The impact of social isolation on delayed hospital discharges of older hip fracture patients and associated costs View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2016-02

AUTHORS

F. Landeiro, J. Leal, A. M. Gray

ABSTRACT

Delayed discharges represent an inefficient use of acute hospital beds. Social isolation and referral to a public-funded rehabilitation unit were significant predictors of delayed discharges while admission from an institution was a protective factor for older hip fracture patients. Preventing delays could save between 11.2 and 30.7 % of total hospital costs for this patient group. INTRODUCTION: Delayed discharges of older patients from acute care hospitals are a major challenge for administrative, humanitarian, and economic reasons. At the same time, older people are particularly vulnerable to social isolation which has a detrimental effect on their health and well-being with cost implications for health and social care services. The purpose of the present study was to determine the impact and costs of social isolation on delayed hospital discharge. METHODS: A prospective study of 278 consecutive patients aged 75 or older with hip fracture admitted, as an emergency, to the Orthopaedics Department of Hospital Universitário de Santa Maria, Portugal, was conducted. A logistic regression model was used to examine the impact of relevant covariates on delayed discharges, and a negative binomial regression model was used to examine the main drivers of days of delayed discharges. Costs of delayed discharges were estimated using unit costs from national databases. RESULTS: Mean age at admission was 85.5 years and mean length of stay was 13.1 days per patient. Sixty-two (22.3 %) patients had delayed discharges, resulting in 419 bed days lost (11.5 % of the total length of stay). Being isolated or at a high risk of social isolation, measured with the Lubben social network scale, was significantly associated with delayed discharges (odds ratio (OR) 3.5) as was being referred to a public-funded rehabilitation unit (OR 7.6). These two variables also increased the number of days of delayed discharges (2.6 and 4.9 extra days, respectively, holding all else constant). Patients who were admitted from an institution were less likely to have delayed discharges (OR 0.2) with 5.5 fewer days of delay. Total costs of delayed discharges were between 11.2 and 30.7 % of total costs (€2352 and €9317 per patient with delayed discharge) conditional on whether waiting costs for placement in public-funded rehabilitation unit were included. CONCLUSION: High risk of social isolation, social isolation and referral to public-funded rehabilitation units increase delays in patients' discharges from acute care hospitals. More... »

PAGES

737-745

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s00198-015-3293-9

DOI

http://dx.doi.org/10.1007/s00198-015-3293-9

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1011126068

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/26337517


Indexing Status Check whether this publication has been indexed by Scopus and Web Of Science using the SN Indexing Status Tool
Incoming Citations Browse incoming citations for this publication using opencitations.net

JSON-LD is the canonical representation for SciGraph data.

TIP: You can open this SciGraph record using an external JSON-LD service: JSON-LD Playground Google SDTT

