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Article dans une revue

Who is at risk of long hospital stay among patients admitted to geriatric acute care unit? Results from a prospective cohort study

Abstract :

1) To confirm that vitamin D deficiency, defined as serum 25-hydroxyvitamin D (25OHD) concentration < 25nmol/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.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. 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). Vitamin D deficiency, delirium and male gender were significant risk factors for a longer LOS in the studied sample of older inpatients.

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https://hal.univ-angers.fr/hal-03355590
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Soumis le : lundi 27 septembre 2021 - 14:16:06
Dernière modification le : mercredi 27 avril 2022 - 04:00:45

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Olivier Beauchet, Cyrille Launay, Laure de Decker, Bruno Fantino, Anastasiia Kabeshova, et al.. Who is at risk of long hospital stay among patients admitted to geriatric acute care unit? Results from a prospective cohort study. Journal of Nutrition, Health and Aging, Springer Verlag (Germany), 2013, 17 (8), pp.695-699. ⟨10.1007/s12603-013-0333-z⟩. ⟨hal-03355590⟩

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