readmission or death within 30 days after discharge. Of the 495 patients included in the study, 162 (33%) met the definition of frailty: 91 (18%) had mild, 60 (12%) had moderate, and 11 (2%) had severe frailty. Frail patients were older, had more comorbidities, lower quality of life, and higher LACE scores at discharge than those who were not frail. The composite of 30-day readmission or death was higher among frail than among nonfrail patients (39 [24.1%] v. 46 [13.8%]). Although frailty added additional prognostic information to predictive models that included age, sex and LACE score, only moderate to severe frailty (31.0% event rate) was an independent risk factor for readmission or death (adjusted odds ratio 2.19, 95% confidence interval 1.12-4.24). Frailty was common and associated with a substantially increased risk of early readmission or death after discharge from medical wards. The Clinical Frailty Scale could be useful in identifying high-risk patients being discharged from general internal medicine wards.
Publisher: Canada: Joule Inc
Language: English
Identifier: ISSN: 0820-3946
EISSN: 1488-2329
DOI: 10.1503/cmaj.150100
PMID: 26009583
CODEN: CMAJAX
Source: ProQuest One Psychology
Open Access: PubMed Central
Geneva Foundation Free Medical Journals at publisher websites
AUTh Library subscriptions: ProQuest Central
MEDLINE
Directory of Open Access Journals
Alma/SFX Local Collection

Back to results list


INSPIRE LIBRARY - TON DUC THANG UNIVERSITY	(84-028) 37 755 057	Feedback
19 Nguyen Huu Tho St. Dist.7, HCM	thuvien@tdtu.edu.vn	Feedback

Association between frailty and 30-day outcomes after discharge from hospital

2015 Canadian Medical Association or its licensors. ;COPYRIGHT 2015 Joule Inc. ;Copyright 8872147 Canada Inc. Aug 11, 2015 ;2015 8872147 Canada Inc. or its licensors 2015 ;ISSN: 0820-3946 ;EISSN: 1488-2329 ;DOI: 10.1503/cmaj.150100 ;PMID: 26009583 ;CODEN: CMAJAX

Searching Remote Databases, Please Wait