[
  {
    "@context": "https://springernature.github.io/scigraph/jsonld/sgcontext.json", 
    "about": [
      {
        "id": "http://purl.org/au-research/vocabulary/anzsrc-for/2008/1103", 
        "inDefinedTermSet": "http://purl.org/au-research/vocabulary/anzsrc-for/2008/", 
        "name": "Clinical Sciences", 
        "type": "DefinedTerm"
      }, 
      {
        "id": "http://purl.org/au-research/vocabulary/anzsrc-for/2008/11", 
        "inDefinedTermSet": "http://purl.org/au-research/vocabulary/anzsrc-for/2008/", 
        "name": "Medical and Health Sciences", 
        "type": "DefinedTerm"
      }, 
      {
        "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
        "name": "Aged", 
        "type": "DefinedTerm"
      }, 
      {
        "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
        "name": "Aged, 80 and over", 
        "type": "DefinedTerm"
      }, 
      {
        "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
        "name": "Female", 
        "type": "DefinedTerm"
      }, 
      {
        "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
        "name": "Health Care Costs", 
        "type": "DefinedTerm"
      }, 
      {
        "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
        "name": "Health Services Research", 
        "type": "DefinedTerm"
      }, 
      {
        "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
        "name": "Hip Fractures", 
        "type": "DefinedTerm"
      }, 
      {
        "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
        "name": "Hospital Costs", 
        "type": "DefinedTerm"
      }, 
      {
        "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
        "name": "Hospitalization", 
        "type": "DefinedTerm"
      }, 
      {
        "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
        "name": "Humans", 
        "type": "DefinedTerm"
      }, 
      {
        "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
        "name": "Length of Stay", 
        "type": "DefinedTerm"
      }, 
      {
        "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
        "name": "Male", 
        "type": "DefinedTerm"
      }, 
      {
        "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
        "name": "Patient Discharge", 
        "type": "DefinedTerm"
      }, 
      {
        "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
        "name": "Portugal", 
        "type": "DefinedTerm"
      }, 
      {
        "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
        "name": "Prospective Studies", 
        "type": "DefinedTerm"
      }, 
      {
        "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
        "name": "Referral and Consultation", 
        "type": "DefinedTerm"
      }, 
      {
        "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
        "name": "Rehabilitation Centers", 
        "type": "DefinedTerm"
      }, 
      {
        "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
        "name": "Social Isolation", 
        "type": "DefinedTerm"
      }, 
      {
        "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
        "name": "Socioeconomic Factors", 
        "type": "DefinedTerm"
      }
    ], 
    "author": [
      {
        "affiliation": {
          "alternateName": "University of Oxford", 
          "id": "https://www.grid.ac/institutes/grid.4991.5", 
          "name": [
            "Health Economics Research Centre, Nuffield Department of Population Health, University of Oxford, Old Road Campus, OX3 7LF, Oxford, UK"
          ], 
          "type": "Organization"
        }, 
        "familyName": "Landeiro", 
        "givenName": "F.", 
        "id": "sg:person.010562301607.77", 
        "sameAs": [
          "https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.010562301607.77"
        ], 
        "type": "Person"
      }, 
      {
        "affiliation": {
          "alternateName": "University of Oxford", 
          "id": "https://www.grid.ac/institutes/grid.4991.5", 
          "name": [
            "Health Economics Research Centre, Nuffield Department of Population Health, University of Oxford, Old Road Campus, OX3 7LF, Oxford, UK"
          ], 
          "type": "Organization"
        }, 
        "familyName": "Leal", 
        "givenName": "J.", 
        "id": "sg:person.01267274063.08", 
        "sameAs": [
          "https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01267274063.08"
        ], 
        "type": "Person"
      }, 
      {
        "affiliation": {
          "alternateName": "University of Oxford", 
          "id": "https://www.grid.ac/institutes/grid.4991.5", 
          "name": [
            "Health Economics Research Centre, Nuffield Department of Population Health, University of Oxford, Old Road Campus, OX3 7LF, Oxford, UK"
          ], 
          "type": "Organization"
        }, 
        "familyName": "Gray", 
        "givenName": "A. M.", 
        "id": "sg:person.01307325071.02", 
        "sameAs": [
          "https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01307325071.02"
        ], 
        "type": "Person"
      }
    ], 
    "citation": [
      {
        "id": "https://doi.org/10.1002/jhm.992", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1002439227"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1097/00003727-198811000-00008", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1006831179"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1097/00003727-198811000-00008", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1006831179"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1097/00003727-198811000-00008", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1006831179"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "sg:pub.10.1007/bf03324656", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1007479837", 
          "https://doi.org/10.1007/bf03324656"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1001/archinte.1992.00400220090016", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1009165277"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1097/00003246-199301000-00011", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1010989354"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1097/00003246-199301000-00011", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1010989354"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1111/j.1532-5415.1996.tb00910.x", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1016447592"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1001/archinte.1996.00440060067008", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1017586645"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1046/j.1365-2524.2000.00270.x", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1017737421"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1111/j.1445-2197.2009.05130.x", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1018210342"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1111/j.1445-2197.2009.05130.x", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1018210342"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "sg:pub.10.1007/s11739-009-0325-5", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1023428825", 
          "https://doi.org/10.1007/s11739-009-0325-5"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "sg:pub.10.1007/s11739-009-0325-5", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1023428825", 
          "https://doi.org/10.1007/s11739-009-0325-5"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "sg:pub.10.1007/s12160-010-9210-8", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1025155028", 
          "https://doi.org/10.1007/s12160-010-9210-8"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1111/j.1532-5415.1990.tb03451.x", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1027355811"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1016/0196-6553(95)90060-8", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1038508418"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1093/ndt/15.2.212", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1038955397"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1056/nejm200005113421906", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1041305713"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "sg:pub.10.1007/bf03339873", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1042023673", 
