ABSTRACT

Hong Kong Med J 1999;5:34–8 | Number 1, March 1999
ORIGINAL ARTICLE
Geriatric screening in acute care wards a novel method of providing care to elderly patients
JKH Luk, T Kwok, J Woo
Department of Medicine and Therapeutics, The Chinese University of Hong Kong, Prince of Wales Hospital, Shatin, Hong Kong
 
 
OBJECTIVE. To assess a nurse-implemented geriatric screening system.
 
DESIGN. Descriptive study.
 
SETTING. University teaching hospital, Hong Kong.
 
PATIENTS. All (5080) elderly patients admitted between 1 January 1996 and 31 December 1996.
 
MAIN OUTCOME MEASURES. Patient characteristics such as disease, prior admission, living quarters, and regular medications; interventions taken; and morbidity and mortality.
 
RESULTS. The most common interventions were referral to a convalescent hospital, patient education, and carer contact. The overall death rate was 8.5% and the diseases with the highest mortality rates were renal failure, liver cirrhosis, and cancer. Approximately one quarter of patients had been admitted to hospital in the previous month. The death rate was higher among women than men (10.8% versus 6.7%, P
 
CONCLUSIONS. This study has collected important data from one form of integrated geriatric practice, which can be used for future service provision.
 
Key words: Aged; Geriatric assessment; Health services for the aged; Hospitalization; Patient care team
 
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