Background: Assessing hospital mortality and its predictors is important as some of these can be prevented through appropriate interventions. Few studies have reported hospital mortality data among older adults in sub-Saharan Africa. The objective of this study was to assess the mortality and associated factors among hospitalized older adults in Togo. Methods: We conducted a prospective cohort study from February 2018 to September 2019 among patients ≥50 years admitted in medical and surgical services of six hospitals in Togo. Data were recorded during hospitalization and through telephone follow-up survey within 90 days after admission. The main outcome was all-cause mortality at 3 months. Survival curves were estimated using the Kaplan-Meier method and Cox regression analyses were performed to assess predictors of mortality. Results: The median age of the 650 older adults included in the study period was 61 years, IQR: [55–70] and at least one comorbidity was identified in 59.7% of them. The all-cause mortality rate of 17.2% (95%CI: 14.4–20.4) and the majority of death (93.7%) occurred in hospital. Overall survival rate was 85.5 and 82.8% after 30 and 90 days of follow-up, respectively. Factors associated with 3-month mortality were the hospital level in the health pyramid, hospitalization service, length of stay, functional impairment, depression and malignant diseases. Conclusion: Togolese health system needs to adjust its response to an aging population in order to provide the most effective care.
CITATION STYLE
Gbeasor-Komlanvi, F. A., Tchankoni, M. K., Bakoubayi, A. W., Lokossou, M. Y., Sadio, A., Zida-Compaore, W. I. C., … Ekouevi, D. K. (2020). Predictors of three-month mortality among hospitalized older adults in Togo. BMC Geriatrics, 20(1). https://doi.org/10.1186/s12877-020-01907-y
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