          "https://doi.org/10.1007/bf03339873"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1097/00005650-198108000-00005", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1049186654"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1097/00005650-198108000-00005", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1049186654"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1108/13660759910298716", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1049786929"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.4061/2011/534781", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1052591470"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1161/01.str.28.3.543", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1063342291"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1353/cja.2005.0048", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1065027136"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1353/cja.2005.0048", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1065027136"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1590/s1135-57272001000300007", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1068109896"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.7326/0003-4819-118-3-199302010-00011", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1073697142"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://app.dimensions.ai/details/publication/pub.1074606775", 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://app.dimensions.ai/details/publication/pub.1074989105", 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://app.dimensions.ai/details/publication/pub.1075122040", 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://app.dimensions.ai/details/publication/pub.1075259240", 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://app.dimensions.ai/details/publication/pub.1076376836", 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://app.dimensions.ai/details/publication/pub.1076959402", 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.5694/j.1326-5377.2004.tb06403.x", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1076959402"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://app.dimensions.ai/details/publication/pub.1077188041", 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://app.dimensions.ai/details/publication/pub.1077392956", 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://app.dimensions.ai/details/publication/pub.1077392957", 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://app.dimensions.ai/details/publication/pub.1081636932", 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1787/737005512385", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1107172596"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1787/737005512385", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1107172596"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1787/737005512385", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1107172596"
        ], 
        "type": "CreativeWork"
      }
    ], 
    "datePublished": "2016-02", 
    "datePublishedReg": "2016-02-01", 
    "description": "Delayed discharges represent an inefficient use of acute hospital beds. Social isolation and referral to a public-funded rehabilitation unit were significant predictors of delayed discharges while admission from an institution was a protective factor for older hip fracture patients. Preventing delays could save between 11.2 and 30.7\u00a0% of total hospital costs for this patient group.\nINTRODUCTION: Delayed discharges of older patients from acute care hospitals are a major challenge for administrative, humanitarian, and economic reasons. At the same time, older people are particularly vulnerable to social isolation which has a detrimental effect on their health and well-being with cost implications for health and social care services. The purpose of the present study was to determine the impact and costs of social isolation on delayed hospital discharge.\nMETHODS: A prospective study of 278 consecutive patients aged 75 or older with hip fracture admitted, as an emergency, to the Orthopaedics Department of Hospital Universit\u00e1rio de Santa Maria, Portugal, was conducted. A logistic regression model was used to examine the impact of relevant covariates on delayed discharges, and a negative binomial regression model was used to examine the main drivers of days of delayed discharges. Costs of delayed discharges were estimated using unit costs from national databases.\nRESULTS: Mean age at admission was 85.5\u00a0years and mean length of stay was 13.1\u00a0days per patient. Sixty-two (22.3\u00a0%) patients had delayed discharges, resulting in 419 bed days lost (11.5\u00a0% of the total length of stay). Being isolated or at a high risk of social isolation, measured with the Lubben social network scale, was significantly associated with delayed discharges (odds ratio (OR) 3.5) as was being referred to a public-funded rehabilitation unit (OR 7.6). These two variables also increased the number of days of delayed discharges (2.6 and 4.9 extra days, respectively, holding all else constant). Patients who were admitted from an institution were less likely to have delayed discharges (OR 0.2) with 5.5 fewer days of delay. Total costs of delayed discharges were between 11.2 and 30.7\u00a0% of total costs (\u20ac2352 and \u20ac9317 per patient with delayed discharge) conditional on whether waiting costs for placement in public-funded rehabilitation unit were included.\nCONCLUSION: High risk of social isolation, social isolation and referral to public-funded rehabilitation units increase delays in patients' discharges from acute care hospitals.", 
    "genre": "research_article", 
    "id": "sg:pub.10.1007/s00198-015-3293-9", 
    "inLanguage": [
      "en"
    ], 
    "isAccessibleForFree": false, 
    "isPartOf": [
      {
        "id": "sg:journal.1100834", 
        "issn": [
          "0937-941X", 
          "1433-2965"
        ], 
        "name": "Osteoporosis International", 
        "type": "Periodical"
      }, 
      {
        "issueNumber": "2", 
        "type": "PublicationIssue"
      }, 
      {
        "type": "PublicationVolume", 
        "volumeNumber": "27"
      }
    ], 
    "name": "The impact of social isolation on delayed hospital discharges of older hip fracture patients and associated costs", 
    "pagination": "737-745", 
    "productId": [
      {
        "name": "readcube_id", 
        "type": "PropertyValue", 
        "value": [
          "35028e8b56c3ddec0977977f4308bb3ef1ae61d32cb673f5867bafee0aeb537b"
        ]
      }, 
      {
        "name": "pubmed_id", 
        "type": "PropertyValue", 
        "value": [
          "26337517"
        ]
      }, 
      {
        "name": "nlm_unique_id", 
        "type": "PropertyValue", 
        "value": [
          "9100105"
        ]
      }, 
      {
        "name": "doi", 
        "type": "PropertyValue", 
        "value": [
          "10.1007/s00198-015-3293-9"
        ]
      }, 
      {
        "name": "dimensions_id", 
        "type": "PropertyValue", 
        "value": [
          "pub.1011126068"
        ]
      }
    ], 
    "sameAs": [
      "https://doi.org/10.1007/s00198-015-3293-9", 
      "https://app.dimensions.ai/details/publication/pub.1011126068"
    ], 
    "sdDataset": "articles", 
    "sdDatePublished": "2019-04-10T20:08", 
    "sdLicense": "https://scigraph.springernature.com/explorer/license/", 
    "sdPublisher": {
      "name": "Springer Nature - SN SciGraph project", 
      "type": "Organization"
    }, 
    "sdSource": "s3://com-uberresearch-data-dimensions-target-20181106-alternative/cleanup/v134/2549eaecd7973599484d7c17b260dba0a4ecb94b/merge/v9/a6c9fde33151104705d4d7ff012ea9563521a3ce/jats-lookup/v90/0000000001_0000000264/records_8681_00000582.jsonl", 
    "type": "ScholarlyArticle", 
    "url": "http://link.springer.com/10.1007/s00198-015-3293-9"
  }
]
 

