Perioperative Factors Affecting Length of Hospital Stay Among Elderly Patients
Material and Methods. The study population comprised 99 surgical patients aged 65 and more. The patients were followed up until discharge. Study data analysis included questionnaires, anthropometric measurements before surgery, assessment and interviews after surgery, and case histories. Univariate and multivariate logistic regression analysis was performed.
Results. Malnutrition was detected in 53.5% of the patients. Postoperative cognitive disorder was documented in 18.2% of elderly patients. The mean length of hospital stay was 10.1 days (SD, 9.14). Multivariate logistic regression analysis revealed that the best predictors for longer hospital stay in elderly patients were malnutrition (OR, 4.2; 95% CI, 1.5–11.8; P=0.007) together with postoperative cognitive impairment (OR, 9.2; 95% CI, 1.0–83.3; P=0.048). The total predictive value of the model was 70.5%.
Conclusions. Malnutrition and a postoperative cognitive disorder were independent risk factors for longer hospital stay, while depression, cognitive impairment, functional dependence, and poor physical status were not independently associated with longer hospital stay. A comprehensive geriatric assessment can help assess the risk factors for longer treatment and predict the length of hospital stay, thus enabling the planning of optimal healthcare management of elderly patients.
Damulevičienė, G.; Lesauskaitė, V.; Macijauskienė, J.; Šmigelskas, K.; Venskutonis, D. Perioperative Factors Affecting Length of Hospital Stay Among Elderly Patients. Medicina 2013, 49, 40.
Damulevičienė G, Lesauskaitė V, Macijauskienė J, Šmigelskas K, Venskutonis D. Perioperative Factors Affecting Length of Hospital Stay Among Elderly Patients. Medicina. 2013; 49(6):40.Chicago/Turabian Style
Damulevičienė, Gytė; Lesauskaitė, Vita; Macijauskienė, Jūratė; Šmigelskas, Kastytis; Venskutonis, Donatas. 2013. "Perioperative Factors Affecting Length of Hospital Stay Among Elderly Patients." Medicina 49, no. 6: 40.