[Intermediate hospital care for subacute elderly patients as an alternative to prolonged acute hospitalization]
| Autor: | Marco, Inzitari, Lluís, Espinosa Serralta, María Carmen, Pérez Bocanegra, Marta, Roquè Fíguls, Josep Maria, Argimón Pallàs, Joan, Farré Calpe |
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| Rok vydání: | 2011 |
| Předmět: |
Aged
80 and over Male Patient Transfer Risk Health Services for the Aged Frail Elderly Patient Selection Malnutrition Aftercare Length of Stay Long-Term Care Patient Discharge Nursing Homes Hospitalization Hospitals University Chronic Disease Humans Female Emergency Service Hospital Intermediate Care Facilities Diagnosis-Related Groups Subacute Care Aged |
| Zdroj: | Gaceta sanitaria. 26(2) |
| ISSN: | 1578-1283 |
| Popis: | We evaluated the rapid discharge of older patients with reactivated chronic diseases from an acute general hospital to an intermediate care hospital.A cohort study was carried out. Compliance with predefined quality standards and patient selection were evaluated.Sixty-eight patients (mean age 82.6 years, 48.5% men) were discharged from the emergency department (69.1%) or medical wards (mean [SD] global length of stay 2.6 [2.9] days in acute wards and 1.5 [1.6] days in the emergency department). Mean post-acute length of stay (SD) was 11.4 (4.2) days. Fifty-six patients (82.4%) were discharged to their previous living situation (home or nursing home), two back to the emergency department, seven to long-term care, and three died. All quality standards were met. In a multivariate analysis, male gender and a higher risk of malnutrition were associated with an increased risk of not returning to the previous living situation (p0.05).Intermediate care for selected patients with reactivated chronic diseases might represent an alternative to prolonged acute hospitalization. |
| Databáze: | OpenAIRE |
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