ABSTRACT
Frail older adults with ongoing care needs often require post-acute care (PAC) following acute hospitalization when not eligible for specific rehabilitation. Long-term outcomes of PAC in this patient group have not been reported for Switzerland so far. In the present report, we investigated 12-month mortality in regard to frailty status upon admission to PAC in a nursing home setting. In our sample of 140 patients (mean age 84 [±8.6] years) 4.3% were robust, 37.1% were pre-frail, 54.3% were frail and 4.3% were missing frailty status. Mortality at 12-months follow-up stratified by baseline frailty was 0% (robust), 11.5% (pre-frail) and 31.6% (frail). Kaplan-Meier analysis stratified by frailty status showed a decreased probability of 12-months survival for frail individuals compared to their pre-frail and robust counterparts (P = 0.0096). Being frail was associated with more than 4-fold increased odds of death at follow-up (OR 4.19; 95% CI 1.53-11.47).
Subject(s)
Frailty , Aged , Aged, 80 and over , Frail Elderly , Geriatric Assessment , Humans , Nursing Homes , Patient Discharge , Subacute Care , Switzerland/epidemiologyABSTRACT
Negative pressure wound therapy is still mainly used in hospitals. By the introduction of the diagnosis related groups the average length of stay in hospitals is expected to be reduced even more. Therefore, the question arises whether the Negative pressure wound therapy in nursing homes should be applied, too, because they often provide the continuity of care in elderly patients after treatment in a hospital. Based on the literature, the authors formulate recommendations for the use of Negative pressure wound therapy in nursing homes.
