Predictors of a nursing home placement from a non-acute geriatric hospital
Authors: Aditya, B.S., Sharma, J.C., Allen, S.C. and Vassallo, M.
Journal: Clinical Rehabilitation
Volume: 17
Issue: 1
Pages: 108-113
ISSN: 0269-2155
DOI: 10.1191/0269215503cr567oa
Abstract:Background: Identifying patients who need Nursing Home (NH) care following a hospital admission is important. Objective: To identify the factors that predispose to an NH discharge. Design: Prospective observational study with blinded end-point evaluation. Setting: A non-acute geriatric hospital. Subjects: Two hundred consecutive elderly patients who were admitted for rehabilitation following treatment for an acute illness. Main outcome measures: Discharge to an NH or home. Results: Thirty-five out of the 150 live discharges (23.3%) were to an NH. NH discharges had a longer length of stay (38.5 versus 19.8 days; p < 0001). They were more likely to have visual impairment (p = 0.0009), confusion (p < 0.0001), wandering behaviour (p = 0.003), incontinence (p < 0.0001 or unsafe gait (p = 0.0005), to be on tranquillizers (p = 0.003), to be at risk of falls (p = 0.02) and to have sustained a fall while in hospital (p = 0.001). Multiple logistic regression identified confusion (p = 0.001), incontinence (p = 0.02), falls in hospital (p = 0.01), gait abnormalities (p < 0.001), tranquillizers (p < 0.001), impaired distant vision (p = 0.01) and living alone (p < 0.001) as independently associated with the risk of an NH discharge. This risk proportionately increased with the number of risk factors present: 4.28% for 0-2 factors, 25.8% for 3-4 factors and 81.8% for 5-6 factors (p < 0.0001). Conclusion: These factors should be the target of specific rehabilitation in an attempt to reduce the risk of discharge to a nursing home and improve patient outcome.
Source: Scopus
Predictors of a nursing home placement from a non-acute geriatric hospital.
Authors: Aditya, B.S., Sharma, J.C., Allen, S.C. and Vassallo, M.
Journal: Clin Rehabil
Volume: 17
Issue: 1
Pages: 108-113
ISSN: 0269-2155
DOI: 10.1191/0269215503cr567oa
Abstract:BACKGROUND: Identifying patients who need Nursing Home (NH) care following a hospital admission is important. OBJECTIVE: To identify the factors that predispose to an NH discharge. DESIGN: Prospective observational study with blinded end-point evaluation. SETTING: A non-acute geriatric hospital. SUBJECTS: Two hundred consecutive elderly patients who were admitted for rehabilitation following treatment for an acute illness. MAIN OUTCOME MEASURES: Discharge to an NH or home. RESULTS: Thirty-five out of the 150 live discharges (23.3%) were to an NH. NH discharges had a longer length of stay (38.5 versus 19.8 days; p < 0001). They were more likely to have visual impairment (p = 0.0009), confusion (p < 0.0001), wandering behaviour (p = 0.003), incontinence (p < 0.0001 or unsafe gait (p = 0.0005), to be on tranquillizers (p = 0.003), to be at risk of falls (p = 0.02) and to have sustained a fall while in hospital (p = 0.001). Multiple logistic regression identified confusion (p = 0.001), incontinence (p = 0.02), falls in hospital (p = 0.01), gait abnormalities (p < 0.001), tranquillizers (p < 0.001), impaired distant vision (p = 0.01) and living alone (p < 0.001) as independently associated with the risk of an NH discharge. This risk proportionately increased with the number of risk factors present: 4.28% for 0-2 factors, 25.8% for 3-4 factors and 81.8% for 5-6 factors (p < 0.0001). CONCLUSION: These factors should be the target of specific rehabilitation in an attempt to reduce the risk of discharge to a nursing home and improve patient outcome.
Source: PubMed
Predictors of a nursing home placement from a non-acute geriatric hospital
Authors: Aditya, B.S., Sharma, J.C., Allen, S.C. and Vassallo, M.
