Age, co-morbidity and poor mobility: no evidence of predicting in-patient death and acute hospital length of stay in the oldest old

Background: The oldest old (aged over 90 years) are the fastest growing section of the UK population. Limited data exist regarding the effect of age, location, co-morbidity and physical performance status on outcome of acute illness in this age group. Methods: We performed a prospective study in peo...

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Bibliographic Details
Published in:QJM : An International Journal of Medicine 2011-08, Vol.104 (8), p.671-679
Main Authors: Pai, Y., Butchart, C., Lunt, C.J., Musonda, P., Gautham, N., Soiza, R.L., Potter, J.F., Myint, P.K.
Format: Article
Language:English
Subjects:
Age Factors
Aged, 80 and over
Biological and medical sciences
Comorbidity
England - epidemiology
Female
Forecasting - methods
General aspects
Hospital Mortality - trends
Humans
Length of Stay
Male
Medical sciences
Mobility Limitation
Prospective Studies
Scotland - epidemiology
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Summary:Background: The oldest old (aged over 90 years) are the fastest growing section of the UK population. Limited data exist regarding the effect of age, location, co-morbidity and physical performance status on outcome of acute illness in this age group. Methods: We performed a prospective study in people aged 90 years using hospital audit data in three hospitals in England and Scotland. We examined the characteristics of those admitted over three consecutive calendar months and calculated risk ratios of death and prolonged length of acute hospital stay (>7 days). Results: A total of 419 patients were included in this study (68% female, median age 93 years). There were similarities in presentation and diagnoses, but patients in Scotland (n = 164) were more likely to be admitted from sheltered housing or nursing homes than those in England (n = 255). Patients in England were significantly less likely to be able to mobilize
ISSN:1460-2725
1460-2393
DOI:10.1093/qjmed/hcr028