A Retrospective Study of Determinants of Length of Stay in a Geropsychiatric State Hospital

A Retrospective Study of Determinants of Length of Stay in a Geropsychiatric State Hospital 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. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Psychiatric Quarterly Springer Journals

A Retrospective Study of Determinants of Length of Stay in a Geropsychiatric State Hospital

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Publisher
Kluwer Academic Publishers-Plenum Publishers
Copyright
Copyright © 1997 by Human Sciences Press, Inc.
Subject
Medicine & Public Health; Psychiatry; Public Health; Sociology, general
ISSN
0033-2720
eISSN
1573-6709
D.O.I.
10.1023/A:1025413320151
Publisher site
See Article on Publisher Site

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.

Journal

Psychiatric QuarterlySpringer Journals

Published: Oct 14, 2004

References

  • Predictors of mortality in older patients following medical intensive care: the importance of functional status
    Mayer-Oakes, SA; Oye, RK; Leake, B

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