Geriatric Syndromes and Their Relationship with Mortality in a Population of Mexican Older Adults Aged 65 and Over, Admitted to the Emergency Department of a Second-Level Care Hospital
Abstract
:1. Introduction
2. Materials and Methods
2.1. Study Population
2.2. Data Collection
Geriatric Assessment
2.3. Statistical Analysis
2.4. Ethical Considerations
3. Results
3.1. Sociodemographic Characteristics and Clinical History of the Patients
3.2. Geriatric Assessment
3.3. Geriatric Syndromes and Their Relationship with Mortality
4. Discussion
5. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Conflicts of Interest
References
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Variable | Values | |
---|---|---|
Age | 75.76 (±7.71) | |
Sex | Men | 105 (52.00) |
Women | 97 (48.00) | |
Marital Status | Married | 101 (50.00) |
Single | 85 (42.10) | |
Widowed | 13 (6.40) | |
Common-law marriage | 3 (1.50) | |
Employment status | Retired | 117 (57.90) |
Household | 49 (24.30) | |
Unemployed | 23 (11.40) | |
Employed | 13 (6.40) | |
Family nucleus | Nuclear family | 108 (53.50) |
Children’s home address | 68 (33.70) | |
Lives alone | 22 (10.90) | |
Retirement home | 4 (2.00) | |
Hospital arrival | Own motor vehicle | 122 (60.40) |
Ambulance | 49 (24.30) | |
Regulated fare transportation | 28 (13.90) | |
Public transportation network | 2 (1.00) | |
Walking | 1 (0.50) | |
Companion | Son/daughter | 127 (62.90) |
Spouse | 47 (23.30) | |
Other family members | 20 (9.90) | |
Other non-family person | 8 (4.00) | |
Source of income | Own work | 13 (6.40) |
Non-contributory pensions | 188 (93.10) |
Comorbidities | Values | p-Value |
---|---|---|
Diabetes Mellitus | 92 (45.50) | 0.016 b |
Moderate/Severe Chronic Kidney Disease | 79 (39.10) | 0.570 a |
Benign Prostatic Hyperplasia | 30 (14.90) | 0.320 b |
Chronic Obstructive Pulmonary Disease | 29 (14.40) | 0.176 b |
Cerebrovascular Event | 25 (12.40) | 0.720 b |
Acute Myocardial Infarction | 21 (10.40) | 1.000 b |
Neoplasms | 19 (9.40) | 0.027 b |
Peripheral Vascular Disease | 17 (8.40) | 0.385 b |
Congestive Heart Failure | 13 (6.40) | 0.371 b |
Ulcerative Disease | 11 (5.40) | 0.298 b |
Chronic Hepatopathy | 11 (5.50) | 1.000 b |
Dementia | 10 (5.00) | 0.064 b |
Connective Tissue Disease | 5 (2.50) | 1.000 b |
Hemiplegia | 3 (1.50) | 1.000 b |
Tobacco consumption | 57 (28.20) | 0.172 a |
Harmful alcohol consumption | 182 (90.10) | 0.825 a |
Variable | Values | |
---|---|---|
Nutritional assessment | Calculated height (m) | 1.60 (±9.00) |
Calculated weight (kg) | 51.48 (±13.00) | |
Calculated BMI (kg/m2/BSA) | 19.75 (±4.10) | |
Calculated Glomerular Filtration Rate (GFR) (mL/min) | 68.29 (±44.27) | |
Nutritional status | <18.5 (underweight) | 73 (36.10) |
18.5–24.9 (normal weight) | 114 (56.40) | |
25.0–29.9 (overweight) | 12 (5.90) | |
>30.0 (obese) | 3 (1.50) | |
Physiological constants | Systolic blood pressure (mmHg) | 122.04 (±27.70) |
Diastolic blood pressure (mmHg) | 69.35 (±14.16) | |
Heart rate (bpm) | 85.61 (±19.44) | |
Respiratory rate (rpm) | 20.1 (±3.33) | |
Temperature (°C) | 36.29 (±0.42) | |
Laboratory results | Central glucose (mg/dL) | 131.26 (±97.82) |
Creatinine (mg/dL) | 1.94 (±2.37) | |
Urea (mg/dL) | 73.88 (±66.27) |
