In-Hospital Mortality Risk Factors among Hospitalized Geriatric Patients: A Cohort Study on Tertiary Referral Hospital in Indonesia

Introduction. Decreasing fertility rates and increasing life expectancy cause an increase in the population of the elderly, with the number of elderly in the world is estimated to increase from 9.3% in 2020 to 16.0% in 2050. 24.35% of the elderly in Indonesia experience illness, and 8.71% have been...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	Fadhil Abiyyu Yofi, Arlia Ayu Damayanti, Novira Widajanti
Formato:	article
Lenguaje:	ID
Publicado:	Department of Internal Medicine, Faculty of Medicine Universitas Indonesia-Cipto Mangunkusumo Hospital 2021
Materias:	geriatrics hospital outcomes hospitalized patients mortality risk factor Internal medicine RC31-1245
Acceso en línea:	http://dx.doi.org/10.7454/jpdi.v8i3.575 https://doaj.org/article/f3882702319749bf9178efe7ed753af3
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:doaj.org-article:f3882702319749bf9178efe7ed753af3
record_format	dspace
spelling	oai:doaj.org-article:f3882702319749bf9178efe7ed753af32021-11-17T13:56:46ZIn-Hospital Mortality Risk Factors among Hospitalized Geriatric Patients: A Cohort Study on Tertiary Referral Hospital in Indonesiahttp://dx.doi.org/10.7454/jpdi.v8i3.5752406-89692549-0621https://doaj.org/article/f3882702319749bf9178efe7ed753af32021-09-01T00:00:00Zhttp://jurnalpenyakitdalam.ui.ac.id/index.php/jpdi/article/view/575/282https://doaj.org/toc/2406-8969https://doaj.org/toc/2549-0621Introduction. Decreasing fertility rates and increasing life expectancy cause an increase in the population of the elderly, with the number of elderly in the world is estimated to increase from 9.3% in 2020 to 16.0% in 2050. 24.35% of the elderly in Indonesia experience illness, and 8.71% have been hospitalized in one year. This study aimed to determine the risk factors for the death of elderly who were hospitalized. Methods. A retrospective cohort study using secondary data from the medical records of geriatric patients hospitalized during 2017 in a tertiary referral hospital in Indonesia. Using a total sample of 4374 patients over 60 years of age, then selected according to inclusion and exclusion criteria so that a sample of 3095 patients was obtained. This study used bivariate analysis with chi-square test and multivariate analysis with logistic regression to determine the relationship between mortality of hospitalized geriatric patients with gender, age, Length of Stay (LoS), malignancy, Charlson Comorbidity Index (CCI), and the number of rehospitalization in the last year. Results. The following risk factors associated with the mortality of hospitalized geriatric patients: age (OR=1.23, 95% CI 1.1-1.38, p<0.001), LoS (OR=1.43, 95% CI 1.33-1.53, p<0.001), malignancy (OR=1.46, 95% CI 1.1-1.93, p=0.001), CCI (OR=1.18, 95% CI 1.04-1,34, p= 0.009), number of rehospitalizations in the last year (OR= 1.52, 95% CI 1.19-1.93, p=0.008). Conclusions. The increase in age, short LoS, presence of malignancy, high CCI score, and the number of rehospitalizations in the last year affected the mortality of hospitalized geriatric patients. Therefore, it is important to identify the profile and risk factors of elderly patients so that improving treatment outcomes and reducing mortality in hospitalized geriatric patients.Fadhil Abiyyu YofiArlia Ayu DamayantiNovira WidajantiDepartment of Internal Medicine, Faculty of Medicine Universitas Indonesia-Cipto Mangunkusumo Hospitalarticlegeriatricshospital outcomeshospitalized patientsmortalityrisk factorInternal medicineRC31-1245IDJurnal Penyakit Dalam Indonesia, Vol 8, Iss 3, Pp 125-131 (2021)
institution	DOAJ
collection	DOAJ
language	ID
topic	geriatrics hospital outcomes hospitalized patients mortality risk factor Internal medicine RC31-1245
