Previous Cognitive Impairment and Failure to Thrive Syndrome in Patients Who Died in a Geriatric Convalescence Hospitalization Unit

Aguilera, A.; Pi-Figuews, M.; Arellano, Marta; Torres, Rosa; Garcia-Caselles, M.P.; Robles, María José; Miralles, Ramón; Cervera, A.M.

doi:10.1016/j.archger.2004.04.004

Cited by 6 publications

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“…(4) A review of the medical literature identified six studies related to the diagnosis of failure to thrive among older adults, all of which were small observational studies. (3,5,6,7,8,9) …”

Section: Introductionmentioning

confidence: 99%

“…(5) The United States National Institute of Aging described FTT as a “syndrome of weight loss, decreased appetite and poor nutrition, and inactivity, often accompanied by dehydration, depressive symptoms, impaired immune function, and low cholesterol”. (9) Other authors describe FTT as a more generalized syndrome involving a complex interaction of physiological, social, and physiological issues leading to functional and cognitive decline and eventually death. (5) …”

Section: Introductionmentioning

confidence: 99%

“…(14,15) FTT can be linked to unintentional weight loss that is accompanied by other abnormalities such as anemia of chronic disease, impaired immune function, hypoalbuminemia, and hypocholesterolemia. (9,16,17) In older patients, it appears that failure to thrive may be related to frailty.…”

Section: Introductionmentioning

confidence: 99%

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Evaluation of Older Adults Hospitalized with a Diagnosis of Failure to Thrive

2013

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Backgroundolder adults are sometimes hospitalized with the admission diagnosis of failure to thrive (FTT), often because they are not felt safe to be discharged back to their current living arrangement. It is unclear if this diagnosis indicates primarily a social admission or suggests an acute medical deterioration. The objective of this study was to explore the level of acuity and medical investigations commonly conducted among older hospitalized adults with a diagnosis of FTT.MethodsWe conducted a retrospective cohort study at three hospitals in Calgary, Alberta. Data were extracted from the electronic medical records of the 603 admissions of patients 65 years or older with a diagnosis of FTT between January 2010 and January 2011. Markers of medical acuity were evaluated.ResultsThe vast majority of patients had short hospital stays. Specialist physicians were consulted for 323 cases (54%). Allied health-care professionals were consulted in 151 cases (25%). While in hospital, patients underwent extensive investigations, including CT scans, ultrasounds, and echo-cardiograms. Many patients received IV fluids (71%) and IV antibiotics (35%).ConclusionsThe data suggest that acute illnesses, and not social factors, were the primary reason for admission among those given a diagnosis of FTT.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Evaluation of Older Adults Hospitalized with a Diagnosis of Failure to Thrive

2013

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“…Introduction malnutrition among older adults is a continuing source of concern (1, 2) that adversely affects both lifespan and quality of life (3,4). Undernourished older adults are known to have longer periods of illness, longer hospital stays (3,4), higher infection rates (5,6), delayed wound healing, impaired cognitive function (7), reduced appetite (8), and increased mortality rates (9).…”

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confidence: 99%

“…Undernourished older adults are known to have longer periods of illness, longer hospital stays (3,4), higher infection rates (5,6), delayed wound healing, impaired cognitive function (7), reduced appetite (8), and increased mortality rates (9). Under-nutrition is a critical determinant of outcomes of hospitalization (3,10,11) and correlates with morbidity and mortality in this population (11)(12)(13). a recent survey of nearly 2500 canadian patients showed that patients admitted to an acute care ward with risk factors for malnutrition had an average length of hospital stay up to twice as long as those without such risk factors.…”

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confidence: 99%