Association between the mental domain of the comprehensive geriatric assessment and prolonged length of stay in hospitalized older adults with mild to moderate frailty
IntroductionPrevious researches have shown the risk factors of prolonged length of stay (PLOS) in hospitalized older adults, but it is unclear what are the risk factors of PLOS in hospitalized older adults with mild to moderate frailty.ObjectiveTo identify the risk factors of PLOS in hospitalized ol...
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2023-06-01
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| Series: | Frontiers in Medicine |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fmed.2023.1191940/full |
| _version_ | 1827918243449274368 |
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| author | Yung-Chen Yu Chien-Chou Su Deng-Chi Yang Deng-Chi Yang |
| author_facet | Yung-Chen Yu Chien-Chou Su Deng-Chi Yang Deng-Chi Yang |
| author_sort | Yung-Chen Yu |
| collection | DOAJ |
| description | IntroductionPrevious researches have shown the risk factors of prolonged length of stay (PLOS) in hospitalized older adults, but it is unclear what are the risk factors of PLOS in hospitalized older adults with mild to moderate frailty.ObjectiveTo identify the risk factors of PLOS in hospitalized older adults with mild to moderate frailty.MethodsWe recruited adults aged ≥65 years old with mild to moderate frailty admitted to a tertiary medical center in the southern Taiwan from June 2018 to September 2018. Each individual underwent a structural questionnaire interview within 72 h after admission and 72 h after discharge. The data were collected face-to-face, including demographic characteristics, comorbidities, length of stay (LOS), and multiple domains of the comprehensive geriatric assessment. The main outcome was PLOS.ResultsIndividuals who had two or more drugs, were female, did not have cognitive impairment and had a Geriatric Depression Scale score ≥ 1 had a higher risk of PLOS (probability = 0.81), and these individuals accounted for 29% of the overall study population. Among male individuals younger than 87 years old, those with cognitive impairment had a higher risk of PLOS (probability = 0.76), and among male individuals without cognitive impairment, living alone was associated with a higher risk of PLOS (probability = 0.88).ConclusionEarly detection and management of mood and cognition in older adults, together with comprehensive discharge planning and transition care, may be an important part of reducing LOS in hospitalized older adults with mild to moderate frailty. |
| first_indexed | 2024-03-13T03:40:39Z |
| format | Article |
| id | doaj.art-83ca3d78dc7f4c62afb86fca426d6f86 |
| institution | Directory Open Access Journal |
| issn | 2296-858X |
| language | English |
| last_indexed | 2024-03-13T03:40:39Z |
| publishDate | 2023-06-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Medicine |
| spelling | doaj.art-83ca3d78dc7f4c62afb86fca426d6f862023-06-23T08:03:49ZengFrontiers Media S.A.Frontiers in Medicine2296-858X2023-06-011010.3389/fmed.2023.11919401191940Association between the mental domain of the comprehensive geriatric assessment and prolonged length of stay in hospitalized older adults with mild to moderate frailtyYung-Chen Yu0Chien-Chou Su1Deng-Chi Yang2Deng-Chi Yang3Department of Nursing, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University, Tainan, TaiwanClinical Innovation and Research Center, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University, Tainan, TaiwanDepartment of Geriatrics and Gerontology, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University, Tainan, TaiwanSchool of Medicine, College of Medicine, National Cheng Kung University, Tainan, TaiwanIntroductionPrevious researches have shown the risk factors of prolonged length of stay (PLOS) in hospitalized older adults, but it is unclear what are the risk factors of PLOS in hospitalized older adults with mild to moderate frailty.ObjectiveTo identify the risk factors of PLOS in hospitalized older adults with mild to moderate frailty.MethodsWe recruited adults aged ≥65 years old with mild to moderate frailty admitted to a tertiary medical center in the southern Taiwan from June 2018 to September 2018. Each individual underwent a structural questionnaire interview within 72 h after admission and 72 h after discharge. The data were collected face-to-face, including demographic characteristics, comorbidities, length of stay (LOS), and multiple domains of the comprehensive geriatric assessment. The main outcome was PLOS.ResultsIndividuals who had two or more drugs, were female, did not have cognitive impairment and had a Geriatric Depression Scale score ≥ 1 had a higher risk of PLOS (probability = 0.81), and these individuals accounted for 29% of the overall study population. Among male individuals younger than 87 years old, those with cognitive impairment had a higher risk of PLOS (probability = 0.76), and among male individuals without cognitive impairment, living alone was associated with a higher risk of PLOS (probability = 0.88).ConclusionEarly detection and management of mood and cognition in older adults, together with comprehensive discharge planning and transition care, may be an important part of reducing LOS in hospitalized older adults with mild to moderate frailty.https://www.frontiersin.org/articles/10.3389/fmed.2023.1191940/fullolder adultsfrailtymental domaincomprehensive geriatric assessmentprolonged length of stay |
| spellingShingle | Yung-Chen Yu Chien-Chou Su Deng-Chi Yang Deng-Chi Yang Association between the mental domain of the comprehensive geriatric assessment and prolonged length of stay in hospitalized older adults with mild to moderate frailty Frontiers in Medicine older adults frailty mental domain comprehensive geriatric assessment prolonged length of stay |
| title | Association between the mental domain of the comprehensive geriatric assessment and prolonged length of stay in hospitalized older adults with mild to moderate frailty |
| title_full | Association between the mental domain of the comprehensive geriatric assessment and prolonged length of stay in hospitalized older adults with mild to moderate frailty |
| title_fullStr | Association between the mental domain of the comprehensive geriatric assessment and prolonged length of stay in hospitalized older adults with mild to moderate frailty |
| title_full_unstemmed | Association between the mental domain of the comprehensive geriatric assessment and prolonged length of stay in hospitalized older adults with mild to moderate frailty |
| title_short | Association between the mental domain of the comprehensive geriatric assessment and prolonged length of stay in hospitalized older adults with mild to moderate frailty |
| title_sort | association between the mental domain of the comprehensive geriatric assessment and prolonged length of stay in hospitalized older adults with mild to moderate frailty |
| topic | older adults frailty mental domain comprehensive geriatric assessment prolonged length of stay |
| url | https://www.frontiersin.org/articles/10.3389/fmed.2023.1191940/full |
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