Factors Associated with Transfer from an ...
Type de document :
Article dans une revue scientifique: Article original
DOI :
PMID :
URL permanente :
Titre :
Factors Associated with Transfer from an Acute Geriatric Unit to a Post-Acute Care Facility among Community-Dwelling Patients: Results from the DAMAGE Cohort.
Auteur(s) :
Deschasse, Guillaume [Auteur]
Evaluation des technologies de santé et des pratiques médicales - ULR 2694 [METRICS]
Drumez, Elodie [Auteur]
METRICS : Evaluation des technologies de santé et des pratiques médicales - ULR 2694
Visade, Fabien [Auteur]
Evaluation des technologies de santé et des pratiques médicales - ULR 2694 [METRICS]
Charpentier, Anne [Auteur]
Centre Hospitalier Régional Universitaire [CHU Lille] [CHRU Lille]
Delecluse, Céline [Auteur]
Loggia, Gilles [Auteur]
Mobilités : Vieillissement, Pathologie, Santé [COMETE]
Université de Caen Normandie [UNICAEN]
Lescure, Pascale [Auteur]
Université de Caen Normandie [UNICAEN]
Attier-Żmudka, Jadwiga [Auteur]
Université de Picardie Jules Verne [UPJV]
Bloch, Jennifer [Auteur]
Centre Hospitalier Régional Universitaire [CHU Lille] [CHRU Lille]
Gaxatte, Cédric [Auteur]
Centre Hospitalier Régional Universitaire [CHU Lille] [CHRU Lille]
Bloch, Frédéric [Auteur]
CHU Amiens-Picardie
Puisieux, François [Auteur]
Centre Hospitalier Régional Universitaire [CHU Lille] [CHRU Lille]
BEUSCART, Jean-Baptiste [Auteur]
METRICS : Evaluation des technologies de santé et des pratiques médicales - ULR 2694
Evaluation des technologies de santé et des pratiques médicales - ULR 2694 [METRICS]
Drumez, Elodie [Auteur]
METRICS : Evaluation des technologies de santé et des pratiques médicales - ULR 2694
Visade, Fabien [Auteur]
Evaluation des technologies de santé et des pratiques médicales - ULR 2694 [METRICS]
Charpentier, Anne [Auteur]
Centre Hospitalier Régional Universitaire [CHU Lille] [CHRU Lille]
Delecluse, Céline [Auteur]
Loggia, Gilles [Auteur]
Mobilités : Vieillissement, Pathologie, Santé [COMETE]
Université de Caen Normandie [UNICAEN]
Lescure, Pascale [Auteur]
Université de Caen Normandie [UNICAEN]
Attier-Żmudka, Jadwiga [Auteur]
Université de Picardie Jules Verne [UPJV]
Bloch, Jennifer [Auteur]
Centre Hospitalier Régional Universitaire [CHU Lille] [CHRU Lille]
Gaxatte, Cédric [Auteur]
Centre Hospitalier Régional Universitaire [CHU Lille] [CHRU Lille]
Bloch, Frédéric [Auteur]
CHU Amiens-Picardie
Puisieux, François [Auteur]
Centre Hospitalier Régional Universitaire [CHU Lille] [CHRU Lille]
BEUSCART, Jean-Baptiste [Auteur]
METRICS : Evaluation des technologies de santé et des pratiques médicales - ULR 2694
Titre de la revue :
Clinical Interventions in Aging
Nom court de la revue :
Clin Interv Aging
Numéro :
17
Pagination :
1821-1832
Éditeur :
Dove Medical Press
Date de publication :
2022-12-09
ISSN :
1178-1998
Mot(s)-clé(s) en anglais :
Aged
Humans
Activities of Daily Living
Subacute Care
Independent Living
Prospective Studies
Geriatric Assessment
Patient Discharge
acute geriatric unit
care transitions
health services
rehabilitation
risk factors
Humans
Activities of Daily Living
Subacute Care
Independent Living
Prospective Studies
Geriatric Assessment
Patient Discharge
acute geriatric unit
care transitions
health services
rehabilitation
risk factors
Discipline(s) HAL :
Sciences du Vivant [q-bio]
Résumé en anglais : [en]
Acute geriatric units (AGUs) require efficient discharge planning tools. Risk factors for discharge from an AGU to post-acute care (PAC) have not previously been investigated in detail. The objective is to identify risk ...
Lire la suite >Acute geriatric units (AGUs) require efficient discharge planning tools. Risk factors for discharge from an AGU to post-acute care (PAC) have not previously been investigated in detail. The objective is to identify risk factors for PAC transfer. The DAMAGE (prospective multicenter cohort) consecutively included more than 3500 subjects aged 75 or older and admitted to an AGU. The patients underwent a comprehensive geriatric assessment (CGA) during their stay in the AGU. Only community-dwelling patients admitted to the AGU from the emergency department were included in the analysis. We recorded the characteristics of the care pathway and identified risk factors for discharge to home or to a PAC facility. 1928 patients were included. Loss of functional independence (a decrease in the Katz activities of daily living (ADL) score between 1 month prior to admission and AGU admission), living alone, social isolation, a high Katz ADL score at home, a low Katz ADL on admission, and delirium on admission were risk factors for transfer to PAC. Obesity, an elevated serum albumin level, and community-acquired infection were associated with discharge to home. Neither sex nor age was a risk factor for home discharge or transfer to PAC. The present results might help clinicians and discharge planning teams to identify patients at risk of transfer to PAC more reliably and promptly in AGUs.Lire moins >
Lire la suite >Acute geriatric units (AGUs) require efficient discharge planning tools. Risk factors for discharge from an AGU to post-acute care (PAC) have not previously been investigated in detail. The objective is to identify risk factors for PAC transfer. The DAMAGE (prospective multicenter cohort) consecutively included more than 3500 subjects aged 75 or older and admitted to an AGU. The patients underwent a comprehensive geriatric assessment (CGA) during their stay in the AGU. Only community-dwelling patients admitted to the AGU from the emergency department were included in the analysis. We recorded the characteristics of the care pathway and identified risk factors for discharge to home or to a PAC facility. 1928 patients were included. Loss of functional independence (a decrease in the Katz activities of daily living (ADL) score between 1 month prior to admission and AGU admission), living alone, social isolation, a high Katz ADL score at home, a low Katz ADL on admission, and delirium on admission were risk factors for transfer to PAC. Obesity, an elevated serum albumin level, and community-acquired infection were associated with discharge to home. Neither sex nor age was a risk factor for home discharge or transfer to PAC. The present results might help clinicians and discharge planning teams to identify patients at risk of transfer to PAC more reliably and promptly in AGUs.Lire moins >
Langue :
Anglais
Comité de lecture :
Oui
Audience :
Internationale
Établissement(s) :
Université de Lille
CHU Lille
CHU Lille
Date de dépôt :
2023-04-17T14:36:26Z
2023-04-19T06:49:43Z
2023-04-19T06:49:43Z
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- DAMAGE-2022-CIA-Deschasse-Post acute care.pdf
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