TY  - JOUR
AU  - Hajek, André
AU  - Brettschneider, Christian
AU  - Eisele, Marion
AU  - Kaduszkiewicz, Hanna
AU  - Mamone, Silke
AU  - Wiese, Birgitt
AU  - Weyerer, Siegfried
AU  - Werle, Jochen
AU  - Fuchs, Angela
AU  - Pentzek, Michael
AU  - Stein, Janine
AU  - Luck, Tobias
AU  - Weeg, Dagmar
AU  - Mösch, Edelgard
AU  - Heser, Kathrin
AU  - Wagner, Michael
AU  - Scherer, Martin
AU  - Maier, Wolfgang
AU  - Riedel-Heller, Steffi G
AU  - König, Hans-Helmut
AU  - Scherer, Martin
AU  - Riedel-Heller, Steffi G
AU  - Abholz, Heinz-Harald
AU  - Brettschneider, Christian
AU  - Bachmann, Cadja
AU  - Bickel, Horst
AU  - Blank, Wolfgang
AU  - Eifflaender-Gorfer, Sandra
AU  - Eisele, Marion
AU  - Ernst, Annette
AU  - Fuchs, Angela
AU  - Hajek, André
AU  - Kaduszkiewicz, Hanna
AU  - Kaufeler, Teresa
AU  - Köhler, Mirjam
AU  - König, Hans-Helmut
AU  - Koppara, Alexander
AU  - Lubisch, Diana
AU  - Luck, Tobias
AU  - Lühmann, Dagmar
AU  - Luppa, Melanie
AU  - Mallon, Tina
AU  - Mayer, Manfred
AU  - Mösch, Edelgard
AU  - Pentzek, Michael
AU  - Prokein, Jana
AU  - Ramirez, Alfredo
AU  - Röhr, Susanne
AU  - Schumacher, Anna
AU  - Stein, Janine
AU  - Steinmann, Susanne
AU  - Tebarth, Franziska
AU  - van den Bussche, Hendrik
AU  - van der Leeden, Carolin
AU  - Wagner, Michael
AU  - Weckbecker, Klaus
AU  - Weeg, Dagmar
AU  - Werle, Jochen
AU  - Weyerer, Siegfried
AU  - Wiese, Birgitt
AU  - Wolfsgruber, Steffen
AU  - Zimmermann, Thomas
TI  - Correlates of hospitalization among the oldest old: results of the AgeCoDe-AgeQualiDe prospective cohort study.
JO  - Aging clinical and experimental research
VL  - 32
IS  - 7
SN  - 1720-8319
CY  - Berlin
PB  - Heidelberg : Springer
M1  - DZNE-2020-00459
SP  - 1295-1301
PY  - 2020
AB  - Hospitalization is a key driver of health care costs. Thus far, there are only a few longitudinal studies investigating whether changes in explanatory variables lead to hospitalization. Moreover, these longitudinal studies did not focus on individuals in highest age.The purpose of the current study was to examine the correlates of hospitalization among the oldest old in Germany longitudinally.A multicenter prospective cohort study ['Study on Needs, health service use, costs and health-related quality of life in a large sample of oldest-old primary care patients (85+)', AgeQualiDe]. Primary care patients ≥ 85 years took part [n = 861 at follow-up (FU) 7, average age of 89.0 years; 85-100 years]. Two waves were used. Hospitalization in the last 6 months was used as outcome measure. Well-established scales were used to quantify the independent variables such as Instrumental Activities of Daily Living Scale, Global Deterioration Scale or Geriatric Depression Scale.Logistic random effects regressions showed that the probability of hospitalization in the preceding 6 months significantly increased with increases in the social network, more depressive symptoms, functional decline, and increase in chronic conditions, whereas it was not significantly associated with age, sex, marital status, education, and cognitive impairment. Social networks moderate the relationship between functional decline and hospitalization.The results of the present longitudinal study emphasize the association of depressive symptoms, functional decline, more social networks, and chronic conditions with hospitalization among the oldest old.Treatments with the aim to reduce or postpone these factors might also help to reduce hospitalization.
KW  - Activities of Daily Living
KW  - Aged, 80 and over
KW  - Cognitive Dysfunction
KW  - Depression
KW  - Female
KW  - Germany
KW  - Hospitalization: statistics & numerical data
KW  - Humans
KW  - Logistic Models
KW  - Longitudinal Studies
KW  - Male
KW  - Primary Health Care
KW  - Prospective Studies
KW  - Quality of Life
LB  - PUB:(DE-HGF)16
C6  - pmid:31422564
DO  - DOI:10.1007/s40520-019-01315-2
UR  - https://pub.dzne.de/record/145100
ER  -