Journal: CLINICAL REHABILITATION
Volume: 17
Issue: 1
Pages: 108-113
ISSN: 0269-2155
DOI: 10.1191/0269215503cr567oa
Source: Web of Science (Lite)
Predictors of a nursing home placement from a non-acute geriatric hospital
Authors: Aditya, B.S., Sharma, J.C., Allen, S.C. and Vassallo, M.
Journal: Clinical Rehabilitation
Volume: 17
Pages: 108-113
ISSN: 0269-2155
DOI: 10.1191/0269215503cr567oa
Abstract:Background: Identifying patients who need Nursing Home (NH) care following a hospital admission is important.
Objective: To identify the factors that predispose to an NH discharge.
Design: Prospective observational study with blinded end-point evaluation.
Setting: A non-acute geriatric hospital.
Subjects: Two hundred consecutive elderly patients who were admitted for rehabilitation following treatment for an acute illness.
Main outcome measures: Discharge to an NH or home.
Results: Thirty-five out of the 150 live discharges (23.3%) were to an NH. NH discharges had a longer length of stay (38.5 versus 19.8 days; p < 0001). They were more likely to have visual impairment (p = 0.0009), confusion (p < 0.0001), wandering behaviour (p = 0.003), incontinence (p < 0.0001 or unsafe gait (p = 0.0005), to be on tranquillizers (p = 0.003), to be at risk of falls (p = 0.02) and to have sustained a fall while in hospital (p = 0.001). Multiple logistic regression identified confusion (p = 0.001), incontinence (p = 0.02), falls in hospital (p = 0.01), gait abnormalities (p < 0.001), tranquillizers (p < 0.001), impaired distant vision (p = 0.01) and living alone (p < 0.001) as independently associated with the risk of an NH discharge. This risk proportionately increased with the number of risk factors present: 4.28% for 0–2 factors, 25.8% for 3–4 factors and 81.8% for 5–6 factors (p < 0.0001).
Conclusion: These factors should be the target of specific rehabilitation in an attempt to reduce the risk of discharge to a nursing home and improve patient outcome.
http://cre.sagepub.com/cgi/content/abstract/17/1/108
Source: Manual
Preferred by: Stephen Allen
Predictors of a nursing home placement from a non-acute geriatric hospital.
Authors: Aditya, B.S., Sharma, J.C., Allen, S.C. and Vassallo, M.
Journal: Clinical rehabilitation
Volume: 17
Issue: 1
Pages: 108-113
eISSN: 1477-0873
ISSN: 0269-2155
DOI: 10.1191/0269215503cr567oa
Abstract:Background
Identifying patients who need Nursing Home (NH) care following a hospital admission is important.Objective
To identify the factors that predispose to an NH discharge.Design
Prospective observational study with blinded end-point evaluation.Setting
A non-acute geriatric hospital.Subjects
Two hundred consecutive elderly patients who were admitted for rehabilitation following treatment for an acute illness.Main outcome measures
Discharge to an NH or home.Results
Thirty-five out of the 150 live discharges (23.3%) were to an NH. NH discharges had a longer length of stay (38.5 versus 19.8 days; p < 0001). They were more likely to have visual impairment (p = 0.0009), confusion (p < 0.0001), wandering behaviour (p = 0.003), incontinence (p < 0.0001 or unsafe gait (p = 0.0005), to be on tranquillizers (p = 0.003), to be at risk of falls (p = 0.02) and to have sustained a fall while in hospital (p = 0.001). Multiple logistic regression identified confusion (p = 0.001), incontinence (p = 0.02), falls in hospital (p = 0.01), gait abnormalities (p < 0.001), tranquillizers (p < 0.001), impaired distant vision (p = 0.01) and living alone (p < 0.001) as independently associated with the risk of an NH discharge. This risk proportionately increased with the number of risk factors present: 4.28% for 0-2 factors, 25.8% for 3-4 factors and 81.8% for 5-6 factors (p < 0.0001).Conclusion
These factors should be the target of specific rehabilitation in an attempt to reduce the risk of discharge to a nursing home and improve patient outcome.Source: Europe PubMed Central