Who is at Risk of Long Hospital Stay Among Patients Admitted to Geriatric Acute Care Unit? Results from a Prospective Cohort Study

Overview

Journal J Nutr Health Aging

Specialties Geriatrics
Nutritional Sciences

Date 2013 Oct 8

PMID 24097024

Citations 15

Authors

O Beauchet

C Launay

L De Decker

B Fantino

A Kabeshova

C Annweiler

Affiliations

Soon will be listed here.

Abstract

Objective: (1) To confirm that vitamin D deficiency, defined as serum 25-hydroxyvitamin D (25OHD) concentration < 25 nmol/L, was associated with long length-of-stay (LOS) among older inpatients admitted to geriatric acute care unit; and (2) to examine which combination of risk factors of longer LOS including vitamin D deficiency best predicted longer LOS.

Study Design And Setting: Based on a prospective cohort study with a 25-day follow-up on average, 531 consecutive older inpatients (mean age 85.0±7.2 years, 59.1% women) admitted to the geriatric acute care unit of Angers University Hospital, France, were included.

Results: Linear regression models showed that male gender (P<0.025), delirium (P<0.015) and vitamin D deficiency (P<0.001) were independently associated with a longer LOS. The highest risk of a longer LOS was shown while combining vitamin D deficiency with male gender (Odds ratio (OR)=3.70 with P< 0.001). The risk increased significantly while delirium was associated with these two baseline characteristics (OR=4.76 with P=0.001). Kaplan-Meier distributions of discharge differed significantly between participants who had or not the combination of the 3 criteria (P<0.007).

Conclusions: Vitamin D deficiency, delirium and male gender were significant risk factors for a longer LOS in the studied sample of older inpatients.

Citing Articles

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Vitamin D and Hospital Admission in Older Adults: A Prospective Association.

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Salvi F, Young J, Lucarelli M, Aquilano A, Luzi R, DellAquila G Eur Geriatr Med. 2020; 11(1):71-81.

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