PMID: 20128769Feb 5, 2010Paper

Admission variables predicting short lengths of stay of acutely unwell older patients: relevance to emergency and medical short-stay units

Australian Health Review : a Publication of the Australian Hospital Association
David Basic, Angela Khoo

Abstract

To help develop criteria to identify older patients suitable for admission to medical short-stay units, by determining predictors of length of stay (LOS) of 3 days or less. The data were prospectively collected from consecutive older patients admitted from the emergency department of a university hospital to an acute geriatric medicine service. Data included active medical diagnoses, the Modified Barthel Index (MBI), the Timed Up and Go (TUG) test, and demographic information. Logistic regression was used to model the probability of LOS of 3 days or less (short LOS). Among 2036 patients discharged alive from hospital (mean age, 82 years; median LOS, 7 days), 398 had a short LOS (median, 2 days), while 1638 had a long LOS (median, 9 days). In logistic regression analysis, the main independent predictors of short LOS were an MBI score > 15/20 (OR, 2.98; 95% CI, 1.97-4.49), ability to perform the TUG test (OR, 2.08; 95% CI, 1.34-3.24) and absence of delirium (OR, 2.66; 95% CI, 1.56-4.54). Patients without infection, anaemia, gastrointestinal disorder and stroke were also more likely to have a short LOS in multivariate analysis (all P < 0.05). Preserved function, measured using the MBI and TUG, and the absence of delirium are stron...Continue Reading

Citations

Nov 2, 2011·Internal and Emergency Medicine·Giuseppe RealdiFranco Tosato
Nov 12, 2009·International Journal for Quality in Health Care : Journal of the International Society for Quality in Health Care·Ian ScottDerek Bell
Sep 18, 2012·The American Journal of Emergency Medicine·Xavier BoschAlfonso López-Soto
Apr 24, 2012·Journal of Nursing Management·Nicole BlayRobyn Gallagher
Dec 30, 2014·International Emergency Nursing·Jane ConwaySophie Dilworth
Sep 25, 2016·Australasian Journal on Ageing·Carole RushtonMark Forbes
Feb 2, 2017·Internal Medicine Journal·Kim O'SullivanDaryl Jones
Aug 14, 2018·The Cochrane Database of Systematic Reviews·Camilla StrømJanus C Jakobsen
Jan 30, 2021·Archives of Gerontology and Geriatrics·Sari Tal
Mar 27, 2021·Internal and Emergency Medicine·Federico CaponeAlois Saller

❮ Previous
Next ❯

Related Concepts

Related Feeds

Anemia

Anemia develops when your blood lacks enough healthy red blood cells. Anemia of inflammation (AI, also called anemia of chronic disease) is a common, typically normocytic, normochromic anemia that is caused by an underlying inflammatory disease. Here is the latest research on anemia.

Related Papers

Journal of Hospital Medicine : an Official Publication of the Society of Hospital Medicine
Brian P LucasJulia L Bienias
International Journal for Quality in Health Care : Journal of the International Society for Quality in Health Care
Ian ScottDerek Bell
Annals of Emergency Medicine
W Frank PeacockCharles Emerman
The American Journal of Emergency Medicine
Veronica Sikka, Joseph P Ornato
© 2021 Meta ULC. All rights reserved