Age and ageing
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Multicenter Study
Even a small change can make a big difference: the case of in-hospital cognitive decline and new IADL dependency.
post-hospitalisation functional decline is a widely described phenomenon, yet factors related to new disability in instrumental activities of daily living (IADL) in previously independently functioning older adults are rarely studied. ⋯ decline in SPMSQ score during acute hospitalisation has a detrimental effect on functional decline after acute hospitalisation, defined by incidence IADL dependency. This finding emphasises the need to identify cognitive decline during hospitalisation to allow timely intervention to prevent post-discharge functional decline in this population.
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Multicenter Study
Associations between multimorbidity, healthcare utilisation and health status: evidence from 16 European countries.
with ageing populations and increasing exposure to risk factors for chronic diseases, the prevalence of chronic disease multimorbidity is rising globally. There is little evidence on the determinants of multimorbidity and its impact on healthcare utilisation and health status in Europe. ⋯ multimorbidity is associated with greater healthcare utilisation, worse self-reported health status, depression and reduced functional capacity in European countries. European health systems should prioritise improving the management of patients with multimorbidity to improve their health status and increase healthcare efficiency.
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we hypothesised that chronic widespread pain (CWP), by acting as a potential stressor, may predispose to the development of, or worsening, frailty. ⋯ the presence of CWP is associated with an increased risk of frailty in older European men.
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Multicenter Study Observational Study
The increase in healthcare costs associated with frailty in older people discharged to a post-acute transition care program.
older people are high users of healthcare resources. The frailty index can predict negative health outcomes; however, the amount of extra resources required has not been quantified. ⋯ the frailty index can potentially be used as a tool to estimate the increase in healthcare resources required for different levels of frailty. This information may be useful for quantifying the amount to invest in programs to reduce frailty in the community.
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Multicenter Study
The Multidimensional Prognostic Index predicts in-hospital length of stay in older patients: a multicentre prospective study.
prediction of length of stay (LOS) may be useful to optimise care plans to reduce the negative outcomes related to hospitalisation. ⋯ the MPI is an accurate predictor of LOS in older patients hospitalised with the most frequent diseases.