The impact of social isolation on delayed hospital discharges of older hip fracture patients and associated costs

Osteoporosis International : a Journal Established As Result of Cooperation Between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA
F LandeiroA M Gray

Abstract

Delayed discharges represent an inefficient use of acute hospital beds. Social isolation and referral to a public-funded rehabilitation unit were significant predictors of delayed discharges while admission from an institution was a protective factor for older hip fracture patients. Preventing delays could save between 11.2 and 30.7 % of total hospital costs for this patient group. Delayed discharges of older patients from acute care hospitals are a major challenge for administrative, humanitarian, and economic reasons. At the same time, older people are particularly vulnerable to social isolation which has a detrimental effect on their health and well-being with cost implications for health and social care services. The purpose of the present study was to determine the impact and costs of social isolation on delayed hospital discharge. A prospective study of 278 consecutive patients aged 75 or older with hip fracture admitted, as an emergency, to the Orthopaedics Department of Hospital Universitário de Santa Maria, Portugal, was conducted. A logistic regression model was used to examine the impact of relevant covariates on delayed discharges, and a negative binomial regression model was used to examine the main drivers of days...Continue Reading

References

Oct 1, 1992·Archives of Internal Medicine·F LefevreJ R Webster
Dec 1, 1990·Journal of the American Geriatrics Society·C H HirschC H Winograd
Feb 1, 1993·Annals of Internal Medicine·M C Creditor
Jan 1, 1993·Critical Care Medicine·T GiraudJ F Monsallier
Mar 25, 1996·Archives of Internal Medicine·M A SagerC H Winograd
Mar 1, 1997·Stroke; a Journal of Cerebral Circulation·N E MayoS C Scott
Jan 29, 2000·Nephrology, Dialysis, Transplantation : Official Publication of the European Dialysis and Transplant Association - European Renal Association·H S KohliV Sakhuja
Mar 21, 2000·International Journal of Health Care Quality Assurance Incorporating Leadership in Health Services·J Tepp, A Voitk
May 11, 2000·The New England Journal of Medicine·B C Spillman, J Lubitz
Sep 19, 2001·Health & Social Care in the Community·Christina R. VictorJohn Seargeant
May 23, 2002·Clinical Rehabilitation·Nicholas D Carter, Derick T Wade
Oct 16, 2002·British Journal of Anaesthesia·D Hinchliffe, A Norris
Aug 5, 2005·Canadian Journal on Aging = La Revue Canadienne Du Vieillissement·Anita L KozyrskyiCarmen Steinbach
Jun 29, 2006·Aging Clinical and Experimental Research·Aida BiancoItalo F Angelillo
Jul 14, 2010·ANZ Journal of Surgery·Senarath EdirimanneDavid R Lewis
Jul 24, 2010·Annals of Behavioral Medicine : a Publication of the Society of Behavioral Medicine·Louise C Hawkley, John T Cacioppo
Mar 23, 2011·Journal of Aging Research·Reijo S TilvisKaisu H Pitkälä
Dec 17, 2011·Journal of Hospital Medicine : an Official Publication of the Society of Hospital Medicine·Dinah FoerAndrew Dunn

❮ Previous
Next ❯

Citations

Nov 23, 2017·Australian and New Zealand Journal of Public Health·Catherine ChojentaBalakrishnan Kichu Nair
Jan 31, 2018·BMC Health Services Research·Sajid A ShaikhHao Wang
Jun 13, 2019·Revista gaúcha de enfermagem·Diana Andreia Santos ModasZaida Borges Charepe
Dec 19, 2019·Journal of the American Geriatrics Society·Thomas K M CudjoeDavid L Roth
Jun 7, 2019·Journal of Applied Gerontology : the Official Journal of the Southern Gerontological Society·Julija StelmokasNeil B Alexander
Sep 13, 2017·Health Expectations : an International Journal of Public Participation in Health Care and Health Policy·Antonio Rojas-GarcíaRosalind Raine
Aug 11, 2017·European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society·E R FlikweertI H F Reininga
Sep 12, 2019·International Journal of Environmental Research and Public Health·Amada Pellico-LópezMaría Paz-Zulueta
Feb 23, 2018·American Journal of Public Health·Nicole K ValtortaBarbara Hanratty
May 24, 2019·Social Psychiatry and Psychiatric Epidemiology·Cathrine MihalopoulosLidia Engel
Apr 13, 2021·Canadian Journal on Aging = La Revue Canadienne Du Vieillissement·Jonathan PlanteKenneth Rockwood
Aug 3, 2021·International Journal of Public Health·Rachelle MeistersMaria Jansen
Aug 6, 2020·Theoretical Medicine and Bioethics·Annie B Friedrich
Sep 3, 2021·International Journal of Clinical Practice·Amada Pellico-LópezMaria Paz-Zulueta

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

Related Papers

Critical Care : the Official Journal of the Critical Care Forum
Lucienne T Q CardosoAna M Bonametti
Stroke; a Journal of Cerebral Circulation
A van StratenM Limburg
Clinical Rehabilitation
Nicholas D Carter, Derick T Wade
American Journal of Medical Quality : the Official Journal of the American College of Medical Quality
Joanne MatukaitisEdward Ewen
© 2021 Meta ULC. All rights reserved