1. In-hospital death according to dementia diagnosis in acutely ill elderly patients: the REPOSI study
- Author
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Marengoni, A, Corrao, S, Nobili, A, Tettamanti, M, Pasina, L, Salerno, F, Iorio, A, Marcucci, M, Bonometti, F, Mannucci, Pm, SIMI Investigators Tedeschi, A, Rossio, R, Moreo, G, Ferrari, B, Mammarella, A, Raparelli, V, Rondinella, S, Giannico, I, Rasciti, L, Gualandi, S, Monzani, V, Savojardo, V, Fabio, G, Colombo, S, Quercioli, A, Barreca, A, Durante-Mangoni, E, Pinto, D, Incasa, E, Rizzioli, E, Vanoli, M, Casella, G, Musca, G, Cuccurullo, O, Famularo, G, Sajeva, Mr, Picardi, A, Hila, D, Rozzini, R, Giordano, A, Bonelli, A, Dentamaro, G, Gobbo, G, Cazzaniga, M, Gaudenzi, P, Giusto, L, Rizzoni, D, Castoldi, L, Mari, D, Micale, G, Altomare, E, Serviddio, G, Longhini, C, Molino, C, Deidda, S, Cuccuru, Lm, Quagliolo, M, Centenaro, Gr, Pasqui, Al, Puccetti, L, Bertolino, G, Cavallo, P, Bertolini, D, Liberato, Nl, Perciaccante, A, Coralli, A, Anastasio, L, Bertucci, L, Agnelli, G, Macura, A, Morabito, C, Fava, R, Tuttolomondo, A, Di Sciacca, R, Macchini, L, Realdi, A, Fiorentini, A, Tofi, C, Cagnoni, C, Manucra, A, Romanelli, G, Cortellaro, M, Meroni, Mr, Rossi, Dp, Vergani, C, Ogliari, G, Marengoni, A, Corrao, S, Nobili, A, Tettamanti, M, Pasina, L, Salerno, F, Iorio, A, Marcucci, M, Bonometti, F, Mannucci, PM, and SIMI Investigators
- Subjects
Male ,medicine.medical_specialty ,Pediatrics ,Settore MED/09 - Medicina Interna ,MEDLINE ,Charlson index ,Logistic regression ,NO ,older patient ,Sex Factors ,Acute illnesses, Dementia, Hospitalization, Mortality, Older patients ,mental disorders ,medicine ,Dementia ,Humans ,Dementia diagnosis ,Hospital Mortality ,Intensive care medicine ,Aged ,In hospital death ,Aged, 80 and over ,business.industry ,acute illnesses ,Confounding ,Age Factors ,risk of death ,medicine.disease ,Settore MED/45 - Scienze Infermieristiche Generali, Cliniche E Pediatriche ,mortality ,older patients ,acute illnesse ,Psychiatry and Mental health ,Pneumonia ,hospital admission ,Logistic Models ,Acute Disease ,Female ,Geriatrics and Gerontology ,business ,dementia ,hospitalization - Abstract
The aim of the study was to explore the association of dementia with in-hospital OBJECTIVE:The aim of the study was to explore the association of dementia with in-hospital death in acutely ill medical patients. METHODS: Thirty-four internal medicine and 4 geriatric wards in Italy participated in the Registro Politerapie SIMI-REPOSI-study during 2008. One thousand three hundred and thirty two in-patients aged 65 years or older were enrolled. Logistic regression models were used to evaluate the association of dementia with in-hospital death. Socio-demographic characteristics, morbidity (single diseases and the Charlson Index), number of drugs, and adverse clinical events during hospitalization were considered as potential confounders. RESULTS: One hundred and seventeen participants were diagnosed as being affected by dementia. Patients with dementia were more likely to be women, older, to have cerebrovascular diseases, pneumonia, and a higher number of adverse clinical events during hospitalization. The percentage of patients affected by dementia who died during hospitalization was higher than that of patients without dementia (9.4 versus 4.9%). After multiadjustment, the diagnosis of dementia was associated with in-hospital death (OR = 2.1; 95% CI = 1.0-4.5). Having dementia and at least one adverse clinical event during hospitalization showed an additive effect on in-hospital mortality (OR = 20.7; 95% CI = 6.9-61.9). CONCLUSIONS: Acutely ill elderly patients affected by dementia are more likely to die shortly after hospital admission. Having dementia and adverse clinical events during hospital stay increases the risk of death.
- Published
- 2010