AI Article Synopsis
- - The study aimed to measure the rates of in-hospital and early post-discharge mortality among hospitalized patients.
- - A total of 1,451 patients were analyzed, with findings showing 6.4% died during their hospital stay and 15.9% died within four months after leaving the hospital.
- - Key factors linked to higher mortality rates included age, dependency levels, malnutrition, and longer hospital stays, suggesting that targeted interventions could help reduce early post-discharge deaths.
Article Abstract
Background: We sought to quantify in-hospital and early post-discharge mortality rates in hospitalised patients.
Methods: Consecutive adult patients admitted to an internal medicine ward were prospectively enrolled. The rates of in-hospital and 4-month post-discharge mortality and their possible associated sociodemographic and clinical factors (eg Cumulative Illness Rating Scale [CIRS], body mass index [BMI], polypharmacy, Barthel Index) were assessed.
Results: 1,451 patients (median age 80 years, IQR 69-86; 53% female) were included. Of these, 93 (6.4%) died in hospital, while 4-month post-discharge mortality was 15.9% (191/1,200). Age and high dependency were associated (p<0.01) with a higher risk of in-hospital (OR 1.04 and 2.15) and 4-month (HR 1.04 and 1.65) mortality, while malnutrition and length of stay were associated (p<0.01) with a higher risk of 4-month mortality (HR 2.13 and 1.59).
Conclusions: Several negative prognostic factors for early mortality were found. Interventions addressing dependency and malnutrition could potentially decrease early post-discharge mortality.
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Source |
|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11046563 | PMC |
| http://dx.doi.org/10.7861/clinmed.2022-0176 | DOI Listing |
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