Factors influencing length of hospital stay in an acute psychogeriatric unit

Autor:	Pierre Koskas, Samuel Kohler, Lauriane Bourdonnec, Mouna Romdhani, Olivier Drunat
Rok vydání:	2021
Předmět:	medicine.medical_specialty medicine.medical_treatment Geriatric Psychiatry Discharge home 03 medical and health sciences 0302 clinical medicine medicine Humans Dementia In patient Aged Aged 80 and over Rehabilitation 030214 geriatrics business.industry Mean age Cognition Length of Stay medicine.disease Patient Discharge Hospitalization Psychiatry and Mental health Physical therapy Geriatrics and Gerontology business Gerontology Hospital stay Body mass index 030217 neurology & neurosurgery
Zdroj:	Psychogeriatrics. 21:478-482
ISSN:	1479-8301 1346-3500
DOI:	10.1111/psyg.12691
Popis:	Background Dementia patients represent a significant volume of hospital admissions and impose a high cost on the health system. There is a significantly higher length of hospital stay (LOHS) for elderly demented patients. Methods This study was carried out in an acute psychogeriatric unit specialising in behavioural and psychological symptoms in dementia. Socio-demographic, cognitive and nutritional variables were taken into account. We first compared the patients returning home (group 1) after hospital discharge with those transferred to the rehabilitation psychogeriatric unit (group 2). We secondarily explored the correlation of LOHS with the variables described above for the two groups. Results We retained 92 patients (of 375 admitted) for our study, mean age 83.9 ± 6.6, Mini-Mental State Examination 12.8 ± 9.6, initial weight 61.7 ± 13.2 kg and body mass index 24.8 ± 4.7. We noticed significant differences in cognitive status but not in nutritional variables or in socio-demographic characteristics between the two groups. Only weight in nutritional variables was significantly associated with LOHS in the acute psychogeriatric unit. Conclusions Our main finding underlined the key role of cognitive factors in patient discharge home. And only initial weigh seems have an influence in LOHS instead of cognitive status or socio-demographic characteristics.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_dedup___::2a053da05575af2516155c0da2a1c124 https://doi.org/10.1111/psyg.12691 Zobrazit plný text záznamu Plný text ve formátu PDF Plný text ve formátu HTML
Nepřihlášeným uživatelům se plný text nezobrazuje	K zobrazení výsledku je třeba se přihlásit.