Association of the XXXX with hospital outcomes.

@entity1 @entity303 @entity922
BACKGROUND: the @entity922 ( @entity922 ) was validated as a predictor of adverse outcomes in community-dwelling older @entity1 . In our hospital, the use of the @entity922 in emergency admissions of @entity1 aged >=  75 years was introduced under the Commissioning for Quality and Innovation payment framework. AIM: we retrospectively studied the association of the @entity922 with @entity1 characteristics and outcomes. DESIGN: retrospective observational study in a large tertiary university National Health Service hospital in UK. METHODS: the @entity922 was correlated with transfer to specialist Geriatric ward, length of stay (LOS), in- @entity1 mortality and 30-day readmission rate. RESULTS: between 1st August 2013 and 31st July 2014, there were 11 271 emergency admission episodes of @entity1 aged >=  75 years (all specialties), corresponding to 7532 unique @entity1 (first admissions); of those, 5764 had the @entity922 measured by the admitting team (81% of them within 72   hr of admission). After adjustment for age, gender, Charlson comorbidity index and history of @entity303 and/or current cognitive concern, the @entity922 was an independent predictor of in- @entity1 mortality [odds ratio (OR)   =   1.60, 95% confidence interval (CI): 1.48 to 1.74, P   <   0.001], transfer to Geriatric ward (OR   =   1.33, 95% CI: 1.24 to 1.42, P   <   0.001) and LOS >=  10 days (OR   =   1.19, 95% CI: 1.14 to 1.23, P   <   0.001). The @entity922 was not a multivariate predictor of 30-day readmission. CONCLUSIONS: the @entity922 may help predict in- @entity1 mortality and target specialist geriatric resources within the hospital. Usual hospital metrics such as mortality and LOS should take into account measurable @entity1 complexity.
