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Patient throughput in an acute geriatric unit

C Twomey1, M J Crowley, L Delaney

  • 1Department of Geriatric Medicine, Cork University.

Irish Medical Journal
|July 1, 1995
PubMed
Summary

This 3-year study of geriatric medicine patients found that patient outcomes and length of stay were significantly influenced by age, diagnosis, and referral source. Neurological disorders indicated a poor prognosis for elderly patients.

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Area of Science:

  • Geriatric Medicine
  • Clinical Epidemiology
  • Healthcare Management

Background:

  • Patient turnover, morbidity, and mortality are critical metrics in geriatric medicine.
  • Understanding these factors is essential for optimizing care in hospital settings.

Purpose of the Study:

  • To investigate patient turnover, morbidity, and mortality within a geriatric medicine department over a three-year period.
  • To identify factors influencing patient outcomes and duration of hospital stay.

Main Methods:

  • Analysis of 3,977 patient admissions to Cork University and St. Finbarr's Hospitals.
  • Construction of a morbidity profile for a sample of 318 patients.
  • Statistical analysis of age, diagnosis, and referral source impact on outcomes.

Main Results:

  • 71% of patients were discharged home, 18% died, and 11% transferred to continuing care.
  • Median length of stay was ten days; influenced by age, diagnosis, and referral source.
  • 52% of a sample had multiple diagnoses; neurological disorders were associated with poor prognosis.

Conclusions:

  • Age, diagnosis, and referral source are key determinants of geriatric patient outcomes and length of stay.
  • Geriatric medicine units face significant challenges with patient complexity and resource allocation.
  • Targeted follow-up care, including day hospital and outpatient clinics, is utilized for a portion of discharged patients.

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