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[Predictive capacities at the end of hospitalisation in geriatrics of the modified SEGA frailty score: a 6-month prospective study]. | LitMetric

AI Article Synopsis

  • The study aimed to evaluate how well the modified SEGA fragility score can predict outcomes such as nursing home admissions, rehospitalization, falls, and mortality among elderly patients.
  • A cohort of geriatric patients aged 65 and older was monitored for 6 months after leaving the hospital, revealing that fragility status was significantly linked to rehospitalization and falls, although the link to nursing home admissions was not statistically significant.
  • The findings suggest that the SEGA fragility score can help identify patients at risk for negative outcomes and potentially enhance post-hospitalization care.

Article Abstract

Unlabelled: The aim of this study was to describe the predictive role of the modified SEGA fragility score on nursing home admission, rehospitalization, falls and mortality.

Material And Methods: We performed a prospective, single-center cohort study in patients leaving geriatric hospitalization between July 2016 and February 2017, with follow-up at 6 months. Patients 65 years of age and over, returning home, were included. The primary outcome measure was admission to an institution at 6 months. We realized a Cox model to explore the predictive character of the variables.

Results: Thirty-three patients (18.4%), mean age 80.9 years (± 6.5), were not very fragile. At 6 months, 13.5% of the fragile or very fragile patients and 1.2% of the patients who were not very fragile had entered the institution (p = 0.169). Fragility status was statistically significantly associated with rehospitalization at 3 months (p = 0.026) and single or multiple drop at 6 months) month (p = 0.003).

Conclusion: The SEGAm grid would predict the occurrence of derogatory events and improve return home.

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Source
http://dx.doi.org/10.1684/pnv.2019.0827DOI Listing

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