Carlos G. Boyzo-Jiménez, Department of Geriatrics and Education, Centro Médico ABC Observatorio, Mexico City, Mexico
Ivonne A. Roy-Garcia, Clinical Research Training Centre, Centro Médico Nacional Siglo XXI, Instituto Mexicano del Seguro Social, Mexico City, Mexico
Ipsae E. Melgoza-Toral, Department of Preventive Medicine, Centro Médico ABC Santa Fe, Mexico City, Mexico
Emiliano Martínez-Bravo, Department of Social Service, School of Medicine and Health Sciences, Tecnológico de Monterrey, Mexico City, Mexico
Background: The older person population is accompanied by an increased prevalence of diseases and a need for impatient care, often associated with complications. Objective: This study aims to establish a reduction of the incidence of in-hospital complications (IHC) as a benefit of combined geriatric care. Material and methods: A retrospective cohort was developed with patient’s ≥ 78 years who received standard medical care and medical care in conjunction with geriatrics. Bivariate analyses were performed to compare the incidence of combined and individual IHC. Multivariate models were used to identify the factors associated with these complications. Results: The total population was 414 patients. Although the incidence of combined and individual IHC did not show significant differences, it is noteworthy that the outcome reflected a trend toward a reduction in the risk of in-hospital death with geriatric follow-up (relative risk 0.1, 95% CI 0.0-1.1, p > 0.05). A multivariate analysis established geriatric care as a statistically significant protective factor for inpatient mortality. In addition, a Charlson index of ≥ 10 and admission to the intensive care unit (ICU) were identified as risk factors for the same outcome. Conclusion: During hospitalization, combined geriatric follow-up reduces the risk of in-hospital mortality in older persons with a high comorbidity burden and admission to the ICU.
Keywords: Older person. Multimorbidity. Complications. Delirium. Mortality.
