Social cases?

Sub-title
AuthorsPaul Zammit MD, Dip Ger
P Ferry MSc, MRCP
AbstractThis was a cross-sectional descriptive study of in-patients over the age of 60 years at St. Lukes hospital who were deemed to be social cases (SC). The majority (58.4%) were female and the mean age was 80 years (range 60-92, SD: 6.7 years). Most (80%) were found in medical wards. The mean length of stay was 22.5 days (range 1-290 days, SD: 36.4 days). Social cases were a frail group with a mean number of co?morbidities of 2.8 (range 0-6, SD:1.5). Dependency level was also high with a mean Barthel score of 6.8 (range 0-20, SD: 7.4). A diagnosis of dementia was documented on the patients medical record in only 12%. However significant low Abbreviated Mental Test scores were found in 64% (mean AMT 5.0, range 0-9, SD: 2.8). These findings illustrate that most social cases at St. Lukes Hospital are not only there for social reasons but also have other factors involved, including a high dependency level in activities of daily living which hamper their discharge to the community. Rehabilitation using an interdisciplinary approach may help the less dependent return to the community.

Published in:
JournalMalta Medical Journal
Volume18 Issue 02
Pages17 - 20
Date
Link to journal

Key wordsabbreviated mental test, activities of daily living, barthel score, geriatrics, social cases

Compiled by: Dr. I. Stabile    Dr. J. Pace