Acta Scientific Medical Sciences (ASMS)(ISSN: 2582-0931)

Research Article Volume 8 Issue 1

Re-Hospitalization of Elderly Patients in the Geriatrics Department of Hospital National Center of Fann

Massamba BA1,2*, Assane Sall1, Rokhaya Djajhete1, Dalahata BA1 and Mamadou Coume1,2

1Geriatrics Department, Fann/Dakar University Hospital, Senegal
2Department of Geriatrics, Faculty of Medicine, Pharmacy and Odontostomatology, Cheikh Anta Diop University, Dakar, Senegal

*Corresponding Author: Massamba BA, Geriatrics Department, Fann/Dakar University Hospital, Senegal.

Received: November 20, 2023; Published: December 14, 2023

Abstract

Background: The elderly, with their multiple co-morbidities and unfavourable geriatric conditions, are particularly at risk of re-hospitalisation. In sub-Saharan Africa, data are virtually non-existent.

Objectives: To determine the prevalence and factors associated with rehospitalisation in our context.

Methodology: This was a retrospective, descriptive and analytical study (1 August 2019-31 July 2020) including people aged 65 and over who were rehospitalised on an unscheduled basis in the geriatrics department of the CHU de Fann. In the analytical study, in order to identify risk factors, we compared patients who had been rehospitalised with those who had not.

Results: Of 242 patients hospitalised during this period, 40 had an unscheduled rehospitalisation, giving a 6-month prevalence rate of 17.3%. The average age was 78 years, with a predominance of men (52.5%). Most of our patients came from the hospital emergency department (57.5%). Arterial hypertension was the most common comorbidity (72.5%), followed by arthritis (34.15%) and heart disease (27.5%). Reasons for re-hospitalisation were dominated by deterioration in general condition (90% of patients), acute mental confusion (37.5%), acute respiratory distress (20%) and refusal to eat (20%). Geriatric syndromes were dominated by loss of autonomy (77.5%), malnutrition (40%), mental confusion (37.5%) and cognitive disorders (37.5%).

Cardiovascular diseases (32.5%), infectious diseases (21.6%) and tumours (21.6%) were the most common.

Re-hospitalisation was found to be significantly associated (p˂0.05) with cardiac decompensation (OR: 3.16), the existence of an active Cancer (OR: 4.45), iatrogenicity (OR: 3.15), mental confusion (OR: 2.38) and major neurocognitive disorders (OR: 2.17).

Conclusion: This study enabled us to determine the prevalence and factors associated with re-hospitalisation in our context. Prevention should focus on early management of these factors.

 Keywords: Dakar; Elderly; Re-hospitalisation

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Citation

Citation: Massamba BA., et al. “Re-Hospitalization of Elderly Patients in the Geriatrics Department of Hospital National Center of Fann”.Acta Scientific Medical Sciences 8.1 (2024): 17-25.

Copyright

Copyright: © 2024 Massamba BA., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.




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