spellingShingle	geriatrics hospital outcomes hospitalized patients mortality risk factor Internal medicine RC31-1245 Fadhil Abiyyu Yofi Arlia Ayu Damayanti Novira Widajanti In-Hospital Mortality Risk Factors among Hospitalized Geriatric Patients: A Cohort Study on Tertiary Referral Hospital in Indonesia
description	Introduction. Decreasing fertility rates and increasing life expectancy cause an increase in the population of the elderly, with the number of elderly in the world is estimated to increase from 9.3% in 2020 to 16.0% in 2050. 24.35% of the elderly in Indonesia experience illness, and 8.71% have been hospitalized in one year. This study aimed to determine the risk factors for the death of elderly who were hospitalized. Methods. A retrospective cohort study using secondary data from the medical records of geriatric patients hospitalized during 2017 in a tertiary referral hospital in Indonesia. Using a total sample of 4374 patients over 60 years of age, then selected according to inclusion and exclusion criteria so that a sample of 3095 patients was obtained. This study used bivariate analysis with chi-square test and multivariate analysis with logistic regression to determine the relationship between mortality of hospitalized geriatric patients with gender, age, Length of Stay (LoS), malignancy, Charlson Comorbidity Index (CCI), and the number of rehospitalization in the last year. Results. The following risk factors associated with the mortality of hospitalized geriatric patients: age (OR=1.23, 95% CI 1.1-1.38, p<0.001), LoS (OR=1.43, 95% CI 1.33-1.53, p<0.001), malignancy (OR=1.46, 95% CI 1.1-1.93, p=0.001), CCI (OR=1.18, 95% CI 1.04-1,34, p= 0.009), number of rehospitalizations in the last year (OR= 1.52, 95% CI 1.19-1.93, p=0.008). Conclusions. The increase in age, short LoS, presence of malignancy, high CCI score, and the number of rehospitalizations in the last year affected the mortality of hospitalized geriatric patients. Therefore, it is important to identify the profile and risk factors of elderly patients so that improving treatment outcomes and reducing mortality in hospitalized geriatric patients.
format	article
author	Fadhil Abiyyu Yofi Arlia Ayu Damayanti Novira Widajanti
author_facet	Fadhil Abiyyu Yofi Arlia Ayu Damayanti Novira Widajanti
author_sort	Fadhil Abiyyu Yofi
title	In-Hospital Mortality Risk Factors among Hospitalized Geriatric Patients: A Cohort Study on Tertiary Referral Hospital in Indonesia
title_short	In-Hospital Mortality Risk Factors among Hospitalized Geriatric Patients: A Cohort Study on Tertiary Referral Hospital in Indonesia
title_full	In-Hospital Mortality Risk Factors among Hospitalized Geriatric Patients: A Cohort Study on Tertiary Referral Hospital in Indonesia
title_fullStr	In-Hospital Mortality Risk Factors among Hospitalized Geriatric Patients: A Cohort Study on Tertiary Referral Hospital in Indonesia
title_full_unstemmed	In-Hospital Mortality Risk Factors among Hospitalized Geriatric Patients: A Cohort Study on Tertiary Referral Hospital in Indonesia
title_sort	in-hospital mortality risk factors among hospitalized geriatric patients: a cohort study on tertiary referral hospital in indonesia
publisher	Department of Internal Medicine, Faculty of Medicine Universitas Indonesia-Cipto Mangunkusumo Hospital
publishDate	2021
url	http://dx.doi.org/10.7454/jpdi.v8i3.575 https://doaj.org/article/f3882702319749bf9178efe7ed753af3
work_keys_str_mv	AT fadhilabiyyuyofi inhospitalmortalityriskfactorsamonghospitalizedgeriatricpatientsacohortstudyontertiaryreferralhospitalinindonesia AT arliaayudamayanti inhospitalmortalityriskfactorsamonghospitalizedgeriatricpatientsacohortstudyontertiaryreferralhospitalinindonesia AT novirawidajanti inhospitalmortalityriskfactorsamonghospitalizedgeriatricpatientsacohortstudyontertiaryreferralhospitalinindonesia
_version_	1718425583989293056

In-Hospital Mortality Risk Factors among Hospitalized Geriatric Patients: A Cohort Study on Tertiary Referral Hospital in Indonesia

Ejemplares similares