Abstract
Aim: The relationship between support at home and rehospitalization has not been extensively studied until now. In particular, little is known about the impact of being assisted by migrant care workers (MCW) and rehospitalization. We aimed at investigating such a relationship in a population of older patients discharged from hospitals. Methods: Our series consisted of 506 patients aged 65 years or older consecutively enrolled in a prospective observational study involving 11 acute care medical wards throughout Italy. The outcome of the study was the occurrence of at least one rehospitalization during 1-year follow up. Information derived from comprehensive geriatric assessment, discharge diagnoses and prescribed drugs were collected during the index hospitalization. Data about formal and informal assistance (spouse, son, other relative, MCW, home nursing) were collected. The relationship between study variables and rehospitalization was assessed using logistic regression. Results: Being assisted by MCW was independently associated with the outcome (OR 2.04, 95% CI 1.10-4.37), as were complete dependency (OR 2.49, 95% CI 1.28-5.79) and overall comorbidity (OR 1.23, 95% CI 1.10-1.43). Older age was associated with a lower likelihood of rehospitalization (age 75-84 vs
| Original language | English |
|---|---|
| Pages (from-to) | 196-203 |
| Number of pages | 8 |
| Journal | Geriatrics and Gerontology International |
| Volume | 15 |
| Issue number | 2 |
| DOIs | |
| Publication status | Published - Feb 1 2015 |
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Keywords
- Comorbidity
- Hospital
- Migrant care workers
- Older patients
- Rehospitalization
ASJC Scopus subject areas
- Geriatrics and Gerontology
- Gerontology
- Health(social science)
- Medicine(all)
Cite this
Migrant care workers and rehospitalization among older patients discharged from acute care hospitals. / Fusco, Sergio; Corsonello, Andrea; Chiatti, Carlos; Fabbietti, Paolo; Salerno, Giovanni; De Bonis, Eugenio; Corica, Francesco; Lattanzio, Fabrizia.
In: Geriatrics and Gerontology International, Vol. 15, No. 2, 01.02.2015, p. 196-203.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Migrant care workers and rehospitalization among older patients discharged from acute care hospitals
AU - Fusco, Sergio
AU - Corsonello, Andrea
AU - Chiatti, Carlos
AU - Fabbietti, Paolo
AU - Salerno, Giovanni
AU - De Bonis, Eugenio
AU - Corica, Francesco
AU - Lattanzio, Fabrizia
PY - 2015/2/1
Y1 - 2015/2/1
N2 - Aim: The relationship between support at home and rehospitalization has not been extensively studied until now. In particular, little is known about the impact of being assisted by migrant care workers (MCW) and rehospitalization. We aimed at investigating such a relationship in a population of older patients discharged from hospitals. Methods: Our series consisted of 506 patients aged 65 years or older consecutively enrolled in a prospective observational study involving 11 acute care medical wards throughout Italy. The outcome of the study was the occurrence of at least one rehospitalization during 1-year follow up. Information derived from comprehensive geriatric assessment, discharge diagnoses and prescribed drugs were collected during the index hospitalization. Data about formal and informal assistance (spouse, son, other relative, MCW, home nursing) were collected. The relationship between study variables and rehospitalization was assessed using logistic regression. Results: Being assisted by MCW was independently associated with the outcome (OR 2.04, 95% CI 1.10-4.37), as were complete dependency (OR 2.49, 95% CI 1.28-5.79) and overall comorbidity (OR 1.23, 95% CI 1.10-1.43). Older age was associated with a lower likelihood of rehospitalization (age 75-84 vs
AB - Aim: The relationship between support at home and rehospitalization has not been extensively studied until now. In particular, little is known about the impact of being assisted by migrant care workers (MCW) and rehospitalization. We aimed at investigating such a relationship in a population of older patients discharged from hospitals. Methods: Our series consisted of 506 patients aged 65 years or older consecutively enrolled in a prospective observational study involving 11 acute care medical wards throughout Italy. The outcome of the study was the occurrence of at least one rehospitalization during 1-year follow up. Information derived from comprehensive geriatric assessment, discharge diagnoses and prescribed drugs were collected during the index hospitalization. Data about formal and informal assistance (spouse, son, other relative, MCW, home nursing) were collected. The relationship between study variables and rehospitalization was assessed using logistic regression. Results: Being assisted by MCW was independently associated with the outcome (OR 2.04, 95% CI 1.10-4.37), as were complete dependency (OR 2.49, 95% CI 1.28-5.79) and overall comorbidity (OR 1.23, 95% CI 1.10-1.43). Older age was associated with a lower likelihood of rehospitalization (age 75-84 vs
KW - Comorbidity
KW - Hospital
KW - Migrant care workers
KW - Older patients
KW - Rehospitalization
UR - http://www.scopus.com/inward/record.url?scp=84921537902&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84921537902&partnerID=8YFLogxK
U2 - 10.1111/ggi.12254
DO - 10.1111/ggi.12254
M3 - Article
C2 - 24612330
AN - SCOPUS:84921537902
VL - 15
SP - 196
EP - 203
JO - Geriatrics and Gerontology International
JF - Geriatrics and Gerontology International
SN - 1447-0594
IS - 2
ER -