Complicaciones en una unidad geriátrica

Introduction: In-hospital complications are adverse circumstances that occur very frequently in people over 65 years old and lead to worse clinical dislocations, despite this there are few studies on the factors associated with hospital complications in the care of older adults Objective: To evaluate the factors associated with in-hospital complications in a geriatric acute care unit in Bogotá, Colombia. Materials and methods: A an analytical observational study based on a retrospective court study was conducted of a cohort of 1657 patients over 65 years of age treated in the geriatric unit of a high complexity hospital in Bogotá, Colombia. Hospital complications were taken as a dependent variable, and the degree of functional dependence on admission, dementia, nutritional status, social support, comorbidity and polypharmacy as independent variables. Poisson's linear regression model was performed to identify associated variables. Results: It was found in the bivariate analysis that functional dependence (PR 2.092, p = <0.001) and malnutrition (PR 2.850, p = <0.001) are factors associated with a higher rate of hospital acquired infections. In multivariate analysis, they remained independent factors of hospital complications, functional dependence (PR 1.931, p= 0.003) and malnutrition (PR 2.502, p= 0.002). Conclusion: To make an integral evaluation that allows identifying the functional dependence and the malnutrition income in the acute attention centers allows predicting hospital complications.