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Objective: to investigate the causes of older adult hospitalizations, demographic and clinical profiles, and patient outcome. Method: quantitative cross-sectional study conducted with 14,892 electronic medical records during 12 months. We carried out a descriptive analysis of the variables of the sample characterization, and an associative test using chi-square statistics. Results: most patients assessed were male, had primary education, lived with a partner, were white and Catholics, and had cardiovascular diseases, followed by neoplasms and gastrointestinal diseases in both sexes. The average age of the patients was 72.1 years, and the average length of hospital stay was 5.9 days. There was a significant association between diagnosed diseases, sex ( p <0.001), and ethnicity ( p = 0.023) of the patients. The most common outcome was hospital discharge. Conclusion: chronic diseases were the main causes of older adult hospitalizations and led to increased length of hospital stay. The assessment of these factors provides subsidies for identifying problems and performing best nursing interventions. Descriptors : Older Adult; Hospitalization; Clinical Evolution. RESUMO Objetivo : investigar as causas de internacao dos idosos hospitalizados, o perfil demografico, o perfil clinico e o desfecho. Metodo : estudo quantitativo, transversal de analise de 14.892 prontuarios eletronicos, no periodo de 12 meses. Foi realizada uma analise descritiva das variaveis de caracterizacao amostral e aplicacao do teste associativo pela estatistica qui-quadrado. Resultados : a maioria dos pacientes avaliados era do sexo masculino, com grau de instrucao fundamental, com companheiro, do lar, brancos, catolicos e com doencas cardiovasculares, seguidas de neoplasias e doencas gastrointestinais em ambos os sexos.  A idade dos pacientes apresentou media de 72,1 anos e a media da permanencia hospitalar foi de 5,9 dias. Houve associacao significativa entre as doencas diagnosticadas, o sexo ( p <0,001) e a etnia ( p = 0,023) dos pacientes. O desfecho mais comum foi a alta dos pacientes. Conclusao : as doencas cronicas foram as principais causas de hospitalizacao dos idosos, acarretando mais tempo na hospitalizacao. A investigacao destes fatores fornece subsidios para identificacao dos problemas e realizar melhores acoes de enfermagem. Descritores : Idoso; Hospitalizacao; Evolucao Clinica. RESUMEN Objetivo: investigar las causas de hospitalizacion de adultos mayores, perfil demografico, perfil clinico y desenlaces. Metodo: estudio cuantitativo transversal con analisis de 14.892 registros medicos electronicos de un periodo de 12 meses. Se realizo un analisis descriptivo de las variables de caracterizacion de la muestra y se aplico la prueba chi-cuadrado. Resultados: la mayoria de los pacientes evaluados eran hombres, con educacion primaria, vivian en pareja, eran blancos, catolicos y tenian enfermedades cardiovasculares, seguidas de neoplasias y enfermedades gastrointestinales en ambos sexos. El promedio de edad de los pacientes fue de 72,1 anos y de la estancia hospitalaria fue de 5,9 dias. Hubo una asociacion significativa entre enfermedades diagnosticadas, sexo ( p <0.001) y etnia ( p = 0.023) de los pacientes. El resultado mas comun fue el alta hospitalaria. Conclusion: las enfermedades cronicas fueron las principales causas de hospitalizacion de los adultos mayores, llevando a un tiempo mas prolongado de internacion. La investigacion de estos factores proporciona subsidios para identificacion de problemas y realizar mejores intervenciones de enfermeria. Descritores : Adulto Mayor; Hospitalizacion; Evolucion Clinica.

Older adults hospitalized in a teaching hospital: clinical characteristics and outcomes