Prevalence and clinical significance of loneliness in older patients admitted to acute hospital wards
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Le résumé fourni par la source
OBJECTIVE: Loneliness represents a risk factor for morbidity and mortality. We aimed to evaluate the prevalence of loneliness among hospitalized older patients, and its association with baseline characteristics and clinical post-discharge outcomes. DESIGN: Multicenter observational study, including a cross-sectional and a longitudinal phase. SETTING: Acute medical hospital wards of three Italian hospitals. PARTECIPANTS: Three hundred patients ≥65 years old. MEASUREMENTS: A questionnaire was administered to participants, including socio-demographic data, and information on loneliness (assessed with 3-item UCLA scale and 6-item De Jong Gierveld and Van Tilburg Loneliness scale-DJGT), cognitive, emotional and functional level. Rehospitalizations and mortality were evaluated 1 and 6 months after discharge. RESULTS: A high prevalence of loneliness emerged with both scales (63% with UCLA, 60% with DJGT). At multiple linear regression analyses, Geriatric Depression Scale (GDS) was independently associated with UCLA (B coeff. 0.46, p < 0.001) and DJGT (B coeff. 0.51, p < 0.001) scales, and Basic Activities of Daily Living with UCLA scale (B coeff. -0.21, p = 0.02). In longitudinal analysis, global loneliness scores were not associated with mortality and rehospitalization risk, while the item n.6 of DJGT scale ("There are enough people I feel close to") was independently associated with higher mortality risk within 1 and 6 months from discharge (OR 4.6, 95%C.I. 1.64-12.92; OR 4.38, 95%C.I. 1.83-10.48, respectively). CONCLUSION: Loneliness was reported by more than half of older adults hospitalized in acute medical wards, and was associated with depressive symptoms and disability. The perception of scarce social ties was associated with higher mortality risk. Awareness of the "loneliness" phenomenon should be increased also in clinical settings.
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Le contrôle bibliographique ouvert
DOI retrouvé dans Crossref DOI retrouvé ; titre concordant.
- Titre Crossref
- Prevalence and clinical significance of loneliness in older patients admitted to acute hospital wards
- Date Crossref
- 01/10/2025
- Éditeur
- Elsevier BV
- Type
- journal-article
Ce recoupement confirme des métadonnées liées au DOI. Il ne confirme ni la méthode ni les conclusions de l’étude, et il ne compte pas comme une seconde source scientifique indépendante.
Où se fait cette recherche
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University of Ferrara Department of Translational Medicine pays non établi dans la noticeUniversité ou école supérieure
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Union des Industries Ferroviaires Européennes pays non établi dans la noticeInstitution
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Istituti di Ricovero e Cura a Carattere Scientifico pays non établi dans la noticeÉtablissement de santé
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Istituto Nazionale di Riposo e Cura per Anziani pays non établi dans la noticeÉtablissement de santé
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Azienda Usl Toscana Centro pays non établi dans la noticeÉtablissement de santé
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University of Florence Division of Geriatric and Intensive Care Medicine pays non établi dans la noticeUniversité ou école supérieure
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Marche Polytechnic University pays non établi dans la noticeUniversité ou école supérieure
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Geriatria pays non établi dans la noticeInstitution
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Department of Clinical and Molecular Sciences Italy pays non établi dans la noticeÉtablissement de santé
Department of Translational Medicine — University of Ferrara, Union des Industries Ferroviaires Européennes et Istituti di Ricovero e Cura a Carattere Scientifico, avec 6 autres affiliations.
Une affiliation ne permet pas de déduire la nationalité d’un auteur.