Predicting Hospital Length of Stay for Geriatric Patients with Mood Disorders

Abstract

Objective: To determine predictors of hospital length of stay (LOS) for adult and geriatric patients with mood disorders admitted to inpatient psychiatric beds.Method: Admission and discharge data from a large urban mental health centre, from 2005 to 2010 inclusive, were retrospectively analyzed. Using the Resident Assessment Instrument-Mental Health, an assessment that is used to collect demographic and clinical information within 72 hours of hospital admission, 199 geriatric mood disorder admissions were compared with 570 adult mood disorder admissions. Predictors of hospital LOS were determined using a series of general linear models. Results:Living alone, number of recent psychiatric admissions, involuntary admission, and close or constant observation level predict longer hospital LOS in geriatric, but not in adult mood disorder, patients. Conversely, pain on admission predicts shorter hospital LOS in geriatric, but not among adult, mood disorder patients. Predictors of longer hospital LOS, irrespective of admission group (adult, compared with geriatric), include incapacity, negative symptoms, and increased dependence for instrumental activities of daily living. Conclusions:Addressing these predictive factors early on during admission and in the community may result in shorter hospital LOS and more optimal use of resources.

Predictors of length of hospital stay for patients with late‐onset depression in Japan

“…The mean LOHS of late-onset depressive patients in our study (83.9 1 55.6 days) is longer than that in the study by Ismail et al in Canada (61.0 1 70.6 days). 2 However, it is noteworthy that their study did not differentiate between late-onset and early-onset depression.…”

“…Recently, Ismail et al reported that living alone, the number of recent psychiatric admissions, and involuntary admission predict longer LOHS in elderly patients with depression in a Canadian population. 2 However, late-onset depression is known to be associated with a higher rate of comorbidity, ageing-related vascular changes, 3 higher severity, 4 a greater incidence of completed suicide, 5 and poorer outcomes than early-onset depression. 6 Thus, the clinical differentiation between late-onset and early-onset depression is necessary in order to investigate the predictors of longer LOHS among elderly depression patients.…”

Depression and anxiety among high-risk obstetric inpatients

“…Depression has been noted to prolong length of hospital stay is nonobstetric [32,33] and obstetric populations [34]; however, it is unclear whether hospitalized women with high obstetric risk are more likely to experience depression [2,12]. Thus, there is a need for studies that examine change in depression symptoms over the course of hospitalization [13].…”

Depression and anxiety in Singaporean high-risk pregnancies — prevalence and screening

“…Depression has been noted to prolong length of hospital stay is non-obstetric [32, 33] and obstetric populations [34], however it is unclear whether hospitalized women with high obstetric risk are more likely to experience depression [2, 12]. Thus, there is a need for studies that examine change in depression symptoms over the course of hospitalization [13].…”