Socio-demographic characteristics and factors associated with hospitalization in psychiatry of old age patients: an international comparison between Ireland and Turkey

Carpar, Elif; McCarthy, Geraldine; Adamis, Dimitrios; Donmezler, Gizem; Cesur, Ender; Fıstikçı, Nurhan

doi:10.1007/s40520-017-0813-9

Cited by 5 publications

(4 citation statements)

References 44 publications

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“…Another study by Bo et al (2016) reported that greater CI was independently associated with prolonged LOS among patients admitted from home; however, for patients admitted from intermediate or long-term care facilities, it was lower CI that was independently associated with prolonged LOS. In a study comparing patients discharged from psychiatric hospitals in Turkey with similar patients in Ireland, the presence of delirium or dementia was not associated with LOS, but the proportion of such patients in the sample was low: 13.6 per cent in Turkey and 25.5 per cent in Ireland; the only factor significantly associated with LOS was living alone (Carpar et al, 2018). In the last mixed-results study, a trend towards longer stay was seen for dementia patients, which was only significant in the subgroup who lived with a family member (11.61 vs. 7.55 days, p = 0.002) (Ahern et al, 2019).…”

Section: Association Between Cognitive Impairment and Los Or Ddmentioning

confidence: 98%

Cognitive Impairment and Length of Stay in Acute Care Hospitals: A Scoping Review of the Literature

et al. 2021

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Older persons experiencing a longer length of stay (LOS) or delayed discharge (DD) may see a decline in their health and well-being, generating significant costs. This review aimed to identify evidence on the impact of cognitive impairment (CI) on acute care hospital LOS/DD. A scoping review of studies examining the association between CI and LOS/DD was performed. We searched six databases; two reviewers independently screened references until November 2019. A narrative synthesis was used to answer the research question; 58 studies were included of which 33 found a positive association between CI and LOS or DD, 8 studies had mixed results, 3 found an inverse relationship, and 14 showed an indirect link between CI-related syndromes and LOS/DD. Thus, cognitive impairment seemed to be frequently associated with increased LOS/DD. Future research should consider CI together with other risks for LOS/DD and also focus on explaining the association between the two.

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Section: Association Between Cognitive Impairment and Los Or Ddmentioning

confidence: 98%

Cognitive Impairment and Length of Stay in Acute Care Hospitals: A Scoping Review of the Literature

et al. 2021

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“…Older adults are increasingly living alone [12], which is associated with a higher risk of ED admissions [13][14][15][16], longer inpatient days [17][18][19][20][21][22] and higher inpatient costs [19]. Since older adults living alone are not able to draw support as immediately as those living with others, they could rely more on acute tertiary services when emergencies arise [23][24][25].…”