Variable | Values | p-Value |
---|---|---|
Previous geriatric assessment | 43 (21.3) | 0.017 b |
Charlson Index | 5.55 (±2.00) | 0.002 c |
Hospitalizations | ||
Hospitalization in the previous month | 43 (21.30) | 0.386 b |
Number of hospitalizations in the previous month | 0.23 (±0.49) | 0.294 c |
Geriatric Syndromes | ||
Frailty | 142 (70.20) | 0.042 a |
Dependence | 65 (32.10) | <0.001 a |
Risk of ulcers | 79 (39.10) | <0.001a |
Urinary incontinence | 116 (57.40) | 0.094 a |
Cognitive impairment | 83 (41.00) | <0.001 a |
Delirium | 52 (25.70) | <0.001 a |
Affective disorders (depression) | 122 (60.30) | 0.355 a |
Risk of falls | 141 (69.80) | 0.010 a |
Polypharmacy | ||
More than four medications | 69 (34.15) | 0.562 a |
Inappropriate medications | 104 (51.40) | 0.899 a |
Hormonal | 28 (13.80) | 1.000 b |
Nonsteroidal anti-inflammatory drugs | 25 (12.30) | 0.720 b |
Benzodiazepines | 22 (10.80) | 1.000 b |
Calcium antagonists | 16 (7.92) | 0.663 b |
Antithrombotics | 15 (7.40) | 1.000 b |
Oral hypoglycemic agents | 10 (4.90) | 0.603 b |
Consumption of medications with strong cholinergic effects | 5 (2.47) | 0.410 b |
Drug interaction | 2 (0.90) | 1.000 b |
Inadequate according to GFR | 12 (5.90) | 0.102 b |
Average number of medications consumed | 3.71(2.54) | 0.563 c |
Number of inappropriate medications | 0.83 (1.01) | 0.692 c |
Independent Simple Pearson’s Chi-Square Test | Multiple Logistic Regression | |||
---|---|---|---|---|
Variable | p-Value | OR | 95% CI of OR | p-Value |
Cognitive impairment, SIS | <0.001 | 6.88 | [1.41–33.5] | 0.017 |
Dependence, ADLs | <0.001 | 7.52 | [1.95–28.98] | 0.003 |
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Gómez-Ramos, J.J.; González-Guerra, M.; Dávalos-Rodríguez, I.P.; Pérez-Ruíz, M.E.; Peña-Durán, E.; Marín-Medina, A. Geriatric Syndromes and Their Relationship with Mortality in a Population of Mexican Older Adults Aged 65 and Over, Admitted to the Emergency Department of a Second-Level Care Hospital. Healthcare 2024, 12, 1166. https://doi.org/10.3390/healthcare12121166
Gómez-Ramos JJ, González-Guerra M, Dávalos-Rodríguez IP, Pérez-Ruíz ME, Peña-Durán E, Marín-Medina A. Geriatric Syndromes and Their Relationship with Mortality in a Population of Mexican Older Adults Aged 65 and Over, Admitted to the Emergency Department of a Second-Level Care Hospital. Healthcare. 2024; 12(12):1166. https://doi.org/10.3390/healthcare12121166
Chicago/Turabian StyleGómez-Ramos, José Juan, Melissa González-Guerra, Ingrid Patricia Dávalos-Rodríguez, María Eloísa Pérez-Ruíz, Emiliano Peña-Durán, and Alejandro Marín-Medina. 2024. "Geriatric Syndromes and Their Relationship with Mortality in a Population of Mexican Older Adults Aged 65 and Over, Admitted to the Emergency Department of a Second-Level Care Hospital" Healthcare 12, no. 12: 1166. https://doi.org/10.3390/healthcare12121166
APA StyleGómez-Ramos, J. J., González-Guerra, M., Dávalos-Rodríguez, I. P., Pérez-Ruíz, M. E., Peña-Durán, E., & Marín-Medina, A. (2024). Geriatric Syndromes and Their Relationship with Mortality in a Population of Mexican Older Adults Aged 65 and Over, Admitted to the Emergency Department of a Second-Level Care Hospital. Healthcare, 12(12), 1166. https://doi.org/10.3390/healthcare12121166