Two factors that can increase the length of hospital stay of patients with dementia

Mary Duah-Owusu White; Fiona Kelly; Michael Vassallo; Samuel Nyman

doi:10.1016/j.regg.2022.10.004

Two factors that can increase the length of hospital stay of patients with dementia

Mary Duah-Owusu White, Fiona Kelly, Michael Vassallo, Samuel Nyman

Psychology (PSY)

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Abstract

Objectives: Patients with dementia are at greater risk of a long hospital stay and this is associated with adverse outcomes. The aim of this service evaluation was to identify variables most predictive of increased length of hospital stay amongst patients with dementia. Methods/Design: We conducted a retrospective analysis on a cross-sectional hospital dataset for the period January–December 2016. Excluding length of stay less than 24 h and readmissions, the sample comprised of 1133 patients who had a dementia diagnosis on record. Results: The highest incidence rate ratio for length of stay in the dementia sample was: (a) discharge to a care home (IRR: 2.443, 95% CI 1.778–3.357), (b) falls without harm (IRR: 2.486, 95% CI 2.029–3.045). Conclusions: Based on this dataset, we conclude that improvements made to falls prevention strategies in hospitals and discharge planning procedures can help to reduce the length of stay for patients with dementia.

Original language	English
Pages (from-to)	298-302
Number of pages	5
Journal	Revista Espanola de Geriatria y Gerontologia
Volume	57
Issue number	6
DOIs	https://doi.org/10.1016/j.regg.2022.10.004
Publication status	Published - 1 Nov 2022

Keywords

Dementia
Discharge
Falls
Hospital
Length of stay

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10.1016/j.regg.2022.10.004

15007911_Nyman_FactorsHospitalStayDementia_withstatementAccepted author manuscript, 550 KBLicence: CC BY-NC-ND

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abstract = "Objectives: Patients with dementia are at greater risk of a long hospital stay and this is associated with adverse outcomes. The aim of this service evaluation was to identify variables most predictive of increased length of hospital stay amongst patients with dementia. Methods/Design: We conducted a retrospective analysis on a cross-sectional hospital dataset for the period January–December 2016. Excluding length of stay less than 24 h and readmissions, the sample comprised of 1133 patients who had a dementia diagnosis on record. Results: The highest incidence rate ratio for length of stay in the dementia sample was: (a) discharge to a care home (IRR: 2.443, 95% CI 1.778–3.357), (b) falls without harm (IRR: 2.486, 95% CI 2.029–3.045). Conclusions: Based on this dataset, we conclude that improvements made to falls prevention strategies in hospitals and discharge planning procedures can help to reduce the length of stay for patients with dementia.",

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note = "Funding Information: The research was funded by Bournemouth University and the Royal Bournemouth and Christchurch NHS Hospital Foundation Trust via a match-funded PhD studentship. The findings of the study do not represent the views of the University or the Hospital. Funding Information: The research was funded by Bournemouth University and the University Hospitals Dorset NHS Foundation Trust via a match-funded PhD studentship. The findings of the study do not represent the views of the University or the Hospital. Publisher Copyright: {\textcopyright} 2022 SEGG",

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AU - Nyman, Samuel

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N2 - Objectives: Patients with dementia are at greater risk of a long hospital stay and this is associated with adverse outcomes. The aim of this service evaluation was to identify variables most predictive of increased length of hospital stay amongst patients with dementia. Methods/Design: We conducted a retrospective analysis on a cross-sectional hospital dataset for the period January–December 2016. Excluding length of stay less than 24 h and readmissions, the sample comprised of 1133 patients who had a dementia diagnosis on record. Results: The highest incidence rate ratio for length of stay in the dementia sample was: (a) discharge to a care home (IRR: 2.443, 95% CI 1.778–3.357), (b) falls without harm (IRR: 2.486, 95% CI 2.029–3.045). Conclusions: Based on this dataset, we conclude that improvements made to falls prevention strategies in hospitals and discharge planning procedures can help to reduce the length of stay for patients with dementia.

AB - Objectives: Patients with dementia are at greater risk of a long hospital stay and this is associated with adverse outcomes. The aim of this service evaluation was to identify variables most predictive of increased length of hospital stay amongst patients with dementia. Methods/Design: We conducted a retrospective analysis on a cross-sectional hospital dataset for the period January–December 2016. Excluding length of stay less than 24 h and readmissions, the sample comprised of 1133 patients who had a dementia diagnosis on record. Results: The highest incidence rate ratio for length of stay in the dementia sample was: (a) discharge to a care home (IRR: 2.443, 95% CI 1.778–3.357), (b) falls without harm (IRR: 2.486, 95% CI 2.029–3.045). Conclusions: Based on this dataset, we conclude that improvements made to falls prevention strategies in hospitals and discharge planning procedures can help to reduce the length of stay for patients with dementia.

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Two factors that can increase the length of hospital stay of patients with dementia

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Keywords

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