Your browser doesn't support javascript.
loading
Factors for inhibition of early discharge from the psychiatric emergency ward for elderly patients
Environmental Health and Preventive Medicine ; : 48-48, 2018.
Artigo em Inglês | WPRIM | ID: wpr-777657
ABSTRACT
BACKGROUND@#As society is aging, the number of elderly patients with psychiatric disorder, such as dementia, is increasing. The hospitalization period of elderly patients in psychiatric wards tends to be prolonged. In this study, we have determined the factors that inhibit early discharge from the psychiatric emergency ward for elderly patients in Japan.@*METHODS@#The information was collected from patients admitted to our hospital's emergency ward for elderly patients with psychiatric disorders between May 2015 and April 2016. We compared various factors between the early discharge group and the non-early discharge group. In addition, we used a multiple logistic regression model to clarify the risk factors for non-early discharge.@*RESULTS@#Of the 208 elderly patients, body mass index (BMI) and serum albumin level were significantly lower in the non-early discharge group. In addition, we also showed that higher serum C-reactive protein (CRP) (> 0.5 mg/dL) and use of seclusion or physical restraint significantly inhibited the early discharge of patients. The results of multiple logistic analysis showed that the BMI ≤ 17.5 kg/m (OR, 2.41 [95% confidence interval (CI) 1.06-5.46]), serum albumin level ≤ 30 g/L (OR, 3.78 [95% CI 1.28-11.16]), and use of seclusion or physical restraint (OR 3.78 [95% CI 1.53-9.37]) are particularly important explanatory factors.@*CONCLUSIONS@#Hypoalbuminemia, low BMI, and the use of seclusion or physical restraint were identified as the factors that inhibit early discharge from the psychiatric emergency ward for elderly patients. These factors reflect malnutrition and extremely serious psychiatric symptoms.
Assuntos

Texto completo: DisponíveL Índice: WPRIM (Pacífico Ocidental) Assunto principal: Alta do Paciente / Psicologia / Terapêutica / Fatores de Risco / Demência / Diagnóstico / Serviço Hospitalar de Emergência / Hospitalização / Hospitais Psiquiátricos / Japão Tipo de estudo: Estudo diagnóstico / Estudo de etiologia / Estudo prognóstico / Fatores de risco Limite: Idoso / Aged80 / Feminino / Humanos / Masculino País/Região como assunto: Ásia Idioma: Inglês Revista: Environmental Health and Preventive Medicine Ano de publicação: 2018 Tipo de documento: Artigo

Similares

MEDLINE

...
LILACS

LIS

Texto completo: DisponíveL Índice: WPRIM (Pacífico Ocidental) Assunto principal: Alta do Paciente / Psicologia / Terapêutica / Fatores de Risco / Demência / Diagnóstico / Serviço Hospitalar de Emergência / Hospitalização / Hospitais Psiquiátricos / Japão Tipo de estudo: Estudo diagnóstico / Estudo de etiologia / Estudo prognóstico / Fatores de risco Limite: Idoso / Aged80 / Feminino / Humanos / Masculino País/Região como assunto: Ásia Idioma: Inglês Revista: Environmental Health and Preventive Medicine Ano de publicação: 2018 Tipo de documento: Artigo