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Metrics details. The aging population is an increasing concern in Western hospital systems. Retrospective observational study analyzing data from the minimum basic data set, an administrative registry recording each hospital discharge in Spain since There were 4,, discharges in very elderly patients in Spain from to , representing 5.
The proportion of men also rose The proportion of patients that died during hospital admission decreased from Some of the most frequent primary diagnoses became even more frequent relative to the total number of primary diagnoses, such as heart failure 7.
However, there was a relative decrease in the proportion of femoral neck fractures 8. Discharges in the very elderly population are increasing in both relative and absolute terms in Spanish hospitals. Within this group, discharged patients are getting older and more frequently male. The mean length of stay and the proportion of patients that died during hospital admission are decreasing.
Acute-on-chronic organ diseases, neoplasms, acute cardiovascular diseases, and infections are the most common causes of discharge. Peer Review reports. The elderly population, and especially those aged 85 and over the very elderly , is the fastest-growing age segment in relative terms in Spain according to the National Statistics Institute NSI and the Human Mortality Database [ 1 , 2 ]. In addition, elderly patients have the most healthcare requirements and incur the highest health expenditure, with about half the health expenditure in developed countries devoted to patients over the age of 65 [ 4 ].