TY - JOUR
T1 - Impaired chair-to-bed transfer ability leads to longer hospital stays among elderly patients
AU - Ferreira, Milene Silva
AU - de Melo Franco, Fabio Gazelato
AU - Rodrigues, Patrícia Silveira
AU - da Silva de Poli Correa, Vanessa Maria
AU - Akopian, Sonia Teresa Gaidzakian
AU - Cucato, Gabriel Grizzo
AU - Dias, Raphael Mendes Ritti
AU - Cendoroglo, Maysa Seabra
AU - França, Carolina Nunes
AU - de Carvalho, José Antonio Maluf
PY - 2019/3/21
Y1 - 2019/3/21
N2 - 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.
AB - 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.
KW - Elderly
KW - Length of stay
KW - Predicting model
KW - Predictors
KW - Rehabilitation
UR - http://www.scopus.com/inward/record.url?scp=85063430599&partnerID=8YFLogxK
U2 - 10.1186/s12877-019-1104-4
DO - 10.1186/s12877-019-1104-4
M3 - Article
C2 - 30898161
SN - 1471-2318
VL - 19
JO - BMC Geriatrics
JF - BMC Geriatrics
IS - 1
M1 - 89
ER -
