Length of Stay in Hospital of the Aged Sick

Amulree, Lord; Arnold, Pamela C.; Polak, Adam G.

doi:10.1016/s0140-6736(52)91714-5

Cited by 9 publications

(3 citation statements)

References 3 publications

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“…The study population of 200 patients consisted of three groups: (1) elderly patients referred consecutively to the ED on ten Medicine on‐duty days, (2) patients transferred to Medicine and Geriatrics, and (3) other patients admitted to Geriatrics, and patients aged 65 and over admitted to Medicine.…”

Section: Resultsmentioning

confidence: 99%

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Factors Influencing Admission or Nonadmission of the Aged to the Hospital

Greenberg

Rosin

1982

J American Geriatrics Society

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A prospective study was carried out to determine which social, functional, or medical factors influenced the decision to admit or not to admit aged people to a general hospital in Israel. The study also focused on characteristics of patients admitted to the geriatric ward of the medical division as distinct from those sent to the internal medicine ward. Two hundred patients over the age of 65 were examined during ten consecutive intake days for the internal medicine ward over a period of five weeks. One hundred and sixty-seven were interviewed in the emergency departments, and the others after transfer from other departments by prearranged consultation. Thirty-five per cent were not admitted, 28 per cent were admitted to internal medicine, and 26 per cent were admitted to the geriatric department. Social factors played little part in the selecting process, the dominant need being acuteness and severity of illness. However, patients in the geriatric ward were found to be functionally much more disabled in regard to mobility, mental state, and incontinence. This was also reflected in a longer average stay of 15 days compared with nine in internal medicine, a higher mortality (19 per cent as against 7 per cent) and a higher degree of disability on discharge from hospital.

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Section: Resultsmentioning

confidence: 99%

“…Independent acute‐care and comprehensive geriatric inpatient units have been inexistence in hospitals in Britain during the last 30 years, 1 but they are a relatively recent development in the United States. With the introduction of these units came the need to define the type of patient appropriate for referral to them.…”

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Factors Influencing Admission or Nonadmission of the Aged to the Hospital

Greenberg

Rosin

1982

J American Geriatrics Society

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“…The change of name reflected a switch from passive care of the chronically ill, characterized by prolonged stay in institutions, to an active policy of diagnosis, evaluation, rehabilitation and ultimately prevention of a social and health breakdown. Amulree (1) pointed out the importance of ensuring a turnover of patients admitted to a geriatric unit. Many succeeding surveys have dwelt on the increased load of admissions undertaken by newly formed units.…”

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confidence: 99%

What Is the Function of a Hospital for Geriatric and Chronic Diseases?

Rosin¹,

Jacobowicz

Singer‐Zeligson³

et al. 1976

J American Geriatrics Society

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The functioning of a hospital for chronic diseases was examined in terms of the type of patient referred, the course in the hospital and the eventual outcome, in a prospective study of a year's admissions to one department of Harzfeld Hospital in Israel. Of the 191 patients admitted, 55 percent were assessed as possible candidates for rehabilitation, and two-thirds were discharged. Among those admitted primarily for nursing reasons, the mortality was 76 percent. The average stay was 68 days for the 47 percent who were discharged and 95 days for the 45 percent who died; 8.4 percent remained as long-stay patients. Mobility improved in 37 percent and deteriorated in 8 percent; independence in self-care increased from 13 percent on admission to 51 percent on discharge. Thirty percent of the discharges occurred in the first month, and further 30 percent in the second month; 85 percent of these patients returned to their own homes. The hospital stay exceeded 6 months in 18 percent, of whom 7 percent died and 3 percent were later discharged. The possibility of release from the hospital was influenced by the degree of disability rather than the social circumstances. The best change for improvement was among the patients who required only partial help on admission. The most important tasks of the hospital were: intensive and sometimes prolonged rehabilitation; basic nursing care; medical reevaluation and sometimes referral for surgical salvage operations; attention to acute and subacute medical problems, some of which occurred as complications, including accidents; and the concentration of physiotherapy and occupational therapy where most needed. Achievement of these aims was based on fostering a cooperative spirit between patients and staff, adjusting to the problem of re-integrating the long-stay patient, and coordinating specialist services from other hospitals when needed.

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Experience in providing care for the long-term patient and the light it throws on additional research needed

Ciocco

Ring

1955

Journal of Chronic Diseases

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Length of Stay in Hospital of the Aged Sick

Cited by 9 publications

References 3 publications

Factors Influencing Admission or Nonadmission of the Aged to the Hospital

Factors Influencing Admission or Nonadmission of the Aged to the Hospital

What Is the Function of a Hospital for Geriatric and Chronic Diseases?

Experience in providing care for the long-term patient and the light it throws on additional research needed

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