Comparison of a geriatric unit with a general ward in Mexican elders

详细信息	查看全文 | 推荐本文 |

• 作者：Mario Ulises Pé ; rez-Zepeda^a ; Luis Miguel Gutié ; rez-Robledo^a ; Sergio Sá ; nchez-Garcia^b ; Teresa Juá ; rez-Cedillo^b ; Jose Juan Garc&iacute ; a Gonzalez^b ; ^c ; Francisco Franco-Marina^b ; ^d ; ¹ ; Carmen Garc&iacute ; a-Peñ ; a^b ; ^{carmen.garcia@imss.gob.mx} ; ^{mcgarciapena@gmail.com}
• 关键词：Geriatric unit ; Internal medicine ward ; Comprehensive geriatric assessment
• 刊名：Archives of Gerontology and Geriatrics
• 出版年：2012
• 期刊代码：23_01674943
• 类别：med
• 出版时间：May-June, 2012
• 卷：54
• 期：3
• 页码：e370-e375
• 文件大小：171 K

摘要

There is evidence that geriatric services may be more effective in handling problems of the elderly in acute care. We therefore studied a cohort of matched triplets (age, gender and admission diagnosis), to assess the effect of a geriatric service on elderly problems (falls, pressure ulcers, delirium and functional decline). This is a follow up study; comparing a geriatric unit with an internal medicine unit at two hospitals of the Mexican Institute of Social Security (IMSS) in Mexico City. Socio-demographic characteristics, functionality, emotional state, cognitive status, delirium, co-morbidities, diagnosis, number of medications, presence of pressure ulcers and falls, were assessed. We developed a composite variable as a global end-point, including: delirium, falls, mortality, pressure sores and functional decline. 70 patients were included in the geriatric services and 140 in the internal medicine unit. Mean age =72.5卤7 years (卤S.D.), and 52.9%were women. At baseline, only illiteracy, quality of life and the number of medications were statistically different between each group. Fully adjusted multiple logistic conditional regression model found an odds ratio of 0.27 (95%CI 0.1-0.7) for the presence of the composite variable, favoring the geriatric unit. Geriatric units in acute care may be beneficial in different frequent end points in elderly.