Article Abstract:
Prediction of functional status outcomes in hospitalized patients aged more than 79 years is discussed. A potential method for risk adjustment in research studies and for monitoring quality of care is offered. A prospective cohort study has been carried out in four US teaching hospitals. Subjects numbered 804. It was found that many older patients are functionally impaired at the time of admission and that many develop new limitations. A small amount of information that is readily available can be the basis for satisfactory predictions of functional status two months after hospitalization.
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Article Abstract:
Care practices and outcomes for hospitalized patients with cancer differ depending on the age of the patient and the differences have been investigated in a prospective cohort study. Older subjects numbered 925, with middle aged numbering 983and younger 274. It was found that older patients had lower resource utilization and were less likely to receive cancer-related treatments. More care topics were discussed with older patients and their families, and they were more likely to die. More than half the patients died within 6 months of being hospitalized, but few were given supportive care when discharged.
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Article Abstract:
A prospective cohort study has been carried out in five academic medical centers to investigate satisfaction of families with end-of-life care for seriously ill hospitalized adults. It was found that communication with physicians about resuscitation preferences were infrequent after hospital admission even for patients who did not want to undergo resuscitation.
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