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One‐year mortality among newly admitted older patients in a long‐term care hospital in South Korea

Objectives Older Korean people's admission to long‐term care (LTC) hospitals is increasing. This study aimed to investigate one‐year mortality and related factors among older patients admitted to a LTC hospital. Methods Medical records of 330 patients admitted to a LTC hospital in 2014 were rev...

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Published in:Australasian journal on ageing 2018-09, Vol.37 (3), p.232-235
Main Authors: Kim, Mi Sook, Shin, Dong‐Soo, Kim, SookNyeo
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container_title Australasian journal on ageing
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creator Kim, Mi Sook
Shin, Dong‐Soo
Kim, SookNyeo
description Objectives Older Korean people's admission to long‐term care (LTC) hospitals is increasing. This study aimed to investigate one‐year mortality and related factors among older patients admitted to a LTC hospital. Methods Medical records of 330 patients admitted to a LTC hospital in 2014 were reviewed. Factors related to death were identified using the Cox proportional hazards model. Results About 35% of the patients died within a year, and their average length of survival was 42.3 (SD = 68.4) days. Predictors of mortality within one year were as follows: cancer (hazard ratio (HR) = 3.04); aged 85 and older (HR = 2.61); dependency: K‐ADL ≥ 21 (HR = 2.14); male sex (HR = 1.95); respiratory disease (HR = 1.68); cognitive function (HR = 1.65); and abnormal serum sodium level (HR = 1.65). Conclusion At admission, proper assessment and planning for older patients at risk are beneficial to minimise negative consequences. The roles of LTC hospitals need further discussion.
doi_str_mv 10.1111/ajag.12567
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This study aimed to investigate one‐year mortality and related factors among older patients admitted to a LTC hospital. Methods Medical records of 330 patients admitted to a LTC hospital in 2014 were reviewed. Factors related to death were identified using the Cox proportional hazards model. Results About 35% of the patients died within a year, and their average length of survival was 42.3 (SD = 68.4) days. Predictors of mortality within one year were as follows: cancer (hazard ratio (HR) = 3.04); aged 85 and older (HR = 2.61); dependency: K‐ADL ≥ 21 (HR = 2.14); male sex (HR = 1.95); respiratory disease (HR = 1.68); cognitive function (HR = 1.65); and abnormal serum sodium level (HR = 1.65). Conclusion At admission, proper assessment and planning for older patients at risk are beneficial to minimise negative consequences. The roles of LTC hospitals need further discussion.</description><identifier>ISSN: 1440-6381</identifier><identifier>EISSN: 1741-6612</identifier><identifier>DOI: 10.1111/ajag.12567</identifier><identifier>PMID: 30028560</identifier><language>eng</language><publisher>Australia</publisher><subject>Age Factors ; Aged ; Aged, 80 and over ; Cause of Death ; Female ; Geriatric Assessment ; Hospital Mortality ; Hospitals ; Humans ; Length of Stay ; Long-Term Care ; Male ; mortality ; Patient Admission ; Patient Discharge ; Pilot Projects ; Prognosis ; Republic of Korea - epidemiology ; Risk Factors ; Time Factors</subject><ispartof>Australasian journal on ageing, 2018-09, Vol.37 (3), p.232-235</ispartof><rights>2018 AJA Inc.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c2887-b3d3c1490e112ccb658ba632cdd2b65935c52dd65778d2c86c71954f44aab2d53</cites><orcidid>0000-0002-5289-3571</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27901,27902</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/30028560$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Kim, Mi Sook</creatorcontrib><creatorcontrib>Shin, Dong‐Soo</creatorcontrib><creatorcontrib>Kim, SookNyeo</creatorcontrib><title>One‐year mortality among newly admitted older patients in a long‐term care hospital in South Korea</title><title>Australasian journal on ageing</title><addtitle>Australas J Ageing</addtitle><description>Objectives Older Korean people's admission to long‐term care (LTC) hospitals is increasing. This study aimed to investigate one‐year mortality and related factors among older patients admitted to a LTC hospital. Methods Medical records of 330 patients admitted to a LTC hospital in 2014 were reviewed. Factors related to death were identified using the Cox proportional hazards model. Results About 35% of the patients died within a year, and their average length of survival was 42.3 (SD = 68.4) days. Predictors of mortality within one year were as follows: cancer (hazard ratio (HR) = 3.04); aged 85 and older (HR = 2.61); dependency: K‐ADL ≥ 21 (HR = 2.14); male sex (HR = 1.95); respiratory disease (HR = 1.68); cognitive function (HR = 1.65); and abnormal serum sodium level (HR = 1.65). Conclusion At admission, proper assessment and planning for older patients at risk are beneficial to minimise negative consequences. 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This study aimed to investigate one‐year mortality and related factors among older patients admitted to a LTC hospital. Methods Medical records of 330 patients admitted to a LTC hospital in 2014 were reviewed. Factors related to death were identified using the Cox proportional hazards model. Results About 35% of the patients died within a year, and their average length of survival was 42.3 (SD = 68.4) days. Predictors of mortality within one year were as follows: cancer (hazard ratio (HR) = 3.04); aged 85 and older (HR = 2.61); dependency: K‐ADL ≥ 21 (HR = 2.14); male sex (HR = 1.95); respiratory disease (HR = 1.68); cognitive function (HR = 1.65); and abnormal serum sodium level (HR = 1.65). Conclusion At admission, proper assessment and planning for older patients at risk are beneficial to minimise negative consequences. 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subjects Age Factors
Aged
Aged, 80 and over
Cause of Death
Female
Geriatric Assessment
Hospital Mortality
Hospitals
Humans
Length of Stay
Long-Term Care
Male
mortality
Patient Admission
Patient Discharge
Pilot Projects
Prognosis
Republic of Korea - epidemiology
Risk Factors
Time Factors
title One‐year mortality among newly admitted older patients in a long‐term care hospital in South Korea
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