Abstract

LIZARBE CASTRO, María Victoria; GAMARRA SAMANIEGO, Pilar  and  PARODI GARCIA, José Francisco. Risk factors associated with Hospital complications in elderly patients to Hospital Nacional Edgardo Rebagliati Martins Lima, 2010. Horiz. Med. [online]. 2015, vol.15, n.1, pp.38-48. ISSN 1727-558X.

Objective: The prolongation of life expectancy; the prevalence of chronic diseases; the physiological changes that occur in aging; deterioration in functional status; and frequent use of hospital services; expose older adults to hospital complications. We want to identify the main risk factors associated with hospital complications in older adults in Edgardo Rebagliati Martins National Hospital, Lima. Material and Methods: A matched case controls study (2: 1) was designed; Cases: older adults with hospital complications, registered in the system of active surveillance, defined criteria of the Center for Disease Control (CDC); during November 2010 to February 2011 and as controls: seniors, no hospital complications recorded at the hospital management system. A structured questionnaire that included factors prior comorbidity (Charlson index) and baseline functional status and functional loss during hospitalization (Barthel) was applied; and frequently chord definitions of the Center for Disease Control hospital complications. Results: 228 older adults (76 cases and 152 controls) .The main risk factors associated found in multiple logistic regression model were cancer (OR: 44.45 CI 12.5 to 175.10), chronic obstructive pulmonary disease (OR: 9.51, CI 3.10 to 29.16), peripheral arterial disease (OR: 7.57, CI: 2.24 to 25.58), diabetes (OR = 5.1886; IC : 12.5 to 157.10), heart failure (OR: 4.5931 CI: 1.2971 to 16.26), impaired baseline functional status (OR: 10.20; CI: 2,31 to 44.93) and total burden of comorbidity (OR: 17.08; CI 1.52 to 191.70). The other factors (dementia, chronic renal failure, cerebrovascular disease and functional decline during hospitalization), had no statistical significance. Conclusion: Cancer, COPD, peripheral arterial disease, diabetes, heart failure, impaired baseline functional status; and overall burden of comorbidity are the main risk factors associated with hospital complications in older adults.

Keywords : Injuries; Injuries by Domestic Violence; Forensic examination.

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