An examination of factors influencing delayed discharge of older people from hospital.

作者: David Challis , Jane Hughes , Chengqiu Xie , David Jolley

DOI: 10.1002/GPS.3983

关键词: RehabilitationPatient characteristicsMultivariate analysisDelayed dischargeReceiptOlder peopleMedical emergencyEmergency medicineHospital dischargeMedicineCognitive impairment

摘要: Objective: This study aimed to investigate the factors associated with delayed discharge of older people from hospital and their length stay (LOS). Methods: Data were collected retrospectively inpatient records adult social care services on patients referred latter prior discharge. Results: two related measures?delayed LOS?were analysed separately within a four-stage sequential framework. Using bivariate analysis, we found that cognitive impairment dependency significantly delay. Patients admitted trauma orthopaedics specialties more likely be discharge. Respiratory illness was negatively Factors received as an not being in responsible consultant?s bed for part stay, or moves between receipt rehabilitation services. Admission home domiciliary if returning private dwelling In multivariate dependence impacted differently delay LOS. Hospital variables most important predictors LOS respect discharge. Conclusion: Patient characteristics especially organisation provision are likelihood Improved structures systematically assess treat patient needs hospital, together timely providing post-discharge tailored individual circumstances, required.

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