Section: Introductionmentioning

confidence: 99%

Emergency hospital admissions among older adults living alone in the community

Barrenetxea

Tan

Tong

et al. 2021

BMC Health Serv Res

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Background Among older adults, living alone is often associated with higher risk of Emergency Department (ED) admissions. However, older adults living alone are very heterogeneous in terms of health. As more older adults choose to live independently, it remains unclear if the association between living alone and ED admissions is moderated by health status. We studied the association between living alone and ED admission outcomes (number of admissions, inpatient days and inpatient costs) among older adults with and without multimorbidity. Methods We used data from 16,785 individuals of the third follow-up of the Singapore Chinese Health Study, a population-based cohort of older Singapore Chinese (mean age: 73(61-96) years). Participants were interviewed face-to-face from 2014 to 2016 for sociodemographic/health factors and followed-up for one year on ED admission outcomes using Singapore Ministry of Health’s Mediclaim Database. We first applied multivariable logistic regression and two-part models to test if living alone is a risk factor for ED admission outcomes. We then ran stratified and joint effect analysis to examine if the associations between living alone and ED admission outcomes were moderated by multimorbidity. Results Compared to living with others, living alone was associated with higher odds of ED admission [Odds Ratio (OR) 1.28, 95 % Confidence Interval(CI) 1.08-1.51)], longer inpatient days (+0.61, 95 %CI 0.25-0.97) and higher inpatient costs (+322 USD, 95 %CI 54-591). The interaction effects of living arrangement and multimorbidity on ED admissions and inpatient costs were not statistically different, whereas the interaction between living arrangements and multimorbidity on inpatient days was borderline significant (p-value for interaction=0.050). Compared to those living with others and without multimorbidity, the relative mean increase was 1.13 inpatient days (95 %CI 0.39-1.86) for those living alone without multimorbidity, and 0.73 inpatient days ( 95 %CI 0.29-1.17) for those living alone with multimorbidity. Conclusions Older adults living alone were at higher risk of ED admission and higher inpatient costs regardless of multimorbidity, while those living alone without multimorbidity had the longest average inpatient days. To enable aging in place while avoiding ED admissions, interventions could provide instrumental support and regular health monitoring to older adults living alone, regardless of their health status.

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“…29 In other studies reporting on admissions of older adults because of suicide risk, the rates vary from 13.3% 30 to 48.1%. 31 However, these studies were set in specialised psychogeriatric units with differing intake criteria, making comparison with our findings difficult. Further, we found that although the patients in the PPH group were more likely to report suicidal ideation at the time of admission, the patients in the NPH group were more likely to have made a suicide attempt, the latter finding being robust for sensitivity analyses controlling for differences in age and organic disorders.…”

Section: Discussionmentioning

confidence: 93%

Elderly patients with no previous psychiatric history: suicidality and other factors relating to psychiatric acute admissions

et al. 2020

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Background The common recommendation that adults with onset of mental illness after the age of 65 should receive specialised psychogeriatric treatment is based on limited evidence. Aims To compare factors related to psychiatric acute admission in older adults who have no previous psychiatric history (NPH) with that of those who have a previous psychiatric history (PPH). Method Cross-sectional cohort study of 918 patients aged ≥65 years consecutively admitted to a general adult psychiatric acute unit from 2005 to 2014. Results Patients in the NPH group (n = 526) were significantly older than those in the PPH group (n = 391) (77.6 v. 70.9 years P < 0.001), more likely to be men, married or widowed and admitted involuntarily. Diagnostic prevalence in the NPH and PPH groups were 49.0% v. 8.4% (P < 0.001) for organic mental disorders, 14.6% v. 30.4% (P < 0.001) for psychotic disorders, 30.2% v. 55.5% (P < 0.001) for affective disorders and 20.7% v. 13.3% (P = 0.003) for somatic disorders. The NPH group scored significantly higher on the Health of the Nation Outcome Scale (HoNOS) items agitated behaviour; cognitive problems; physical illness or disability and problems with activities of daily living, whereas those in the PPH group scored significantly higher on depressed mood. Although the PPH group were more likely to report suicidal ideation, those in the NPH group were more likely to have made a suicide attempt before the admission. Conclusions Among psychiatric patients >65 years, the subgroup with NPH were characterised by more physical frailty, somatic comorbidity and functional and cognitive impairment as well as higher rates of preadmission suicide attempts. Admitting facilities should be appropriately suited to manage their needs.

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Socio-demographic characteristics and factors associated with hospitalization in psychiatry of old age patients: an international comparison between Ireland and Turkey

Abstract: It is possible to infer that independent from the cultural diversities, living arrangement is a consistent entity to influence length of hospital stay in older adult population.

Cited by 5 publications

References 44 publications

Cognitive Impairment and Length of Stay in Acute Care Hospitals: A Scoping Review of the Literature

Cognitive Impairment and Length of Stay in Acute Care Hospitals: A Scoping Review of the Literature

Emergency hospital admissions among older adults living alone in the community

Elderly patients with no previous psychiatric history: suicidality and other factors relating to psychiatric acute admissions

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