Intermediate hospital care for subacute elderly patients as an alternative to prolonged acute hospitalization

Marco Inzitari, Lluís Espinosa Serralta, María Carmen Pérez Bocanegra, Marta Roquè Fíguls, Josep Maria Argimón Pallàs, Joan Farré Calpe

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Abstract

Objective: We evaluated the rapid discharge of older patients with reactivated chronic diseases from an acute general hospital to an intermediate care hospital. Methods: A cohort study was carried out. Compliance with predefined quality standards and patient selection were evaluated. Results: Sixty-eight patients (mean age 82.6 years, 48.5% men) were discharged from the emergency department (69.1%) or medical wards (mean [SD] global length of stay 2.6 [2.9] days in acute wards and 1.5 [1.6] days in the emergency department). Mean post-acute length of stay (SD) was 11.4 (4.2) days. Fifty-six patients (82.4%) were discharged to their previous living situation (home or nursing home), two back to the emergency department, seven to long-term care, and three died. All quality standards were met. In a multivariate analysis, male gender and a higher risk of malnutrition were associated with an increased risk of not returning to the previous living situation (p <0.05). Conclusions: Intermediate care for selected patients with reactivated chronic diseases might represent an alternative to prolonged acute hospitalization. © 2011 SESPAS.
Original languageEnglish
Pages (from-to)166-169
JournalGaceta Sanitaria
Volume26
Issue number2
DOIs
Publication statusPublished - 1 Mar 2012

Keywords

  • Aging
  • Chronic diseases
  • Efficiency
  • Emergency
  • Frailty
  • Hospitalization
  • Intermediate care
  • Subacute

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    Inzitari, M., Espinosa Serralta, L., Pérez Bocanegra, M. C., Roquè Fíguls, M., Argimón Pallàs, J. M., & Farré Calpe, J. (2012). Intermediate hospital care for subacute elderly patients as an alternative to prolonged acute hospitalization. Gaceta Sanitaria, 26(2), 166-169. https://doi.org/10.1016/j.gaceta.2011.07.007