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Characteristics of older people in an inpatient haematology unit: A descriptive study
Janani Thillainadesan1,2, Lisa Ng1, Ilona Cunningham2,3
1Department of Geriatric Medicine, Concord Hospital, Sydney, New South Wales, Australia.
Objective:
To characterise older inpatients in a haematology unit.
Methods:
Hospital case-mix data of haematology separations of all ages (n = 7419) and more extensive data restricted to older patients (age ≥75 years, n = 1025) were evaluated.
Results:
From 2000 to 2014, there was a 200% increase in those aged ≥85 years who were more likely to have a geriatric syndrome as the principal diagnosis (P < 0.05), have delirium (P < 0.05), receive less intensive treatment (P < 0.001) and be discharged to a nursing home (P < 0.001). Compared to younger inpatients, those aged ≥75 years were more likely to be emergency admissions (48% vs 37%, P < 0.001) and die during the admission (8% vs 4%, P < 0.001).
Conclusion:
Haematologists care for older inpatients who are complex with multidisciplinary health service needs. There may be value in conducting comprehensive geriatric assessments in this setting.
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