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Factors for inhibition of early discharge from the psychiatric emergency ward for elderly patients
BACKGROUND: As society is aging, the number of elderly patients with psychiatric disorder, such as dementia, is increasing. The hospitalization period of elderly patients in psychiatric wards tends to be prolonged. In this study, we have determined the factors that inhibit early discharge from the p...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2018
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6180627/ https://www.ncbi.nlm.nih.gov/pubmed/30305016 http://dx.doi.org/10.1186/s12199-018-0738-8 |
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author | Adachi, Sho Komiya, Tomoko Nomura, Kenji Shima, Masayuki |
author_facet | Adachi, Sho Komiya, Tomoko Nomura, Kenji Shima, Masayuki |
author_sort | Adachi, Sho |
collection | PubMed |
description | BACKGROUND: As society is aging, the number of elderly patients with psychiatric disorder, such as dementia, is increasing. The hospitalization period of elderly patients in psychiatric wards tends to be prolonged. In this study, we have determined the factors that inhibit early discharge from the psychiatric emergency ward for elderly patients in Japan. METHODS: The information was collected from patients admitted to our hospital’s emergency ward for elderly patients with psychiatric disorders between May 2015 and April 2016. We compared various factors between the early discharge group and the non-early discharge group. In addition, we used a multiple logistic regression model to clarify the risk factors for non-early discharge. RESULTS: Of the 208 elderly patients, body mass index (BMI) and serum albumin level were significantly lower in the non-early discharge group. In addition, we also showed that higher serum C-reactive protein (CRP) (> 0.5 mg/dL) and use of seclusion or physical restraint significantly inhibited the early discharge of patients. The results of multiple logistic analysis showed that the BMI ≤ 17.5 kg/m(2) (OR, 2.41 [95% confidence interval (CI) 1.06–5.46]), serum albumin level ≤ 30 g/L (OR, 3.78 [95% CI 1.28–11.16]), and use of seclusion or physical restraint (OR 3.78 [95% CI 1.53–9.37]) are particularly important explanatory factors. CONCLUSIONS: Hypoalbuminemia, low BMI, and the use of seclusion or physical restraint were identified as the factors that inhibit early discharge from the psychiatric emergency ward for elderly patients. These factors reflect malnutrition and extremely serious psychiatric symptoms. |
format | Online Article Text |
id | pubmed-6180627 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2018 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-61806272018-10-18 Factors for inhibition of early discharge from the psychiatric emergency ward for elderly patients Adachi, Sho Komiya, Tomoko Nomura, Kenji Shima, Masayuki Environ Health Prev Med Research Article BACKGROUND: As society is aging, the number of elderly patients with psychiatric disorder, such as dementia, is increasing. The hospitalization period of elderly patients in psychiatric wards tends to be prolonged. In this study, we have determined the factors that inhibit early discharge from the psychiatric emergency ward for elderly patients in Japan. METHODS: The information was collected from patients admitted to our hospital’s emergency ward for elderly patients with psychiatric disorders between May 2015 and April 2016. We compared various factors between the early discharge group and the non-early discharge group. In addition, we used a multiple logistic regression model to clarify the risk factors for non-early discharge. RESULTS: Of the 208 elderly patients, body mass index (BMI) and serum albumin level were significantly lower in the non-early discharge group. In addition, we also showed that higher serum C-reactive protein (CRP) (> 0.5 mg/dL) and use of seclusion or physical restraint significantly inhibited the early discharge of patients. The results of multiple logistic analysis showed that the BMI ≤ 17.5 kg/m(2) (OR, 2.41 [95% confidence interval (CI) 1.06–5.46]), serum albumin level ≤ 30 g/L (OR, 3.78 [95% CI 1.28–11.16]), and use of seclusion or physical restraint (OR 3.78 [95% CI 1.53–9.37]) are particularly important explanatory factors. CONCLUSIONS: Hypoalbuminemia, low BMI, and the use of seclusion or physical restraint were identified as the factors that inhibit early discharge from the psychiatric emergency ward for elderly patients. These factors reflect malnutrition and extremely serious psychiatric symptoms. BioMed Central 2018-10-10 2018 /pmc/articles/PMC6180627/ /pubmed/30305016 http://dx.doi.org/10.1186/s12199-018-0738-8 Text en © The Author(s). 2018 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated. |
spellingShingle | Research Article Adachi, Sho Komiya, Tomoko Nomura, Kenji Shima, Masayuki Factors for inhibition of early discharge from the psychiatric emergency ward for elderly patients |
title | Factors for inhibition of early discharge from the psychiatric emergency ward for elderly patients |
title_full | Factors for inhibition of early discharge from the psychiatric emergency ward for elderly patients |
title_fullStr | Factors for inhibition of early discharge from the psychiatric emergency ward for elderly patients |
title_full_unstemmed | Factors for inhibition of early discharge from the psychiatric emergency ward for elderly patients |
title_short | Factors for inhibition of early discharge from the psychiatric emergency ward for elderly patients |
title_sort | factors for inhibition of early discharge from the psychiatric emergency ward for elderly patients |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6180627/ https://www.ncbi.nlm.nih.gov/pubmed/30305016 http://dx.doi.org/10.1186/s12199-018-0738-8 |
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