Gender-differences in disease distribution and outcome in hospitalized elderly: Data from the REPOSI study

Ligia Juliana Dominguez Rodriguez, Pasquale Mansueto, Christiano Argano, Ilenia Pepe, Salvatore Corrao, Mario Barbagallo, Luigi Calvo, Alberto Auteri, Antonio Amoroso, Daniela D'Angelo, Elisabetta Greco, Lidia Plances, Maria Carmela Carbone, Mauro Serra

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20 Citazioni (Scopus)

Abstract

Background and purpose Women live longer and outnumber men. On the other hand, older women develop more chronic diseases and conditions such as arthritis, osteoporosis and depression, leading to a greater number of years of living with disabilities. The aim of this study was to describe whether or not there are gender differences in the demographic profile, disease distribution and outcome in a population of hospitalized elderly people. Methods Retrospective observational study including all patients recruited for the REPOSI study in the year 2010. Analyses are referred to the whole group and gender categorization was applied. Results A total of 1380 hospitalized elderly subjects, 50.5% women and 49.5% men, were considered. Women were older than men, more often widow and living alone or in nursing homes. Disease distribution showed that malignancy, diabetes, coronary artery disease, chronic kidney disease and chronic obstructive pulmonary disease were more frequent in men, but hypertension, osteoarthritis, anemia and depression were more frequent in women. Severity and comorbidity indexes according to the Cumulative Illness Rating Scale (CIRS-s and CIRS-c) were higher in men, while cognitive impairment evaluated by the Short Blessed Test (SBT), mood disorders by the Geriatric Depression Scale (GDS) and disability in daily life measured by Barthel Index (BI) were worse in women. In-hospital and 3-month mortality rates were higher in men. Conclusions Our study showed a gender dimorphism in the demographic and morbidity profiles of hospitalized elderly people, emphasizing once more the need for a personalized process of healthcare.
Lingua originaleEnglish
pagine (da-a)617-623
Numero di pagine7
RivistaDefault journal
Volume25
Stato di pubblicazionePublished - 2014

All Science Journal Classification (ASJC) codes

  • Internal Medicine

Cita questo

Gender-differences in disease distribution and outcome in hospitalized elderly: Data from the REPOSI study. / Dominguez Rodriguez, Ligia Juliana; Mansueto, Pasquale; Argano, Christiano; Pepe, Ilenia; Corrao, Salvatore; Barbagallo, Mario; Calvo, Luigi; Auteri, Alberto; Amoroso, Antonio; D'Angelo, Daniela; Greco, Elisabetta; Plances, Lidia; Carbone, Maria Carmela; Serra, Mauro.

In: Default journal, Vol. 25, 2014, pag. 617-623.

Risultato della ricerca: Article

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title = "Gender-differences in disease distribution and outcome in hospitalized elderly: Data from the REPOSI study",
abstract = "Background and purpose Women live longer and outnumber men. On the other hand, older women develop more chronic diseases and conditions such as arthritis, osteoporosis and depression, leading to a greater number of years of living with disabilities. The aim of this study was to describe whether or not there are gender differences in the demographic profile, disease distribution and outcome in a population of hospitalized elderly people. Methods Retrospective observational study including all patients recruited for the REPOSI study in the year 2010. Analyses are referred to the whole group and gender categorization was applied. Results A total of 1380 hospitalized elderly subjects, 50.5{\%} women and 49.5{\%} men, were considered. Women were older than men, more often widow and living alone or in nursing homes. Disease distribution showed that malignancy, diabetes, coronary artery disease, chronic kidney disease and chronic obstructive pulmonary disease were more frequent in men, but hypertension, osteoarthritis, anemia and depression were more frequent in women. Severity and comorbidity indexes according to the Cumulative Illness Rating Scale (CIRS-s and CIRS-c) were higher in men, while cognitive impairment evaluated by the Short Blessed Test (SBT), mood disorders by the Geriatric Depression Scale (GDS) and disability in daily life measured by Barthel Index (BI) were worse in women. In-hospital and 3-month mortality rates were higher in men. Conclusions Our study showed a gender dimorphism in the demographic and morbidity profiles of hospitalized elderly people, emphasizing once more the need for a personalized process of healthcare.",
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author = "{Dominguez Rodriguez}, {Ligia Juliana} and Pasquale Mansueto and Christiano Argano and Ilenia Pepe and Salvatore Corrao and Mario Barbagallo and Luigi Calvo and Alberto Auteri and Antonio Amoroso and Daniela D'Angelo and Elisabetta Greco and Lidia Plances and Carbone, {Maria Carmela} and Mauro Serra",
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T1 - Gender-differences in disease distribution and outcome in hospitalized elderly: Data from the REPOSI study

