Hospital stay on acute care units for non-acute reasons

Author:

Afilalo Marc1,Soucy Nathalie2,Xue Xiaoqing2,Colacone Antoinette2,Jourdenais Emmanuelle3,Boivin Jean-François4

Affiliation:

1. Emergency Department, Jewish General Hospital, McGill University, Montreal, Quebec, Canada.

2. Emergency Department, Jewish General Hospital, Montreal, Quebec, Canada.

3. Emergency Department, CHUM Notre-Dame Hospital, University of Montreal, Montreal, Quebec, Canada.

4. Lady Davis Institute for Medical Research, Jewish General Hospital, McGill University, Montreal, Quebec, Canada.

Abstract

This study identifies patient risk factors present prior to an acute hospitalization that are associated with occupying acute care beds for non-acute reasons on the 30th day of a hospitalization. Data from 952 adult patients were obtained, among which 333 (35%) were evaluated as non-acute on their 30th day. Inability to move in and out of the bed, cognitive impairment, receiving home or community healthcare services prior to hospitalization, unavailable family resources, a secondary diagnosis within the mental and behavioural category, and age ≥75 years were found to increase the risk of occupying acute care beds for non-acute reasons, while patients with a feeding tube were less likely to be non-acute at day 30.

Publisher

SAGE Publications

Subject

Health Policy

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