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Article

Functional Status among Polymedicated Geriatric Inpatients at Discharge: A Population-Based Hospital Register Analysis

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Abel Salazar Institute of Biomedical Sciences, University of Porto, 4050-313 Porto, Portugal
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School of Health Sciences, HES-SO Valais/Wallis, 1950 Sion, Switzerland
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Swiss Centre of Expertise in the Social Sciences (FORS), University of Lausanne, 1015 Lausanne, Switzerland
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Service of Old Age Psychiatry, Lausanne University Hospital, 1011 Lausanne, Switzerland
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Research Center for Psychology of Health, Aging and Sport Examination, Institute of Psychology, University of Lausanne, 1015 Lausanne, Switzerland
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NursID, CINTESIS, Higher School of Nursing of Porto, 4050-040 Porto, Portugal
*
Author to whom correspondence should be addressed.
Academic Editor: Mojtaba Vaismoradi
Geriatrics 2021, 6(3), 86; https://doi.org/10.3390/geriatrics6030086
Received: 1 August 2021 / Revised: 27 August 2021 / Accepted: 30 August 2021 / Published: 3 September 2021
This study explored and compared the functional status of polymedicated and non-polymedicated geriatric inpatients at hospital discharge. We used a cross-sectional registry of geriatric patients’ hospital records from a multi-site public hospital center in Switzerland. The analysis included all inpatients aged 65 years old or more admitted between 1 January 2015 and 31 December 2017 (n = 53,690), of whom 67.5% were polymedicated at hospital discharge, 52.1% were women (n = 18,909), and 42.7% were 75–84 years old (n = 15,485). On average, the polymedicated patients’ hospital lengths of stay were six days longer, they presented with more than three comorbidities, and they were prescribed more than nine medications at hospital discharge (p < 0.001). They showed more frequent general mobility decline (43.2% vs. 41.9%), gait disorders (46.2% vs. 43%), fatigue (48.6% vs. 43.4%) and dependence on lower-body care (49.7% vs. 47.6%), and presented a higher malnutrition risk (OR = 1.411; 95%CI 1.263–1.577; p < 0.001). However, the non-polymedicated inpatients had proportionally more physical and cognitive impairments. The comparison of the functional status of polymedicated and non-polymedicated geriatric inpatients at hospital discharge is important for clinicians trying to identify and monitor those who are most vulnerable to functional decline, and to design targeted strategies for the prevention of functional impairment and related adverse health outcomes. View Full-Text
Keywords: polypharmacy; older adults; hospital discharge; hospital register; population-based; functional status; physical impairment; cognitive disorders; epidemiology polypharmacy; older adults; hospital discharge; hospital register; population-based; functional status; physical impairment; cognitive disorders; epidemiology
MDPI and ACS Style

Pereira, F.; Wernli, B.; von Gunten, A.; Carral, M.d.R.; Martins, M.M.; Verloo, H. Functional Status among Polymedicated Geriatric Inpatients at Discharge: A Population-Based Hospital Register Analysis. Geriatrics 2021, 6, 86. https://doi.org/10.3390/geriatrics6030086

AMA Style

Pereira F, Wernli B, von Gunten A, Carral MdR, Martins MM, Verloo H. Functional Status among Polymedicated Geriatric Inpatients at Discharge: A Population-Based Hospital Register Analysis. Geriatrics. 2021; 6(3):86. https://doi.org/10.3390/geriatrics6030086

Chicago/Turabian Style

Pereira, Filipa, Boris Wernli, Armin von Gunten, María del Rio Carral, Maria Manuela Martins, and Henk Verloo. 2021. "Functional Status among Polymedicated Geriatric Inpatients at Discharge: A Population-Based Hospital Register Analysis" Geriatrics 6, no. 3: 86. https://doi.org/10.3390/geriatrics6030086

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