Association Between Intrinsic Capacity and Hospital Admission Among Older Adults in the Emergency Department

Chia Hung Lin; Chien Chien Tseng; Shiow Ching Shun; Piao Yi Chiou; Pei Ying Lin; Hsiu Chen Tsou; Hsien Hao Huang

doi:10.1177/07334648241290080

Association Between Intrinsic Capacity and Hospital Admission Among Older Adults in the Emergency Department

Chia Hung Lin, Chien Chien Tseng, Shiow Ching Shun, Piao Yi Chiou, Pei Ying Lin, Hsiu Chen Tsou, Hsien Hao Huang^*

^*Corresponding author for this work

Institute of Clinical and Community Health Nursing

Research output: Contribution to journal › Article › peer-review

Abstract

This prospective cohort study assessed the impact of intrinsic capacity on hospital admissions among older adults after an Emergency Department (ED) visit. Assessing 1132 patients according to WHO’s Integrated Care for Older People guidelines between March 1 and August 30, 2022, we found that 784 (69.26%) were admitted. The admission group demonstrated significantly lower intrinsic capacity scores (mean ± SD, 2.92 ± 1.29) compared to the discharge group (3.44 ± 1.23; p <.001). Multivariable logistic regression showed that higher intrinsic capacity scores were associated with lower odds of admission (adjusted odds ratio [aOR] = 0.81; 95% CI: 0.71–0.92; p <.001). Notably, patients with malnutrition had significantly higher odds of admission (OR = 3.12; 95% CI: 2.16–4.50; p <.001). These findings underscore the importance of integrating the intrinsic capacity assessment with traditional clinical indicators in the emergency care of older adults.

Original language	English
Journal	Journal of Applied Gerontology
DOIs	https://doi.org/10.1177/07334648241290080
State	Accepted/In press - 2024

Keywords

emergency department visits resulting in hospital admission
geriatric emergency care
intrinsic capacity

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

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10.1177/07334648241290080

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@article{013ebc5cabe4405fa937717ada62cc38,

title = "Association Between Intrinsic Capacity and Hospital Admission Among Older Adults in the Emergency Department",

abstract = "This prospective cohort study assessed the impact of intrinsic capacity on hospital admissions among older adults after an Emergency Department (ED) visit. Assessing 1132 patients according to WHO{\textquoteright}s Integrated Care for Older People guidelines between March 1 and August 30, 2022, we found that 784 (69.26%) were admitted. The admission group demonstrated significantly lower intrinsic capacity scores (mean ± SD, 2.92 ± 1.29) compared to the discharge group (3.44 ± 1.23; p <.001). Multivariable logistic regression showed that higher intrinsic capacity scores were associated with lower odds of admission (adjusted odds ratio [aOR] = 0.81; 95% CI: 0.71–0.92; p <.001). Notably, patients with malnutrition had significantly higher odds of admission (OR = 3.12; 95% CI: 2.16–4.50; p <.001). These findings underscore the importance of integrating the intrinsic capacity assessment with traditional clinical indicators in the emergency care of older adults.",

keywords = "emergency department visits resulting in hospital admission, geriatric emergency care, intrinsic capacity",

author = "Lin, {Chia Hung} and Tseng, {Chien Chien} and Shun, {Shiow Ching} and Chiou, {Piao Yi} and Lin, {Pei Ying} and Tsou, {Hsiu Chen} and Huang, {Hsien Hao}",

note = "Publisher Copyright: {\textcopyright} The Author(s) 2024.",

year = "2024",

doi = "10.1177/07334648241290080",

language = "English",

journal = "Journal of Applied Gerontology",

issn = "0733-4648",

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T1 - Association Between Intrinsic Capacity and Hospital Admission Among Older Adults in the Emergency Department

AU - Lin, Chia Hung

AU - Tseng, Chien Chien

AU - Shun, Shiow Ching

AU - Chiou, Piao Yi

AU - Lin, Pei Ying

AU - Tsou, Hsiu Chen

AU - Huang, Hsien Hao

PY - 2024

Y1 - 2024

N2 - This prospective cohort study assessed the impact of intrinsic capacity on hospital admissions among older adults after an Emergency Department (ED) visit. Assessing 1132 patients according to WHO’s Integrated Care for Older People guidelines between March 1 and August 30, 2022, we found that 784 (69.26%) were admitted. The admission group demonstrated significantly lower intrinsic capacity scores (mean ± SD, 2.92 ± 1.29) compared to the discharge group (3.44 ± 1.23; p <.001). Multivariable logistic regression showed that higher intrinsic capacity scores were associated with lower odds of admission (adjusted odds ratio [aOR] = 0.81; 95% CI: 0.71–0.92; p <.001). Notably, patients with malnutrition had significantly higher odds of admission (OR = 3.12; 95% CI: 2.16–4.50; p <.001). These findings underscore the importance of integrating the intrinsic capacity assessment with traditional clinical indicators in the emergency care of older adults.

AB - This prospective cohort study assessed the impact of intrinsic capacity on hospital admissions among older adults after an Emergency Department (ED) visit. Assessing 1132 patients according to WHO’s Integrated Care for Older People guidelines between March 1 and August 30, 2022, we found that 784 (69.26%) were admitted. The admission group demonstrated significantly lower intrinsic capacity scores (mean ± SD, 2.92 ± 1.29) compared to the discharge group (3.44 ± 1.23; p <.001). Multivariable logistic regression showed that higher intrinsic capacity scores were associated with lower odds of admission (adjusted odds ratio [aOR] = 0.81; 95% CI: 0.71–0.92; p <.001). Notably, patients with malnutrition had significantly higher odds of admission (OR = 3.12; 95% CI: 2.16–4.50; p <.001). These findings underscore the importance of integrating the intrinsic capacity assessment with traditional clinical indicators in the emergency care of older adults.

KW - emergency department visits resulting in hospital admission

KW - geriatric emergency care

KW - intrinsic capacity

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M3 - Article

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SN - 0733-4648

JO - Journal of Applied Gerontology

JF - Journal of Applied Gerontology

ER -

Association Between Intrinsic Capacity and Hospital Admission Among Older Adults in the Emergency Department

Abstract

Keywords

UN SDGs

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