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Article ; Online: Self-Rated Health as a Predictor of Mortality in Older Adults: A Systematic Review.

Dramé, Moustapha / Cantegrit, Eléonore / Godaert, Lidvine

International journal of environmental research and public health

2023 Volume 20, Issue 5

Abstract: The aim of this study was to investigate the link between self-reported health (SRH) and mortality in older adults. In total, 505 studies were found in PubMed and Scopus, of which 26 were included in this review. In total, 6 of the 26 studies included ... ...

Abstract	The aim of this study was to investigate the link between self-reported health (SRH) and mortality in older adults. In total, 505 studies were found in PubMed and Scopus, of which 26 were included in this review. In total, 6 of the 26 studies included did not find any evidence of an association between SRH and mortality. Of the 21 studies that included community dwellers, 16 found a significant relationship between SRH and mortality. In total, 17 studies involved patients with no specific medical conditions; among these, 12 found a significant link between SRH and mortality. Among the studies in adults with specific medical conditions, eight showed a significant association between SRH and mortality. Among the 20 studies that definitely included people younger than 80 years, 14 found a significant association between SRH and mortality. Of the twenty-six studies, four examined short-term mortality; seven, medium-term mortality; and eighteen, long-term mortality. Among these, a significant association between SRH and mortality was found in 3, 7, and 12 studies, respectively. This study supports the existence of a significant relation between SRH and mortality. A better understanding of the components of SRH might help guide preventive health policies aimed at delaying mortality in the long term.
MeSH term(s)	Humans ; Aged ; Health Status ; Self Report
Language	English
Publishing date	2023-02-21
Publishing country	Switzerland
Document type	Systematic Review ; Journal Article ; Review
ZDB-ID	2175195-X
ISSN	1660-4601 ; 1661-7827
ISSN (online)	1660-4601
ISSN	1661-7827
DOI	10.3390/ijerph20053813
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article: Derivation and validation of a 90-day unplanned hospital readmission score in older patients discharged form a geriatric ward.

Dramé, Moustapha / Hombert, Victor / Cantegrit, Eléonore / Proye, Emeline / Godaert, Lidvine

European geriatric medicine

2022 Volume 13, Issue 5, Page(s) 1119–1125

Abstract: Purpose: To derive and validate a 90-day unplanned hospital readmission (UHR) score based on information available to non-hospital based care providers.: Methods: Retrospective longitudinal study with cross-validation method. Participants were older ... ...

Abstract	Purpose: To derive and validate a 90-day unplanned hospital readmission (UHR) score based on information available to non-hospital based care providers. Methods: Retrospective longitudinal study with cross-validation method. Participants were older adults (≥ 65 years) admitted to a geriatric short-stay department in a general hospital in France. Patients were split into a derivation cohort and a validation cohort. We recorded demographic information, medical history, and concurrent clinical characteristics. The main outcome was 90-day UHR. Data obtained from hospital discharge letters were used in a logistic regression model to construct a predictive score, and to identify risk groups for 90-day UHR. Results: In total, 750 and 250 aged adults were included in both the derivation and the validation cohorts. Mean age was 87.2 ± 5.2 years, most were women (68.1%). Independent risk factors for 90-day UHR were: use of mobility aids (p = .02), presence of dementia syndrome (p = .02), history of recent hospitalisation (p = .03), and discharge to domiciliary home (p = .005). From these four risk factors, three groups were determined: low-risk group (score < 4), medium-risk group (score between 4 and 6), and high-risk group (score ≥ 6). In the derivation cohort the 90-day UHR rates increased significantly across risk groups (14%, 22%, and 30%, respectively). The 90-day UHR score had the same discriminant power in the derivation cohort (c-statistic = 0.63) as in the validation cohort (c-statistic = 0.63). Conclusions: This score makes it possible to identify aged adults at risk of 90-day UHR and to target multidisciplinary interventions to limit UHR for patients discharged from a Geriatric Short-Stay Unit.
MeSH term(s)	Aged ; Aged, 80 and over ; Female ; Hospitalization ; Humans ; Longitudinal Studies ; Male ; Middle Aged ; Patient Discharge ; Patient Readmission ; Retrospective Studies
Language	English
Publishing date	2022-08-30
Publishing country	Switzerland
Document type	Journal Article
ZDB-ID	2556794-9
ISSN	1878-7657 ; 1878-7649
ISSN (online)	1878-7657
ISSN	1878-7649
DOI	10.1007/s41999-022-00687-5
Database	MEDical Literature Analysis and Retrieval System OnLINE