Differential characteristics in polypathological inpatients in internal medicine departments and acute geriatric units: The PLUPAR study
Díez-Manglano, Jesús ; De Escalante Yangüela, Begoña (Universidad de Zaragoza) ; García-Arilla Calvo, Ernesto ; Ubís Díez, Elena ; Munilla López, Eulalia ; Clerencia Sierra, Mercedes ; Revillo Pinilla, Paz ; Omiste Sanvicente, Teresa
Resumen: Aim
To determine whether there are any differences between polypathological patients attended in Internal Medicine departments and acute Geriatric units.
Methods
A cross-sectional multicenter study was performed. Polypathological patients admitted to an internal medicine or geriatrics department and attended by investigators consecutively between March 1 and June 30, 2011 were included. Data of age, sex, living in a nursing residence or at home, diagnostic category, use of chronic medication, Charlson, Barthel and Lawton–Brody indexes, Pfeiffer questionnaire, delirium during last admission, need of a caregiver, and having a caregiver were gathered. The need of a caregiver was defined when the Barthel index was < 60 or Pfeiffer questionnaire ≥ 3 errors.
Results
471 polypathological patients, 337 from internal medicine and 144 from geriatrics units were included. Geriatrics inpatients were older and more frequently female. Cardiac (62.1% vs 49.6%; p = .01), digestive (8.3% vs 3.0%; p = .04) and oncohematological diseases (30.2% vs 18.8%; p = .01) were more frequent in patients of internal medicine units and neurological (66.2% vs 40.2%; p < .001) and locomotive ones (39.1% vs 20.4%; p < .001) in geriatrics inpatients. Charlson index was higher for internal medicine inpatients [4.0(2.1) vs 3.5(2.1); p = .04). Patients attended in geriatrics scored higher in Pfeiffer questionnaire [5.5(3.7) vs 3.8(3.3); p < .001], and lower in Barthel [38.8(32.5) vs 61.2(34.3); p = .001] and Lawton–Brody indexes [0.9(1.6) vs 3.0(2.9); p < .001], and more frequently needed a caregiver (87.8% vs 53.6%; p < .001) and had it.
Conclusions
There are differences in disease profile and functional and cognitive situation between polypathological patients of internal medicine and geriatrics departments.
Idioma: Inglés
DOI: 10.1016/j.ejim.2013.07.010
Año: 2013
Publicado en: EUROPEAN JOURNAL OF INTERNAL MEDICINE 24, 8 (2013), 767-771
ISSN: 0953-6205
Factor impacto JCR: 2.3 (2013)
Categ. JCR: MEDICINE, GENERAL & INTERNAL rank: 37 / 155 = 0.239 (2013) - Q1 - T1
Tipo y forma: Article (PostPrint)
Área (Departamento): Area Medicina (Dpto. Medicina, Psiqu. y Derm.)
You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use. You may not use the material for commercial purposes. If you remix, transform, or build upon the material, you may not distribute the modified material.
Exportado de SIDERAL (2024-02-09-14:27:43)
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To determine whether there are any differences between polypathological patients attended in Internal Medicine departments and acute Geriatric units.
Methods
A cross-sectional multicenter study was performed. Polypathological patients admitted to an internal medicine or geriatrics department and attended by investigators consecutively between March 1 and June 30, 2011 were included. Data of age, sex, living in a nursing residence or at home, diagnostic category, use of chronic medication, Charlson, Barthel and Lawton–Brody indexes, Pfeiffer questionnaire, delirium during last admission, need of a caregiver, and having a caregiver were gathered. The need of a caregiver was defined when the Barthel index was < 60 or Pfeiffer questionnaire ≥ 3 errors.
Results
471 polypathological patients, 337 from internal medicine and 144 from geriatrics units were included. Geriatrics inpatients were older and more frequently female. Cardiac (62.1% vs 49.6%; p = .01), digestive (8.3% vs 3.0%; p = .04) and oncohematological diseases (30.2% vs 18.8%; p = .01) were more frequent in patients of internal medicine units and neurological (66.2% vs 40.2%; p < .001) and locomotive ones (39.1% vs 20.4%; p < .001) in geriatrics inpatients. Charlson index was higher for internal medicine inpatients [4.0(2.1) vs 3.5(2.1); p = .04). Patients attended in geriatrics scored higher in Pfeiffer questionnaire [5.5(3.7) vs 3.8(3.3); p < .001], and lower in Barthel [38.8(32.5) vs 61.2(34.3); p = .001] and Lawton–Brody indexes [0.9(1.6) vs 3.0(2.9); p < .001], and more frequently needed a caregiver (87.8% vs 53.6%; p < .001) and had it.
Conclusions
There are differences in disease profile and functional and cognitive situation between polypathological patients of internal medicine and geriatrics departments.
Idioma: Inglés
DOI: 10.1016/j.ejim.2013.07.010
Año: 2013
Publicado en: EUROPEAN JOURNAL OF INTERNAL MEDICINE 24, 8 (2013), 767-771
ISSN: 0953-6205
Factor impacto JCR: 2.3 (2013)
Categ. JCR: MEDICINE, GENERAL & INTERNAL rank: 37 / 155 = 0.239 (2013) - Q1 - T1
Tipo y forma: Article (PostPrint)
Área (Departamento): Area Medicina (Dpto. Medicina, Psiqu. y Derm.)
You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use. You may not use the material for commercial purposes. If you remix, transform, or build upon the material, you may not distribute the modified material. Exportado de SIDERAL (2024-02-09-14:27:43)
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