Frailty and risk of re-hospitalisation and mortality for aged care residents following a fall injury hospitalisation

被引:5
作者
Mitchell, Rebecca [1 ]
Ting, Hsuen P. [1 ]
Draper, Brian [2 ,3 ]
Close, Jacqueline [4 ,5 ]
Harvey, Lara [4 ]
Brodaty, Henry [2 ,3 ]
Driscoll, Timothy R. [6 ]
Braithwaite, Jeffrey [1 ]
机构
[1] Macquarie Univ, Australian Inst Hlth Innovat, Level 6,75 Talavera Rd, Sydney, NSW 2109, Australia
[2] Univ New South Wales, Dementia Ctr Res Collaborat, Sch Psychiat, Sydney, NSW, Australia
[3] Univ New South Wales, Ctr Hlth Brain Ageing, Sch Psychiat, Sydney, NSW, Australia
[4] Univ New South Wales, Falls Balance & Injury Res Ctr, Neurosci Res Australia, Sydney, NSW, Australia
[5] Univ New South Wales, Prince Wales Clin Sch, Sydney, NSW, Australia
[6] Univ Sydney, Sch Publ Hlth, Sydney, NSW, Australia
关键词
aged care; comorbidities; fall injury; frailty; NURSING-HOME RESIDENTS; COGNITIVE IMPAIRMENT; HEALTH; READMISSION; PREDICTION; OUTCOMES; INDEX;
D O I
10.1111/ajag.12847
中图分类号
R592 [老年病学]; C [社会科学总论];
学科分类号
03 ; 0303 ; 100203 ;
摘要
Objectives To examine the role of frailty in risk of re-hospitalisation and mortality for aged care residents following a fall injury hospitalisation. Methods Retrospective analysis of linked hospitalisation and aged care data of adults aged >= 65 years residing in aged care. A semi-competing risk analysis examined risk of hospital readmission. Results Residents who had intermediate or high frailty, who were aged 70-79 or 80-89 years, who had 1-2 or >= 3 comorbidities, sustained a hip fracture, and who had either low, moderate or high complex health-care requirements had a higher risk of being readmitted to hospital. Frailty was not associated with mortality for those with no hospital readmission or mortality after readmission. Conclusions Frailty is an important prognostic factor associated with readmission for residents of aged care hospitalised for a fall injury. Frailty screening could assist to identify people at a high risk of re-hospitalisation following a fall injury.
引用
收藏
页码:E44 / E53
页数:10
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