Predictors of a nursing home placement from a non-acute geriatric hospital

This source preferred by Stephen Allen

Authors: Aditya, B.S., Sharma, J.C., Allen, S.C. and Vassallo, M.

http://cre.sagepub.com/cgi/content/abstract/17/1/108

Journal: Clinical Rehabilitation

Volume: 17

Pages: 108-113

ISSN: 0269-2155

DOI: 10.1191/0269215503cr567oa

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.

This data was imported from PubMed:

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

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.

This data was imported from Scopus:

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

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.

This data was imported from Web of Science (Lite):

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

This data was imported from Europe PubMed Central:

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

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.

The data on this page was last updated at 05:18 on July 19, 2019.