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Mortality and functional prognosis in a geriatric population

B Mackeprang, E Brauer

    Scandinavian Journal of Social Medicine
    |January 1, 1977
    PubMed
    Summary

    Survival rates in geriatric institutions are influenced by dependency levels, with poorer outcomes for heavily dependent patients. While females show slightly better survival, institutional capacity needs expansion to mitigate negative consequences of waiting times.

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    Area of Science:

    • Geriatric Medicine
    • Public Health
    • Biostatistics

    Background:

    • Assesses survival and functional changes in geriatric patients over a two-year period.
    • Examines 1486 residents of the 'De Gamles By' geriatric institution in Copenhagen as of January 15, 1967.

    Purpose of the Study:

    • To evaluate survival prospects and changes in the need for care among geriatric institution residents.
    • To analyze the impact of dependency levels and sex on mortality rates.
    • To discuss the implications for institutional bed allocation and waiting list management.

    Main Methods:

    • Survival analysis using a two-year follow-up period.
    • Logarithmic transformation of survival percentages to assess linearity over time.
    • Stratification of data by sex and dependency level (independent, dependent, heavily dependent).

    Main Results:

    • Survival percentages approximated a linear function of time on a logarithmic scale.
    • Females exhibited slightly better survival rates, attributed to lower mortality among dependent women compared to dependent men.
    • Mortality rates for independent patients were similar across sexes (25%); heavily dependent patients had the poorest survival.
    • Only 5% of patients were discharged or transferred; among survivors, 4% improved, 61% remained unchanged, and 35% deteriorated in care status.

    Conclusions:

    • Dependency level is a critical factor influencing survival in geriatric institutions.
    • There is a significant need for increased accommodation in geriatric facilities to reduce adverse outcomes associated with waiting for admission.
    • The findings highlight the importance of timely admission and appropriate care levels for geriatric populations.

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