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Factors associated with long hospital stay in geriatric wards in Japan
Author(s) -
Umegaki Hiroyuki,
Ando Fujiko,
Shimokata Hiroshi,
Yamamoto Sayaka,
Nakamura Akira,
Endo Hidetoshi,
Kuzuya Masafumi,
Iguchi Akihisa
Publication year - 2003
Publication title -
geriatrics and gerontology international
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.823
H-Index - 57
eISSN - 1447-0594
pISSN - 1444-1586
DOI - 10.1046/j.1444-1586.2003.00064.x
Subject(s) - medicine , activities of daily living , geriatric depression scale , depression (economics) , intervention (counseling) , gerontology , mental state , physical therapy , depressive symptoms , nursing , psychiatry , anxiety , economics , macroeconomics
Background: To reduce the length of stay (LOS) in hospital, the factors associated with extended LOS have to be identified. Methods: A comprehensive geriatric assessment (CGA) of patients in a geriatric ward was carried out to identify the factors associated with LOS of more than 28 days. Results: Of 193 patients (> 65 years old) who had been admitted to the geriatric ward of Nagoya University Hospital from home, 118 patients had complete CGA data sets. The CGA items were studied within 1 week of admission and analysis was performed by Chi‐squared followed by multilogistic analysis. Chi‐squared analysis demonstrated that many of the basic activities of daily living (BADL) and instrumental ADL (IADL) had a significant association with longer LOS, but the contribution of psychological factors, assessed by mini‐mental state examination and Geriatric Depression Scale‐15, was relatively small. Multilogistic analysis showed that dependence on dressing assistance and medication assistance significantly increased the chance of having a LOS longer than 28 days. Conclusion: Intervention to improve the ability to dress and take medication independently may reduce LOS.