Factores asociados a mortalidad de adultos mayores hospitalizados en un servicio de Medicina Interna

Jaime Lama-Valdivia; Lucy Cedillo-Ramirez; Alonso Soto

doi:10.17843/rpmesp.2021.382.6982

Authors

Jaime Lama-Valdivia Servicio de Geriatría, Hospital Nacional Hipólito Unanue, Lima, Perú.Facultad de Medicina Humana. Universidad Ricardo Palma, Lima, Perú.Médico especialista en Geriatría y doctor en Medicina https://orcid.org/0000-0002-2207-7434
Lucy Cedillo-Ramirez Ricardo Palma, Lima, Perú. Instituto de Investigación en Ciencias Biomédicas, Facultad de Medicina Humana, Universidad Ricardo Palma, Lima, Perú. médica cirujana https://orcid.org/0000-0001-5185-5090
Alonso Soto Instituto de Investigación en Ciencias Biomédicas, Facultad de Medicina Humana, Universidad Ricardo Palma, Lima, Perú. Departamento de Medicina, Hospital Nacional Hipólito Unanue, Lima, Perú. médico especialista en Medicina Interna, doctor en Ciencias Médicas https://orcid.org/0000-0001-8648-8032

DOI:

https://doi.org/10.17843/rpmesp.2021.382.6982

Keywords:

Elderly, Hospital Mortality, Risk Factors, Geriatric Assessment, Delirium, Aging, Hypoalbuminemia, Pressure Ulcer, Geriatrics, Internal Medicine

Abstract

The aim of this prospective cohort study was to determine the factors associated with mortality in elders admitted to an Internal Medicine Department of a public hospital in Lima. During 2019, 360 patients over 60 years of age were consecutively evaluated by applying the Comprehensive Geriatric Assessment tools and reviewing their medical records. During hospitalization, 45 (12.5%) died. There was a higher frequency of anemia (p=0.043), hypoalbuminemia (p=0.006), pressure ulcers (p=0.003), high comorbidity (p<0.001), functional dependence (p<0.001) and malnutrition (p=0.002) among deceased patients compared to non-deceased. In the multivariate model, the presence of delirium on admission was associated with a higher risk of hospital mortality (RR=3.64; 95% CI: 1.51- 8.76, p=0.004). Additional studies are required in our country to assess the prognostic value of delirium and other geriatric syndromes on mortality and other adverse outcomes