<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>0872-671X</journal-id>
<journal-title><![CDATA[Medicina Interna]]></journal-title>
<abbrev-journal-title><![CDATA[Medicina Interna]]></abbrev-journal-title>
<issn>0872-671X</issn>
<publisher>
<publisher-name><![CDATA[Sociedade Portuguesa de Medicina Interna]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0872-671X2023000200014</article-id>
<article-id pub-id-type="doi">10.24950/rspmi.1515</article-id>
<title-group>
<article-title xml:lang="pt"><![CDATA[Preditores de Outcome em Idosos Internados em Medicina Interna]]></article-title>
<article-title xml:lang="en"><![CDATA[Outcome Predictors in Elderly Patients Admitted to Internal Medicine]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Lopes]]></surname>
<given-names><![CDATA[Joana Correia]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Amaro]]></surname>
<given-names><![CDATA[Mário]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Veríssimo]]></surname>
<given-names><![CDATA[Manuel Teixeira]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital Garcia de Orta Serviço de Medicina Interna ]]></institution>
<addr-line><![CDATA[Almada ]]></addr-line>
<country>Portugal</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidade de Coimbra Faculdade de Medicina ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Portugal</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>06</month>
<year>2023</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>06</month>
<year>2023</year>
</pub-date>
<volume>30</volume>
<numero>2</numero>
<fpage>14</fpage>
<lpage>22</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_arttext&amp;pid=S0872-671X2023000200014&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_abstract&amp;pid=S0872-671X2023000200014&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_pdf&amp;pid=S0872-671X2023000200014&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="pt"><p><![CDATA[Resumo  Introdução: O envelhecimento é um fenómeno global, com grandes implicações nos serviços de saúde. O objetivo deste estudo foi analisar os preditores de resultado dos idosos internados em Medicina Interna (MI).  Métodos: Estudo observacional, retrospetivo e longitudinal. Analisados os registos clínicos dos doentes com idade igual ou superior a 65 anos internados no serviço de MI do Hospital Garcia de Orta (HGO) no ano de 2019.  Resultados: Em 2019 foram internados 2841 doentes no serviço de MI do HGO. Destes, 532 (18,7%) tinham idade inferior a 65 anos e 2309 (81,3%) tinham idade igual ou superior a 65 anos. Foram incluídos 2133 doentes, com uma média de idades de 80,0 ± 7,8 anos, o sexo feminino representou 54,7% da amostra. O número médio de comorbilidades por doente foi de 6,1 ± 2,8, sendo que 54,8% dos idosos apresentava algum grau de fragilidade. Doentes com fragilidade, tiveram maior risco relativo de morte no internamento (RR = 3,1) e no pós-alta (RR = 2), mantendo-se estas associações após ajustamento para fatores de confundimento.  Conclusão: A população tratada num serviço de MI é maioritariamente idosa, com graus variáveis de multimorbilidade e fragilidade. A fragilidade parece ser um preditor major de reinternamento e óbito nesta população. Perante a heterogeneidade desta faixa etária, é necessária uma avaliação multidimensional e planos de cuidados É urgente uma adaptação dos serviços de MI ao cuidado do doente idoso, com investimento em cuidados interdisciplinares focados na qualidade de vida. A formação em geriatria deve ser primordial.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Introduction: Population aging is a global phenomenon, with implications in health services. The present study aims to analyse outcome predictors in elderly patients admitted to the internal medicine (IM) service.  Methods: Observational, retrospective, longitudinal study. Medical records of patients 65 or more years old admitted to the IM service of Hospital Garcia de Orta (HGO), Portugal, in the year 2019 were analysed.  Results:  In 2019 the HGO&#8217;s IM service admitted 2841 patients: 532 (18.7%) were less than 65 years old and 2309 (81.3%) were 65 years old or older. In the statistical analyses 2133 patients were included, with a mean age of 80.0 ± 7.8 years. Female gender represented 54.7% of the sample size. Mean number of comorbidities per patient was 6.1 ± 2.8, and 54.8% were considered frail. Frail patients were at higher risk of death in hospital (RR = 3.1) and after discharge (RR = 2), even after adjustment for confounders.  Conclusion:  The population admitted to IM services is mainly elderly with variable degrees of multimorbidity and frailty. frailty seems to be a major predictor of readmission and death in this population. Given the heterogenicity of this age group, multidimensional evaluations and individualized care plans are mandatory. It is urgent that Portuguese IM services adapt to the care of elderly patients, with a strong investment in interdisciplinary care focused on quality of life. Education in geriatric medicine should be a priority to IM teams.]]></p></abstract>
<kwd-group>
<kwd lng="pt"><![CDATA[Fragilidade]]></kwd>
<kwd lng="pt"><![CDATA[Hospitalização]]></kwd>
<kwd lng="pt"><![CDATA[Idoso]]></kwd>
<kwd lng="pt"><![CDATA[Medicina Interna]]></kwd>
<kwd lng="pt"><![CDATA[Multimorbilidade.]]></kwd>
<kwd lng="en"><![CDATA[Aged]]></kwd>
<kwd lng="en"><![CDATA[Frailty]]></kwd>
<kwd lng="en"><![CDATA[Hospitalization]]></kwd>
<kwd lng="en"><![CDATA[Internal Medicine]]></kwd>
<kwd lng="en"><![CDATA[Multimorbidity.]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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