TABLE 4.
At Least One Geriatric Syndrome a | No Geriatric Syndrome | |
---|---|---|
N | 119 | 141 |
| ||
Characteristics | ||
| ||
Demographics | ||
Mean age (SD) | 84 (7.3) | 82 (7.2) |
Women: no. (%) | 54 (45) | 73 (52) |
| ||
Living Situation: no. (%) | ||
Home | 23 (19) | 60 (43) |
Autonomous private residence | 9 (8) | 13 (9) |
Long-term care (private and public) | 87 (73) | 67 (48) |
| ||
Complications: no. (%) | ||
Any | 111 (93) | 109 (77) |
Cardiovascular | ||
NSTEMIb or unstable angina | 20 (17) | 14 (10) |
STEMIc | 20 (17) | 14 (10) |
Hematological | ||
Disseminated intravascular coagulation | 1 (1) | 1 (1) |
Thrombocytopenia (<100 x 109/L) | 20 (17) | 21 (15) |
Venous thromboembolismd,e | 0 (0) | 3 (2) |
Infectious | ||
Clostridiodes difficile infection | 2 (2) | 1 (1) |
Septic shock | 3 (3) | 3 (2) |
Bacterial pneumonia superinfection | 22 (18) | 22 (16) |
New geriatric syndrome | ||
New fall(s) | 6 (5) | 1 (1) |
New delirium | 48 (40) | 29 (21) |
Pressure injury | 3 (3) | 7 (5) |
Malnutrition or denutrition | 12 (10) | 12 (9) |
Deconditioning | 9 (8) | 12 (9) |
Renal and metabolic | ||
Acute kidney injury | 53 (45) | 39 (28) |
Hyponatremia (≤128 mmol/L) | 7 (6) | 14 (10) |
Hypernatremia (≥148 mmol/L) | 52 (44) | 30 (21) |
Rhabdomyolysis | 3 (3) | 2 (1) |
Transaminitis (ALTf x 3 upper normal limit) | 8 (7) | 5 (4) |
ICU and ventilatory support | ||
Admission to ICU if within goals of care (N=48 for those with geriatric syndrome, N=71 for those without) | 14 (29) | 21 (30) |
Intubation and mechanical ventilation (N=48 for those with geriatric syndrome, N=71 for those without) | 7 (15) | 11 (15) |
| ||
Outcomes | ||
Discharge from hospital: no. (%) | 75 (63) | 103 (73) |
Mean length of stay: days | 23 | 20 |
Death: no. (%) | 44 (37) | 40 (28) |
Mean length of stay: days | 14 | 18 |
Geriatric syndromes included on presentation were fall(s), functional decline, and delirium.
Non-ST Elevation Myocardial Infarction.
ST Elevation Myocardial Infarction.
Definitive diagnose of pulmonary embolism via CT-angio or V/Q scan at any point in time during admission and of deep vein thrombosis via duplex.
Includes massive, hilar, segmental, and subsegmental pulmonary embolisms.
Alanine Aminotransferase.