Journal article
Predicting a long hospital stay after admission to a geriatric assessment unit: Results from an observational retrospective cohort study.
- Beauchet O Department of Medicine, Division of Geriatric Medicine, Sir Mortimer B. Davis - Jewish General Hospital and Lady Davis Institute for Medical Research, McGill University, Montreal, Quebec, Canada; Dr. Joseph Kaufmann Chair in Geriatric Medicine, Faculty of Medicine, McGill University, Montreal, Quebec, Canada; Centre of Excellence on Longevity of McGill integrated University Health Network, Quebec, Canada. Electronic address: olivier.beauchet@mcgill.ca.
- Fung S Department of Medicine, Division of Geriatric Medicine, St. Mary's Hospital Center, McGill University, Montreal, Quebec, Canada.
- Launay CP Geriatric Medicine and Geriatric Rehabilitation Division, Department of Medicine, Lausanne University Hospital, Switzerland.
- Afilalo J Division of Cardiology and Centre for Clinical Epidemiology, Jewish General Hospital and McGill University, Montreal, Quebec, Canada.
- Herbert P Department of Medicine, Montreal University Hospital and University of Montreal, Montreal, Quebec, Canada.
- Afilalo M Department of Emergency Medicine, Jewish General Hospital, McGill University, Montreal, Quebec, Canada.
- Chabot J Department of Medicine, Division of Geriatric Medicine, Sir Mortimer B. Davis - Jewish General Hospital and Lady Davis Institute for Medical Research, McGill University, Montreal, Quebec, Canada; Department of Medicine, Division of Geriatric Medicine, St. Mary's Hospital Center, McGill University, Montreal, Quebec, Canada.
- 2018-07-28
Published in:
- Maturitas. - 2018
Epidemiology
Frailty
Older inpatients
Screening
Accidental Falls
Aged
Aged, 80 and over
Female
Geriatric Assessment
Hospitals, University
Humans
Inpatients
Length of Stay
Male
Patient Discharge
Proportional Hazards Models
Quebec
Retrospective Studies
English
OBJECTIVE
Morbidities and related disabilities often lead to older inpatients having a long hospital stay. The aim of this study was to examine whether the 6-item brief geriatric assessment (BGA), developed and validated in France to determine a priori levels of risk of a long hospital stay (i.e.; low, moderate, high), could be successfully used with patients admitted to a geriatric assessment unit (GAU) in Quebec.
STUDY DESIGN
Observational retrospective cohort design.
SETTING
A GAU of a McGill University affiliated hospital (Montreal, Quebec, Canada).
PARTICIPANTS
499 inpatients (84.7 ± 7.2 years; 73.3% female) recruited upon their admission.
MAIN OUTCOME MEASURES
The BGA comprises 6 items: age > 85 years, male gender, ≥ 5 drugs per day, use of home-help support, history of falls and temporal disorientation. It was administered at baseline and a priori levels of risk of a long hospital stay (i.e., low, moderate, high) were determined. Length of hospital stay (LHS, in days) was calculated using the hospital registry. The association between a priori levels of risk from the BGA and LSH was examined using regression models and Kaplan-Meier curves.
RESULTS
The LHS increased with the 6-item BGA a priori level of risk (P = 0.010). High-risk (Hazard ratio (HR) = 1.68 with P < 0.001) and moderate-risk (HR = 1.24 with P = 0.039) of a long hospital stay successfully predicted a long stay. Kaplan-Meier distributions of time to discharge showed that inpatients classified as having high and moderate risk levels for a long hospital stay were discharged later than those with a low risk level (P < 0.001 and P = 0.013).
CONCLUSION
The 6-item BGA a priori levels of risk for a long hospital stay successfully predicted a long stay among patients admitted to a GAU in Quebec.
Morbidities and related disabilities often lead to older inpatients having a long hospital stay. The aim of this study was to examine whether the 6-item brief geriatric assessment (BGA), developed and validated in France to determine a priori levels of risk of a long hospital stay (i.e.; low, moderate, high), could be successfully used with patients admitted to a geriatric assessment unit (GAU) in Quebec.
STUDY DESIGN
Observational retrospective cohort design.
SETTING
A GAU of a McGill University affiliated hospital (Montreal, Quebec, Canada).
PARTICIPANTS
499 inpatients (84.7 ± 7.2 years; 73.3% female) recruited upon their admission.
MAIN OUTCOME MEASURES
The BGA comprises 6 items: age > 85 years, male gender, ≥ 5 drugs per day, use of home-help support, history of falls and temporal disorientation. It was administered at baseline and a priori levels of risk of a long hospital stay (i.e., low, moderate, high) were determined. Length of hospital stay (LHS, in days) was calculated using the hospital registry. The association between a priori levels of risk from the BGA and LSH was examined using regression models and Kaplan-Meier curves.
RESULTS
The LHS increased with the 6-item BGA a priori level of risk (P = 0.010). High-risk (Hazard ratio (HR) = 1.68 with P < 0.001) and moderate-risk (HR = 1.24 with P = 0.039) of a long hospital stay successfully predicted a long stay. Kaplan-Meier distributions of time to discharge showed that inpatients classified as having high and moderate risk levels for a long hospital stay were discharged later than those with a low risk level (P < 0.001 and P = 0.013).
CONCLUSION
The 6-item BGA a priori levels of risk for a long hospital stay successfully predicted a long stay among patients admitted to a GAU in Quebec.
- Language
-
- English
- Open access status
- closed
- Identifiers
-
- DOI 10.1016/j.maturitas.2018.06.014
- PMID 30049342
- Persistent URL
- https://sonar.ch/global/documents/106467
Statistics
Document views: 18
File downloads: