Factors causing delay in discharge of elderly patients in an acute care hospital

Annals of the Academy of Medicine Singapore

Volumn 35, Issue 1, 2006, Pages 27-32

  Lim, S C ^a   Doshi, V ^a   Castasus, B ^a   Lim, J K H ^a   Mamun, K ^a  

^a CHANGI GENERAL HOSPITAL   (Singapore)

Author keywords

Deconditioning; Discharge planning; Nosocomial infections; Social

Indexed keywords

ABBREVIATED MENTAL TEST; ACUTE CARE HOSPITAL; ADMITTING DIAGNOSIS; AGED; ARTICLE; BARTHEL INDEX; CARDIOVASCULAR DISEASE; CHINESE; COGNITION; DECONDITIONING; DELAYED HOSPITAL DISCHARGE; DEMOGRAPHY; DIAGNOSIS; DIAGNOSIS RELATED GROUP; EARLY INTERVENTION; FALLING; FEMALE; FUNCTIONAL STATUS; GENERAL CONDITION DETERIORATION; GERIATRIC PATIENT; HOSPITAL; HOSPITAL ADMISSION; HOSPITAL DEPARTMENT; HOSPITAL DISCHARGE; HOSPITAL INFECTION; HUMAN; LENGTH OF STAY; MAJOR CLINICAL STUDY; MALE; MENTAL TEST; NEUROLOGIC DISEASE; PNEUMONIA; SEPSIS; SOCIAL ASPECT; SPECIALTY SPECIFIC LONG STAY MARKER; STANDARD; URINARY TRACT INFECTION;

EID: 33645822126     PISSN: 03044602     EISSN: 29724066     Source Type: Journal    
DOI: None     Document Type: Article

References (33)

1. Health Facts Singapore 2004. Government Health Expenditure. Singapore: Ministry of Health, 2004. Available at: http://www.moh.gov.sg/corp/publications/ statistics/index.do. Accessed April 2005.
2. Healthcare system, Casemix overview. Singapore: Ministry of Health. Available at: http://www.moh.gov.sg/corp/systems/casemix/overview.do. Accessed October 1999.
3. Health facts Singapore 2004. Population and Vital Statistics. Singapore: Ministry of Health, 2004. Available at: http://www.moh.gov.sg/corp/publications/ statistics/index.do. Accessed April 2005.
4. Health Facts Singapore 2004. Hospital Admission Rate by Sex and Age (per 1,000 population). Singapore: Ministry of Health, 2004. Available at: http://www.moh.gov.sg/corp/publications/statistics/index.do. Accessed April 2005.
5. Long-stays in public sector acute hospitals: Long-stay trend (1993-2002). Singapore: Ministry of Health, 2003.
6. Hodkinson HM. Evaluation of a mental test score for assessment of mental impairment in the elderly. Age Ageing 1972;1:233-8.
7. Mahoney FI, Barthel DW. Functional evaluation: The Barthel index. Md State Med J 1965;14:61-5.
8. Flemming ST. The relationship between quality and cost: pure and simple? Inquiry 1991;28:29-38.
9. Brooks N. Length of stay in community hospitals. Nurs Stand 2001;15:33-8.
10. Rockwood K. Delays in the discharge of elderly patients. J Clin Epidemiol 1990;43:971-5.
11. Glass RI, Mulvihill MN, Smith H Jr, Peto R, Bucheister D, Stoll BJ. The 4 score: an index for predicting a patient's non-medical hospital days. Am J Public Health 1977;67:751-5.
12. Mahoney DF. Vigilance. Evolution and definition for caregivers of family members with Alzheimer's Disease. J Gerontol Nurs 2003;29:24-30.
13. Torti FM Jr, Gwyther LP, Reed SD, Friedman JY, Schulman KA. A multinational review of recent trends and reports in dementia caregiver burden. Alzheimer Dis Assoc Disord 2004;18:99-109.
14. Bullock R. The needs of the caregiver in long-term treatment of Alzheimer disease. Alzheimer Dis Assoc Disord 2004;18(Suppl 1):S17-S23.
15. Kneipp SM, Castleman JB, Gailor N. Informal caregiving burden: an overlooked aspect of the lives and health of women transitioning from welfare to employment? Public Health Nurs 2004;21:24-31.
16. Zarit SH, Anthony CR, Boutseilis M. Interventions with care givers of dementia patients: comparison of two approaches. Psychol Aging 1987;2:225-32.
17. Lee DT, Thompson DR, Yu DS, Woo J. Reliability and validity of the Medical Outcomes Study Social Support Survey (Chinese version). J Am Geriatr Soc 2005;53:920-1.
18. Eloniemi-Sulkava U, Notkola IL, Hentinen M, Kivela SL, Sivenius J, Sulkava R. Effects of supporting community-living demented patients and their caregivers: a randomized trial. J Am Geriatr Soc 2001;49:1282-7.
19. Bharucha AJ, Pandav R, Shen C, Dodge HH, Ganguli M. Predictors of nursing facility admission: a 12-year epidemiological study in the United States. J Am Geriatr Soc 2004;52:434-9.
20. Puisieux F, Defrennes R, Salomez-Granier F, Dewailly P. Incidence and consequences of nosocomial infections in a geriatric short-stay department. Presse Med 1997;26:1708-13.
21. Hussain M, Oppehheim BA, O'Neill P, Trembath C, Morris J, Horan MA. Prospective survey of the incidence, risk factors and outcome of hospital-acquired infections in the elderly. J Hosp Infect 1996;32:117-26.
22. Ribas RM, Gontijo Filho PP. Comparing hospital infections in the elderly versus younger adults: an experience in a Brazilian University Hospital. Braz J Infect Dis 2003;7:210-5.
23. Trivalle C, Chassagne P, Bouaniche M, Landrin I, Marie I, Kadri N, et al. Nosocomial febrile illness in the elderly: frequency, causes and risk factors. Arch Intern Med 1998;158:1560-5.
24. Boas PJ, Ruiz T. Occurrence of hospital infection among interned elderly in a university hospital. Rev Saude Publica 2004;38:372-8.
25. High K, Bradley S, Loeb M, Palmer R, Quagliarello V, Yoshikawa T. A new paradigm for clinical investigation of infectious syndromes in older adults: assessing functional status as a risk factor and outcome measure. J Am Geriatr Soc 2005;53:528-35.
26. Rothan-Tondeur M, Meaume S, Girard L, Weill-Engerer S, Lancien E, Abdelmalak S, et al. Risk factors for nosocomial pneumonia in a geriatric hospital: a control-case one-center study. J Am Geriatr Soc 2003;51:997-1001.
27. Goolsarran VJ, Katz TF. Do not go with the flow, remember indwelling catheter. J Am Geriatr Soc 2002;50:1739-40.
28. Hart BD, Birkas J, Lachmann M, Saunders L. Promoting positive outcomes for elderly persons in the hospital: prevention and risk factor modification. AACN Clin Issues 2002;13:22-33.
29. Wu AW, Yasui Y, Alzola C, Galanos AN, Tsevat J, Phillips RS, et al. Predicting functional status outcomes in hospitalized patients aged 80 years and older. J Am Geriatr Soc 2000;48(5 Suppl):S6-15.
30. Wetterling T, Junghanns K. Affective disorders in older inpatients. Int J Geriatr Psychiatry 2004;19:487-92.
31. Bula CJ, Wietlisbach V, Burnand B, Yersin B. Depressive symptoms as a predictor of 6 month outcomes and services utilization in elderly medical inpatients. Arch Intern Med 2002;161:2609-15.
32. Hyde CJ, Robert IE, Sinclair AJ. The effects of supporting discharge from hospital to home in older people. Age Ageing 2000;29:271-9.
33. Bull MG, Kane RL. Gaps in discharge planning. J Appl Gerontol 1996;15:486-500.