RT Journal Article
SR Electronic
T1 Rate and risk factors of in-hospital and early post-discharge mortality in patients admitted to an internal medicine ward
JF Clinical Medicine
JO Clin Med
FD Royal College of Physicians
SP 16
OP 23
DO 10.7861/clinmed.2022-0176
VO 23
IS 1
A1 Marco Vincenzo Lenti
A1 Gabriele Croce
A1 Alice Silvia Brera
A1 Alessia Ballesio
A1 Lucia Padovini
A1 Giampiera Bertolino
A1 Antonio Di Sabatino
A1 Catherine Klersy
A1 Gino Roberto Corazza
YR 2023
UL http://www.rcpjournals.org/content/23/1/16.abstract
AB Background We sought to quantify in-hospital and early post-discharge mortality rates in hospitalised patients.Methods Consecutive adult patients admitted to an internal medicine ward were prospectively enrolled. The rates of in-hospital and 4-month post-discharge mortality and their possible associated sociodemographic and clinical factors (eg Cumulative Illness Rating Scale [CIRS], body mass index [BMI], polypharmacy, Barthel Index) were assessed.Results 1,451 patients (median age 80 years, IQR 69–86; 53% female) were included. Of these, 93 (6.4%) died in hospital, while 4-month post-discharge mortality was 15.9% (191/1,200). Age and high dependency were associated (p<0.01) with a higher risk of in-hospital (OR 1.04 and 2.15) and 4-month (HR 1.04 and 1.65) mortality, while malnutrition and length of stay were associated (p<0.01) with a higher risk of 4-month mortality (HR 2.13 and 1.59).Conclusions Several negative prognostic factors for early mortality were found. Interventions addressing dependency and malnutrition could potentially decrease early post-discharge mortality.