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Predictive capacities at the end of hospitalisation in geriatrics of the modified SEGA frailty score: a 6-month prospective study Volume 18, issue 1, Mars 2020

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Authors
1 Médecine générale, Piney, France
2 Pôle de gériatrie et de gérontologie, CHU de Martinique, Fort-de-France, France
3 Unité de soutien méthodologique à la recherche, CHU de Martinique, Fort-de-France, France
4 Hôpitaux Champagne Sud, Troyes, France
5 Faculté de médecine de Reims, France
6 Service de gériatrie et médecine interne, CHU de Reims, Hôpital Maison Blanche, Reims, France ; Université de Reims Champagne-Ardenne, Faculté de Médicine, EA 3797, Reims, France
7 Pôle Information médicale Évaluation Performance, Hôpitaux Champagne-Sud, Troyes, France
* Correspondance

The aim of this study was to describe the predictive role of the modified SEGA fragility score on nursing home admission, rehospitalization, falls and mortality. Material and methods: We performed a prospective, single-center cohort study in patients leaving geriatric hospitalization between July 2016 and February 2017, with follow-up at 6 months. Patients 65 years of age and over, returning home, were included. The primary outcome measure was admission to an institution at 6 months. We realized a Cox model to explore the predictive character of the variables. Results: Thirty-three patients (18.4%), mean age 80.9 years (± 6.5), were not very fragile. At 6 months, 13.5% of the fragile or very fragile patients and 1.2% of the patients who were not very fragile had entered the institution (p = 0.169). Fragility status was statistically significantly associated with rehospitalization at 3 months (p = 0.026) and single or multiple drop at 6 months) month (p = 0.003). Conclusion: The SEGAm grid would predict the occurrence of derogatory events and improve return home.