Predictors of three-month mortality among hospitalized older adults in Togo

被引:8
作者
Gbeasor-Komlanvi, Fifonsi Adjidossi [1 ,2 ]
Tchankoni, Martin Kouame [2 ]
Bakoubayi, Akila Wimima [2 ]
Lokossou, Matthieu Yaovi [2 ]
Sadio, Arnold [1 ,2 ]
Zida-Compaore, Wendpouire Ida Carine [2 ]
Djibril, Mohaman [1 ,3 ]
Belo, Mofou [1 ,4 ]
Agbonon, Amegnona [5 ]
Ekouevi, Didier Koumavi [1 ,2 ]
机构
[1] Univ Lome, Fac Sci Sante, Dept Sante Publ, Lome, Togo
[2] Ctr Africain Rech Epidemiol & Sante Publ, Lome, Togo
[3] Ctr Hosp Univ Sylvanus Olympio, Pavillon Mil, Lome, Togo
[4] Programme Natl Lutte Malad Chron, Lome, Togo
[5] Univ Lome, Lab Physiol Pharmacol, Lome, Togo
关键词
Ageing; Mortality; Hospital; Associated factors; Togo; MEDICAL WARDS; HEALTH-CARE; CAPE-TOWN; UNDERNUTRITION; RATES;
D O I
10.1186/s12877-020-01907-y
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
Background Assessing hospital mortality and its predictors is important as some of these can be prevented through appropriate interventions. Few studies have reported hospital mortality data among older adults in sub-Saharan Africa. The objective of this study was to assess the mortality and associated factors among hospitalized older adults in Togo. Methods We conducted a prospective cohort study from February 2018 to September 2019 among patients >= 50 years admitted in medical and surgical services of six hospitals in Togo. Data were recorded during hospitalization and through telephone follow-up survey within 90 days after admission. The main outcome was all-cause mortality at 3 months. Survival curves were estimated using the Kaplan-Meier method and Cox regression analyses were performed to assess predictors of mortality. Results The median age of the 650 older adults included in the study period was 61 years, IQR: [55-70] and at least one comorbidity was identified in 59.7% of them. The all-cause mortality rate of 17.2% (95%CI: 14.4-20.4) and the majority of death (93.7%) occurred in hospital. Overall survival rate was 85.5 and 82.8% after 30 and 90 days of follow-up, respectively. Factors associated with 3-month mortality were the hospital level in the health pyramid, hospitalization service, length of stay, functional impairment, depression and malignant diseases. Conclusion Togolese health system needs to adjust its response to an aging population in order to provide the most effective care.
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页数:10
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