Severity of disease in patients admitted for acute care to a general hospital: age and gender differences

Aging Clinical and Experimental Research
Forough RashidiAnette Hylen Ranhoff

Abstract

Debates regarding unnecessary admissions and the benefit of hospitalization of older people for acute care lack data about severity of disease in older compared with younger patients, and comparison of gender. The objective was to assess the severity of illness upon admission in relation to age and gender, in a single-center, prospective observational study. Place was the Emergency room in a general community hospital in Oslo, Norway. Patients were consecutively admitted for acute care from October 1st to December 31st 2006. The Acute Physiological Score (APS), which is part of the Acute Physiology and Chronic Health Evaluation (APACHE II) upon admission, age and gender, were main outcomes. Of a total of 1736 patients admitted, 1565 (90.1%) were included in the study, 918 (58.7%) women and 600 (38.3%) aged 80+ years. Estimate (95% CI) for the age effect on the APS was 0.02 (0.016, 0.024), p<0.0001, which implies that the APS increases by 0.2 for every increase of one year, after adjusting for co-morbidities. The effect of female gender was -0.39 (-0.54, -0.24). Gender difference was highest among patients 80 years and older. Older patients admitted for acute care have a higher severity of disease than younger ones. Males have m...Continue Reading

References

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Jul 10, 2003·Age and Ageing·Ruth E HubbardEd Major
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Nov 24, 2006·Internal and Emergency Medicine·Anette Hylen RanhoffMarco Trabucchi
Apr 24, 2008·Aging Clinical and Experimental Research·Anna OksuzyanKaare Christensen

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Citations

May 28, 2011·BMC Health Services Research·Birgitte GraverholtMonica W Nortvedt
Sep 14, 2010·Tidsskrift for den Norske lægeforening : tidsskrift for praktisk medicin, ny række·Torgeir Bruun Wyller
Oct 3, 2014·Tidsskrift for den Norske lægeforening : tidsskrift for praktisk medicin, ny række·Morten Jensvold, Arnfinn Seim

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