| Title: |
Shared Risk Factors for Distinct Geriatric Syndromes in Older Taiwanese Inpatients. |
| Authors: |
Chia-Hui Chen, Cheryl1 cherylchen@ntu.edu.tw, Yu-Tzu Dai2, Chung-Jen Yen3, Guan-Hua Huang4, Wang, Charlotte5 |
| Source: |
Nursing Research. Sep/Oct2010, Vol. 59 Issue 5, p340-347. 8p. 3 Charts. |
| Subject Terms: |
*COGNITION disorder risk factors, *MENTAL depression risk factors, *DEHYDRATION, *GERIATRIC assessment, *HOSPITAL care of older people, *ANALYSIS of variance, *PRESSURE ulcers, *COGNITION disorders, *CONFIDENCE intervals, *STATISTICAL correlation, *DEPRESSION in old age, *MENTAL depression, *EPIDEMIOLOGY, *HEALTH status indicators, *HOSPITAL wards, *LIFE skills, *RESEARCH methodology, *MEDICAL records, *NUTRITION disorders, *PSYCHOLOGICAL tests, *RESEARCH funding, *STATISTICAL sampling, *SEX distribution, *DATA analysis, *ACTIVITIES of daily living, *SCALE items, *CROSS-sectional method, *OLD age, *DISEASE risk factors, BEDSORE risk factors, RISK factors |
| Geographic Terms: |
TAIWAN |
| Abstract: |
Background: Identifying shared common risk factors of geriatric syndromes is clinically useful in designing a unified approach to optimizing geriatric care. Objectives: The purpose of this study was to identify older Taiwanese inpatients' common shared risk factors among seven distinct geriatric syndromes: malnutrition, depression, cognitive impairment, functional dependence, incontinence, pressure ulcers, and dehydration. Method: A cross-sectional, hospital-wide survey was conducted to enroll inpatients (N = 455) older than 65 years and admitted to 24 medical and surgical units in a 2,200-bed urban academic medical center in northern Taiwan. Malnutrition was defined as a Mini-Nutritional Assessment score less than 17.5, depression was defined as a Geriatric Depression Scale score more than 10, cognitive impairment was considered a Mini-Mental State Examination score less than 20, and functional dependence was defined as a Barthel Index score less than 50. Incontinence, pressure ulcers, and dehydration were extracted from patients' medical records. Results: Participants had a mean age of 75.3 years (SD = 6.1 years, range = 65-92 years). The prevalence of geriatric syndromes ranged from 5% (pressure ulcers) to 33% (malnutrition). The selected geriatric syndromes were shown through logistic regression analysis to be predicted by female gender (odds ratio [OR] - 1.57-2.75), functional status (OR = 0.94-0.99), cognitive status (OR = 0.82-0.95), nutritional status (OR = 0.74-0.93), and depressive symptoms (OR = 1.07-1.26), supporting the notion of shared risk factors in geriatric syndromes. Conclusions: The findings support the theory that common geriatric syndromes have a shared set of risk factors--female gender, depressive symptoms, and functional, cognitive, and nutritional status. Revising care to target these shared risk factors in preventing common geriatric syndromes is theoretically sound. [ABSTRACT FROM AUTHOR] |
|
Copyright of Nursing Research is the property of Lippincott Williams & Wilkins and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.) |
| Database: |
Academic Search Complete |