AU - Dominguez Rodriguez, Ligia Juliana

AU - Mansueto, Pasquale

AU - Argano, Christiano

AU - Pepe, Ilenia

AU - Corrao, Salvatore

AU - Barbagallo, Mario

AU - Calvo, Luigi

AU - Auteri, Alberto

AU - Amoroso, Antonio

AU - D'Angelo, Daniela

AU - Greco, Elisabetta

AU - Plances, Lidia

AU - Carbone, Maria Carmela

AU - Serra, Mauro

PY - 2014

Y1 - 2014

N2 - Background and purpose Women live longer and outnumber men. On the other hand, older women develop more chronic diseases and conditions such as arthritis, osteoporosis and depression, leading to a greater number of years of living with disabilities. The aim of this study was to describe whether or not there are gender differences in the demographic profile, disease distribution and outcome in a population of hospitalized elderly people. Methods Retrospective observational study including all patients recruited for the REPOSI study in the year 2010. Analyses are referred to the whole group and gender categorization was applied. Results A total of 1380 hospitalized elderly subjects, 50.5% women and 49.5% men, were considered. Women were older than men, more often widow and living alone or in nursing homes. Disease distribution showed that malignancy, diabetes, coronary artery disease, chronic kidney disease and chronic obstructive pulmonary disease were more frequent in men, but hypertension, osteoarthritis, anemia and depression were more frequent in women. Severity and comorbidity indexes according to the Cumulative Illness Rating Scale (CIRS-s and CIRS-c) were higher in men, while cognitive impairment evaluated by the Short Blessed Test (SBT), mood disorders by the Geriatric Depression Scale (GDS) and disability in daily life measured by Barthel Index (BI) were worse in women. In-hospital and 3-month mortality rates were higher in men. Conclusions Our study showed a gender dimorphism in the demographic and morbidity profiles of hospitalized elderly people, emphasizing once more the need for a personalized process of healthcare.

AB - Background and purpose Women live longer and outnumber men. On the other hand, older women develop more chronic diseases and conditions such as arthritis, osteoporosis and depression, leading to a greater number of years of living with disabilities. The aim of this study was to describe whether or not there are gender differences in the demographic profile, disease distribution and outcome in a population of hospitalized elderly people. Methods Retrospective observational study including all patients recruited for the REPOSI study in the year 2010. Analyses are referred to the whole group and gender categorization was applied. Results A total of 1380 hospitalized elderly subjects, 50.5% women and 49.5% men, were considered. Women were older than men, more often widow and living alone or in nursing homes. Disease distribution showed that malignancy, diabetes, coronary artery disease, chronic kidney disease and chronic obstructive pulmonary disease were more frequent in men, but hypertension, osteoarthritis, anemia and depression were more frequent in women. Severity and comorbidity indexes according to the Cumulative Illness Rating Scale (CIRS-s and CIRS-c) were higher in men, while cognitive impairment evaluated by the Short Blessed Test (SBT), mood disorders by the Geriatric Depression Scale (GDS) and disability in daily life measured by Barthel Index (BI) were worse in women. In-hospital and 3-month mortality rates were higher in men. Conclusions Our study showed a gender dimorphism in the demographic and morbidity profiles of hospitalized elderly people, emphasizing once more the need for a personalized process of healthcare.

KW - 80 and over; Chronic Disease; Cognition Disorders; Comorbidity; Depression; Female; Follow-Up Studies; Geriatric Assessment; Hospitalization; Humans; Italy; Male; Morbidity; Retrospective Studies; Sex Distribution; Activities of Daily Living; Inpatients;

KW - Disease distribution; Elderly; In-hospital mortality; Sex-gender difference; Aged; Aged

UR - http://hdl.handle.net/10447/297919

UR - http://www.elsevier.com/locate/ejim

M3 - Article

VL - 25

SP - 617

EP - 623

JO - Default journal

JF - Default journal

ER -