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Outcomes of Decreased Length of Hospital Stay Among Geriatric Patients With Dementia
Abstract
This study examined the outcomes associated with shortening hospital stays for geriatric inpatients with dementia at a Veterans Administration medical center. Thirty-three patients who were admitted after January 1997, when the hospital decided to reduce patients' lengths of stay, were matched with 33 patients who were admitted before January 1997. Despite significant differences in lengths of stay, no differences were found between the groups on measures of agitation or overall functioning. Despite significantly shorter stays since January 1997, the results of our study indicate that the cognitive and emotional status of patients discharged since that time are equivalent to those of patients discharged after longer hospital stays.
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“Although some studies indicate that shorter LOS is as effective as longer LOS (e.g., 30 days) in reducing symptoms of dementia (Kunik et al., 2001), major depression (Pettit et al., 2005), and schizophrenia (Johnstone and Zolese, 1999)”
From Time in treatment: Examining mental illness trajectories across inpatient psychiatric treatment (2020) · cites this paper as Kunik et al., 2001
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References 8 · Cited by 12
Research works printed but not linked: 6
- Priest RG, Fineberg N, Merson S, et al: Length of stay of acute psychiatric inpatients: an exponential model. Acta Psychiatrica Scandinavica 92:315-317, 1995 · DOI
- Lieberman PB, Wiitala SA, Elliott B, et al: Decreasing length of stay: are there effects on outcomes of psychiatric hospitalization? American Journal of Psychiatry 155:905-909, 1998 · DOI
- Glick ID, Hargreaves WA, Drues J, et al: Short vs long hospitalization: a prospective controlled study: VII. two-year results for nonschizophrenics. Archives of General Psychiatry 34:314-317, 1977 · DOI
- Creed F, Black D, Anthony P, et al: Randomised controlled trial of day patient versus inpatient psychiatric treatment. British Medical Journal 300:1033-1037, 1990 · DOI
- Druss BG, Bruce ML, Jacobs SC, et al: Trends over a decade for a general hospital psychiatry unit. Administration and Policy in Mental Health 25:427-435, 1998 · DOI
- Folstein MF, Folstein SE, McHugh PR: "Mini-mental state": a practical method for grading the cognitive state of patients for the clinician. Journal of Psychiatric Research 12:189-198, 1975 · DOI · Paper page
Metadata
- Authors
- Kunik, M. E., Edwards, M., Molinari, V. A., Hale, D. D., & Orengo, C. A.
- Affiliations
- Baylor College of Medicine (US)
- Venue
- Psychiatric Services
- Published
- 2001-03
- Volume
- 52
- Issue
- 3
- Pages
- 376-378
- ISSN
- 0022-1597 (ISSN-L)
- 1075-2730
- 1557-9700
- OpenAlex
- W2154235525
- Cited by
- 12
- References
- 8
- Citations by year
- 2024: 2 · 2022: 1 · 2020: 1 · 2019: 1 · 2015: 1 · 2013: 1
- FWCI
- 0.21
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Psychiatric Services (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Dementia and Cognitive Impairment Research
- Health Sciences › Medicine › Geriatrics and Gerontology › Geriatric Care and Nursing Homes
- Social Sciences › Psychology › Clinical Psychology › Psychiatric care and mental health services
- Keywords
- dementia, elderly patients, length of hospital stay, hospital discharge outcomes, agitation, cognitive status, emotional state, veterans, older adults
- MeSH terms
- Aged, Dementia, Female, Geriatric Psychiatry, Hospitals, Veterans, Humans, Length of Stay, Male, Psychiatric Department, Hospital, Psychiatric Status Rating Scales, Texas, Utilization Review, Organizational Policy, Treatment Outcome
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