Abstract
This pilot study investigated the importance of social, clinical, and discharge factors in predicting extended length of stay (LOS) in a state geropsychiatric hospital. The authors reviewed medical records of all first time admissions during a 22 month period. A total of 272 patients age 60 and older were admitted for the first time during this period. Nine variables comprised of medical, demographic, social, and discharge information were examined in a retrospective analysis to assess their relationship to LOS. The mean and standard deviation of days spent in hospital was 392.3 +/− 752.81. The median number of days of hospitalization was 72.0. Single marital status, type of living arrangement, polypharmacy, and limited functional status were predictive of LOS. Our findings underscore the challenge within geropsychiatry of treating patients with coexisting medical conditions who also have significant behavioral, mood, and/or cognitive disturbances.
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REFERENCES
Rosenthal GE, Landefeld CS: Do older medicare patients cost hospitals more? Archives of Internal Medicine, 153, 89-96, 1993.
Incalzi RA, Gemma A, Capparella O, Terranova L, Porcedda P, Tresalti E, Carbonin P: Predicting mortality and length of stay of geriatric patients in an acute care general hospital. Journal of Gerontology: Medical Sciences, 47, M35-39, 1992.
Wolinski FD, Culler SD, Callahan CM, Johnson RJ: Hospital resource consumption among older adults: A prospective analysis of episodes, length of stay, and charges over a seven-year period. Journal of Gerontology: Social Sciences 49:S240-S252, 1994.
Cohen CI, Casimir GJ: Factors associated with increased hospital stay by psychiatric patients. Hospital and Community Psychiatry, 40, 741-743, 1989.
Mayer-Oakes SA, Oye RK, Leake B: Predictors of mortality in older patients following medical intensive care: the importance of functional status. Journal of the American Geriatrics Society, 39, 861-868, 1991.
Cafferata GL: Marital status, living arrangements, and the use of health services by elderly Americans. Journal of Gerontology, 43, 613-619, 1987.
US Senate, Special Committee on Aging. Aging America: Trends and projections. Washington, D.C.: U.S. Department of Health and Human Services, 1991.
US Bureau of Census (June, 1990). Marital status and living arrangements: March 1989. Current Population Reports Series, p-20. No. 445.
Falcone D, Bolda E, Leak SC: Waiting for placement: An exploratory analysis of determinants of delayed discharges of elderly hospital patients. Health Services Research, 26, 339-374, 1991.
English, JT, Sharfstein, SS, Scherl, DJ, Astrachan, B, & Muszynski, IL: Diagnosis-related groups and general hospital psychiatry: The APA study. The American Journal of Psychiatry, 143, 131-139, 1986.
Schumacher DN, Namerow MJ, Parker B, Fox P, Kofie V: Prospective Payment for Psychiatry—Feasibility and Impact. The New England Journal of Medicine, 315, 1331-1336, 1986.
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Parks, E.D., Josef, N. A Retrospective Study of Determinants of Length of Stay in a Geropsychiatric State Hospital. Psychiatr Q 68, 91–99 (1997). https://doi.org/10.1023/A:1025413320151
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DOI: https://doi.org/10.1023/A:1025413320151