How different are complications that affect the older adult inpatient?

Rowell, D., Nghiem, H. S., Jorm, C. and Jackson, T. J. (2010) How different are complications that affect the older adult inpatient?. Quality and Safety in Health Care, 19 6: e34-1-e34-5. doi:10.1136/qshc.2009.032235


Author Rowell, D.
Nghiem, H. S.
Jorm, C.
Jackson, T. J.
Title How different are complications that affect the older adult inpatient?
Journal name Quality and Safety in Health Care   Check publisher's open access policy
ISSN 2044-5415
2044-5423
Publication date 2010-12
Sub-type Article (original research)
DOI 10.1136/qshc.2009.032235
Volume 19
Issue 6
Start page e34-1
End page e34-5
Total pages 5
Place of publication London, United Kingdom
Publisher BMJ Group
Collection year 2011
Language eng
Formatted abstract
Objective
The incidence and cost of complications occurring in older and younger inpatients were compared.
Design
Secondary analysis of hospital-recorded diagnosis and costs for multiday-stay inpatients in 68 public hospitals in two Australian states.
Main outcome measures
A complication is defined as a hospital-acquired diagnosis that required additional treatment. The Australian Classification of Hospital-Acquired Diagnoses system is used to identify these complications.
Results
Inpatients aged >70 years have a 10.9% complication rate, which is not substantially different from the 10.89% complication rate found in patients aged <70 years. Examination of the probability by single years, however, showed that the peak incidence associated with the neonatal period and childbirth is balanced by rates of up to 20% in patients >80 years. Examining the adult patient population (40–70 years), we found that while some common complications are not age specific (electrolyte disorders and cardiac arrhythmias), others (urinary tract and lower respiratory tract infections) are more common in the older adult inpatient.
Conclusion
For inpatients aged >70 years, the risks of complications increase. The incidence of hospital-acquired diagnoses in older adults differs significantly from incidence rates found in younger cohorts. Urinary tract infection and alteration to mental state are more common in older adult inpatients. Surprisingly, these complexities do not result in additional costs when compared with costs for the same complications in younger adults. Greater awareness of these differing patterns will allow patient safety efforts for older patients to focus on complications with the highest incidence and cost.
Keyword Adverse drug events
Hospitalized-patients
Care
Population
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ
Additional Notes Article # e34

Document type: Journal Article
Sub-type: Article (original research)
Collections: Official 2011 Collection
School of Medicine Publications
 
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Created: Tue, 07 Dec 2010, 13:03:15 EST by Chesne McGrath on behalf of Medicine - Royal Brisbane and Women's Hospital