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Impaired chair-to-bed transfer ability leads to longer hospital stays among elderly patients
BACKGROUND: The study objectives were to identify the main predictive factors for long hospital stays and to propose new and improved methods of risk assessment. METHODS: This prospective cohort study was conducted in the clinics and surgical wards of a tertiary hospital and involved 523 elderly pat...
Autores principales: | , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2019
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6427871/ https://www.ncbi.nlm.nih.gov/pubmed/30898161 http://dx.doi.org/10.1186/s12877-019-1104-4 |
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author | Ferreira, Milene Silva de Melo Franco, Fabio Gazelato Rodrigues, Patrícia Silveira da Silva de Poli Correa, Vanessa Maria Akopian, Sonia Teresa Gaidzakian Cucato, Gabriel Grizzo Dias, Raphael Mendes Ritti Cendoroglo, Maysa Seabra França, Carolina Nunes de Carvalho, José Antonio Maluf |
author_facet | Ferreira, Milene Silva de Melo Franco, Fabio Gazelato Rodrigues, Patrícia Silveira da Silva de Poli Correa, Vanessa Maria Akopian, Sonia Teresa Gaidzakian Cucato, Gabriel Grizzo Dias, Raphael Mendes Ritti Cendoroglo, Maysa Seabra França, Carolina Nunes de Carvalho, José Antonio Maluf |
author_sort | Ferreira, Milene Silva |
collection | PubMed |
description | BACKGROUND: The study objectives were to identify the main predictive factors for long hospital stays and to propose new and improved methods of risk assessment. METHODS: This prospective cohort study was conducted in the clinics and surgical wards of a tertiary hospital and involved 523 elderly patients over 60 years of age. Demographic, clinical, functional, and cognitive characteristics assessed between 48 and 72 h after admission were analyzed to investigate correlations with lengths of stay greater than 10 days. Univariate and multivariate analyses were performed, and in the final model, long-term probability scores were estimated for each variable. RESULTS: Of the 523 patients studied, 33 (6.3%) remained hospitalized for more than 10 days. Multiple regression analysis revealed that both the presence of diabetes and the inability to perform chair-to-bed transfers (Barthel Index) remained significant risk predictors. Diabetes doubled the risk of prolonged hospital stays, while a chair-to-bed transfer score of 0 or 5 led to an eight-fold increase in risk. Conclusions: In this study, we propose an easy method that can be used, after external validation, to screen for long-term risk (using diabetes and bed/chair transfer) as a first step in identifying hospitalized elderly patients who will require comprehensive assessment to guide prevention plans and rehabilitation programs. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (10.1186/s12877-019-1104-4) contains supplementary material, which is available to authorized users. |
format | Online Article Text |
id | pubmed-6427871 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-64278712019-04-01 Impaired chair-to-bed transfer ability leads to longer hospital stays among elderly patients Ferreira, Milene Silva de Melo Franco, Fabio Gazelato Rodrigues, Patrícia Silveira da Silva de Poli Correa, Vanessa Maria Akopian, Sonia Teresa Gaidzakian Cucato, Gabriel Grizzo Dias, Raphael Mendes Ritti Cendoroglo, Maysa Seabra França, Carolina Nunes de Carvalho, José Antonio Maluf BMC Geriatr Research Article BACKGROUND: The study objectives were to identify the main predictive factors for long hospital stays and to propose new and improved methods of risk assessment. METHODS: This prospective cohort study was conducted in the clinics and surgical wards of a tertiary hospital and involved 523 elderly patients over 60 years of age. Demographic, clinical, functional, and cognitive characteristics assessed between 48 and 72 h after admission were analyzed to investigate correlations with lengths of stay greater than 10 days. Univariate and multivariate analyses were performed, and in the final model, long-term probability scores were estimated for each variable. RESULTS: Of the 523 patients studied, 33 (6.3%) remained hospitalized for more than 10 days. Multiple regression analysis revealed that both the presence of diabetes and the inability to perform chair-to-bed transfers (Barthel Index) remained significant risk predictors. Diabetes doubled the risk of prolonged hospital stays, while a chair-to-bed transfer score of 0 or 5 led to an eight-fold increase in risk. Conclusions: In this study, we propose an easy method that can be used, after external validation, to screen for long-term risk (using diabetes and bed/chair transfer) as a first step in identifying hospitalized elderly patients who will require comprehensive assessment to guide prevention plans and rehabilitation programs. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (10.1186/s12877-019-1104-4) contains supplementary material, which is available to authorized users. BioMed Central 2019-03-21 /pmc/articles/PMC6427871/ /pubmed/30898161 http://dx.doi.org/10.1186/s12877-019-1104-4 Text en © The Author(s). 2019 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 Ferreira, Milene Silva de Melo Franco, Fabio Gazelato Rodrigues, Patrícia Silveira da Silva de Poli Correa, Vanessa Maria Akopian, Sonia Teresa Gaidzakian Cucato, Gabriel Grizzo Dias, Raphael Mendes Ritti Cendoroglo, Maysa Seabra França, Carolina Nunes de Carvalho, José Antonio Maluf Impaired chair-to-bed transfer ability leads to longer hospital stays among elderly patients |
title | Impaired chair-to-bed transfer ability leads to longer hospital stays among elderly patients |
title_full | Impaired chair-to-bed transfer ability leads to longer hospital stays among elderly patients |
title_fullStr | Impaired chair-to-bed transfer ability leads to longer hospital stays among elderly patients |
title_full_unstemmed | Impaired chair-to-bed transfer ability leads to longer hospital stays among elderly patients |
title_short | Impaired chair-to-bed transfer ability leads to longer hospital stays among elderly patients |
title_sort | impaired chair-to-bed transfer ability leads to longer hospital stays among elderly patients |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6427871/ https://www.ncbi.nlm.nih.gov/pubmed/30898161 http://dx.doi.org/10.1186/s12877-019-1104-4 |
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