Predictors of adverse outcomes on an acute geriatric rehabilitation ward
Singh et al.
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Age, co-morbidity and poor mobility: no evidence of predicting in-patient death and acute hospital length of stay in the oldest old
Pai et al.
QJM 2011;104:671-679.
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Fall Prevention: Core Characteristics and Practical Interventions
Rowe
Home Health Care Management Practice 2011;23:20-26.
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Practice Redesign to Improve Care for Falls and Urinary Incontinence: Primary Care Intervention for Older Patients
Wenger et al.
Arch Intern Med 2010;170:1765-1772.
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Timing and Risk Factors for Functional Changes Associated With Medical Hospitalization in Older Patients
Mudge et al.
J Gerontol A Biol Sci Med Sci 2010;65A:866-872.
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Hospital use, institutionalisation and mortality associated with delirium
Eeles et al.
Age Ageing 2010;39:470-475.
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Functional Gait Assessment: Concurrent, Discriminative, and Predictive Validity in Community-Dwelling Older Adults
Wrisley and Kumar
ptjournal 2010;90:761-773.
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Falls and frailty: lessons from complex systems
Nowak and Hubbard
JRSM 2009;102:98-102.
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Acute hospital care for frail older people
Parker et al.
Age Ageing 2006;35:551-552.
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The Quality of Medical Care Provided to Vulnerable Community-Dwelling Older Patients
Wenger et al.
ANN INTERN MED 2003;139:740-747.
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Frailty and Activation of the Inflammation and Coagulation Systems With and Without Clinical Comorbidities: Results From the Cardiovascular Health Study
Walston et al.
Arch Intern Med 2002;162:2333-2341.
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Predictors of Functional Decline in Hospitalized Elderly Patients: A Systematic Review
McCusker et al.
J Gerontol A Biol Sci Med Sci 2002;57:M569-M577.
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Quality Indicators for the Management and Prevention of Falls and Mobility Problems in Vulnerable Elders
Rubenstein et al.
ANN INTERN MED 2001;135:686-693.
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Instrumental Activities of Daily Living as a Potential Marker of Frailty: A Study of 7364 Community-Dwelling Elderly Women (the EPIDOS Study)
Nourhashemi et al.
J Gerontol A Biol Sci Med Sci 2001;56:M448-M453.
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Toward an Understanding of Frailty
Hamerman
ANN INTERN MED 1999;130:945-950.
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Caregiver Burdens and Nonmedical Hospital Admissions
MacKnight et al.
Arch Intern Med 1998;158:542-543.
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Risk Factors for 30-Day Mortality in Elderly Patients With Lower Respiratory Tract Infection: Community-Based Study
Houston et al.
Arch Intern Med 1997;157:2190-2195.
ABSTRACT
ATYPICAL DISEASE PRESENTATION IN ELDERS
JWatch General 1995;1995:6-6.
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95 [n=76]; frail, score of <95 [n=117]). Frail elderly were older (80 vs 76 years), more often female (62% vs 46%), and less likely to be community dwelling (89% vs 99%). Atypical disease presentation was more common in the frail elderly (59% vs 25%; P<.001). Of those who presented atypically, the frail most often presented with delirium (61%) and the well presented with falls (37%) and delirium (32%). Of the frail elderly with atypical symptoms, 60% had adverse hospital outcomes compared with 32% of the well elderly who presented typically (P<.05). Logistic regression analysis showed that premorbid functional dependence (odds ratio, 2.48; 95% confidence interval, 1.17 to 5.22), atypical disease presentation (odds ratio, 2.37; 95% confidence interval, 1.20 to 4.67), and functional decline at admission (odds ratio, 5.64; 95% confidence interval, 2.37 to 13.44) were all independently predictive of poor hospital outcomes. By contrast, severity of disease, age, and sex did not confer an increased risk of adverse events.