Evidence map›Paper›PMID 37330922›Full record

ArticleAging clinical and experimental research2023

Outcome of patients older than 85 years hospitalized in a neurology unit.

Giacomo Querzola, Andrea Bellomo, Emilia Salvadori, Leonardo Pantoni

Abstract read
In one paragraph

Article in Aging clinical and experimental research, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

4 authors.

Giacomo Querzola *Department of Biomedical and Clinical Sciences, University of Milan, Milan, Italy.
Andrea Bellomo *Department of Biomedical and Clinical Sciences, University of Milan, Milan, Italy.
Emilia Salvadori *NEUROFARBA Department, Neuroscience Section, University of Florence, Florence, Italy.
Leonardo PantoniDepartment of Biomedical and Clinical Sciences, University of Milan, Milan, Italy. leonardo.pantoni@unimi.it.ORCID http://orcid.org/0000-0001-7357-8530

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAdvanced age is a major determinant of mortality and poor outcome at any level. In hospitalized patients, advanced age is a major issue in terms of prognosis, resource use, and therapeutic choices.

aimsWe aimed at assessing the 1 year outcome of elderly patients admitted to a neurology unit for various acute conditions.

methodsConsecutive patients admitted to a neurology unit were enrolled and followed-up at 3, 6, and 12 months with structured phone interviews gathering information about mortality, disability, hospital readmissions, and place of residency. Inclusion criteria were age ≥ 85 years, availability of written consent and phone contact; no exclusion criteria were applied.

resultsOver a period of 16 months, 131 patients (88.8 ± 3.3, 92 females, 39 males) were admitted. The pre-hospitalization modified Rankin Scale (mRS) median (IQR) score, obtainable in 125 patients, was 2 (0, 3) and > 3 in 28/125 (22.4%) patients. Fifty-eight (46.8%) patients had pre-existing dementia (this information was missing for one patient). Eleven patients died during hospitalization. Of the 120 discharged patients, 60 (50%) were alive at 12 months, 41 died during follow-up (34.2%), and 19 (15.8%) were lost. At 12 months, out of the 60 alive patients, 29 (48.3%) had a mRS > 3. We did not detect predictors of 12-month survival. Predictors of 12-month worsening of functional status were pre-hospitalization mRS, pre-existing cognitive impairment, and male sex.

conclusionsOne-year mortality of elderly patients admitted to a neurology unit is extremely high. After one year, less than one fourth of elderly patients hospitalised for an acute neurological disease are left with only no-to-moderate disability.

Indexed as

HospitalizationNeurologyAgedAged, 80 and overFemaleHumansMalePatient DischargePatient ReadmissionPrognosisAgingElderlyFrailtyHospitalizationNeurological diseasesOutcome

Identifiers

PMID37330922
PMCPMC10363031

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