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AIMS AND OBJECTIVES To investigate older peoples' experiences with acute hospital treatment and care, and variables that may influence these experiences. BACKGROUND In the Nordic countries, research on older peoples' experiences with hospital care is sparse. METHODS Participants were recruited from an acute geriatric ward in a hospital in Norway during a 1-year period (n = 189). Patient experience was assessed using the Picker Patient Experience Questionnaire, self-rated health by Euro-QoL 5-dimension, three-level version and comorbidity by Charlson comorbidity index. RESULTS Responders' median age was 79 years, 48.7% male. Most of the problems were related to continuity and transition, while fewest problems were related to respect for patient preferences. Charlson comorbidity index score and the variables "still working," "in a relationship" and "living alone" negatively influenced patient experience. CONCLUSIONS A high amount of problems were identified among patients hospitalised in an acute geriatric ward. Findings from this study may provide important information about issues that need focus to increase the care experiences of older people. RELEVANCE TO CLINICAL PRACTICE Results from this study adds to existing knowledge, and emphasize the need for increased focus on discharge and continuity of care processes.