Changes of geriatric syndromes in older adults survived from Intensive Care Unit

被引:20
作者
Tang, Hsin-Ju [1 ,2 ]
Tang, Hsin-Yi [3 ]
Hu, Fang-Wen [4 ]
Chen, Ching-Huey [1 ,5 ]
机构
[1] Natl Cheng Kung Univ, Coll Med, Inst Allied Hlth Sci, Tainan, Taiwan
[2] Chi Mei Med Ctr, Med Intens Care Unit, Tainan, Taiwan
[3] Univ Washington, Sch Nursing, Seattle, WA 98195 USA
[4] Natl Cheng Kung Univ Hosp, Dept Nursing, Tainan, Taiwan
[5] Natl Cheng Kung Univ, Dept Nursing, 1 Univ Rd, Tainan 70101, Taiwan
关键词
Older adults; Geriatric syndromes; Functional decline; Intensive care unit; Katz's functional index; CRITICALLY-ILL; HOSPITALIZATION; DELIRIUM; POLYPHARMACY; OUTCOMES; DISEASE;
D O I
10.1016/j.gerinurse.2016.10.011
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
Nearly 90% of the older adult patients discharged from hospital with a cluster of geriatric syndromes. The patterns of geriatric syndromes in older adult ICU survivors are to be further explored. The aim of this study was to examine the risk factors and patterns of geriatric syndromes among older adult patients before admitting to ICU and throughout their hospitalization. A total of 137 older adult patients (age 76.9 +/- 6.6; 52.6% male) participated in the study. The results showed significant increase in the occurrence of geriatric syndromes from TO (upon ICU admission) to T1 (transition to inpatient care unit), with improvement at 12 (hospital discharge), but did not return to the baseline. The three most prevalent geriatric syndromes were: functional decline, urination incontinence, and defecation incontinence. Polypharmacy was associated with functioning decline. Patients with delirium were six times more likely to be re-admitted to ICU. (C) 2016 Elsevier Inc. All rights reserved.
引用
收藏
页码:219 / 224
页数:6
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