دورية أكاديمية
Delays in the discharge of elderly patients.
| العنوان: | Delays in the discharge of elderly patients. |
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| المؤلفون: | Rockwood K; Department of Medicine, University of Alberta, Edmonton, Canada. |
| المصدر: | Journal of clinical epidemiology [J Clin Epidemiol] 1990; Vol. 43 (9), pp. 971-5. |
| نوع المنشور: | Journal Article; Research Support, Non-U.S. Gov't |
| اللغة: | English |
| بيانات الدورية: | Publisher: Elsevier Country of Publication: United States NLM ID: 8801383 Publication Model: Print Cited Medium: Print ISSN: 0895-4356 (Print) Linking ISSN: 08954356 NLM ISO Abbreviation: J Clin Epidemiol Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: New York : Elsevier Original Publication: Oxford ; New York : Pergamon Press, c1988- |
| مواضيع طبية MeSH: | Length of Stay*/*statistics & numerical data, Aged*, Hospitals, Teaching/*statistics & numerical data , Patient Discharge/*statistics & numerical data, Activities of Daily Living ; Aftercare/statistics & numerical data ; Aged, 80 and over ; Alberta ; Delirium/therapy ; Dementia/therapy ; Female ; Humans ; Long-Term Care/statistics & numerical data ; Male ; Prospective Studies |
| مستخلص: | This paper reports a prospective study of the incidence and magnitude of delays in the discharge of 80 elderly (65+ years old) patients admitted to two general medical services in teaching hospitals in Edmonton, Alberta. The average length of stay was 16.6 days. Discharges were delayed in 14% (11/80) patients, accounting for 21% of the total days stay. Patients whose discharge was delayed tended to be older, to have delirium and/or dementia, to more often come from or require transfer to long term care (LTC) institutions, and/or to be dependent in essential activities of daily living. The 4-Score, an index for predicting non-medical days, was useful in identifying patients at risk for delays in discharge, and had a sensitivity of 0.82, and a specificity of 0.90. Interventions to reduce delays in discharge must address the frail nature of the patients, their lack of support and existing administrative relationships with LTC institutions. Acute care hospitals will likely need to undertake formal programs for the long term care of many of these patients. |
| تواريخ الأحداث: | Date Created: 19900101 Date Completed: 19901102 Latest Revision: 20190828 |
| رمز التحديث: | 20221208 |
| DOI: | 10.1016/0895-4356(90)90080-9 |
| PMID: | 2170587 |
| قاعدة البيانات: | MEDLINE |
Full Text Finder | تدمد: | 0895-4356 |
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| DOI: | 10.1016/0895-4356(90)90080-9 |