Download the RDF metadata as:  json-ld nt turtle xml License info

HOW TO GET THIS DATA PROGRAMMATICALLY:

JSON-LD is a popular format for linked data which is fully compatible with JSON.

curl -H 'Accept: application/ld+json' 'https://scigraph.springernature.com/pub.10.1007/s00198-015-3293-9'

N-Triples is a line-based linked data format ideal for batch operations.

curl -H 'Accept: application/n-triples' 'https://scigraph.springernature.com/pub.10.1007/s00198-015-3293-9'

Turtle is a human-readable linked data format.

curl -H 'Accept: text/turtle' 'https://scigraph.springernature.com/pub.10.1007/s00198-015-3293-9'

RDF/XML is a standard XML format for linked data.

curl -H 'Accept: application/rdf+xml' 'https://scigraph.springernature.com/pub.10.1007/s00198-015-3293-9'


 

This table displays all metadata directly associated to this object as RDF triples.

254 TRIPLES      21 PREDICATES      82 URIs      39 LITERALS      27 BLANK NODES

Subject Predicate Object
1 sg:pub.10.1007/s00198-015-3293-9 schema:about N02bf936d341f4a439d5cdb2937c031d4
2 N0f0772aa097441e4a4e52a1b12bb91a4
3 N2621deffa4de45ff9da6be5603a330b9
4 N35d8639ac1ce410288137e377936bc1d
5 N598fa4e1306b4d0fae7aa03875643259
6 N7832a82fc743406fb34a77ba66e37ec8
7 N8039ee29e058477fbc1a00eedf74bd9d
8 N9984f2efc2894455b2c17469fe296bf3
9 N9caa5eae75f44c2099225d8a8db37b1e
10 Na10902b2f9cb4a66adf7f4ee8cd4990a
11 Nb1d3028750a141778b9bb6fabd47ccdd
12 Nbc2467c940cc4ac5934edf34554ef8a6
13 Nbd02e35572c74fd5845a89324a46628f
14 Ncb102371ab1d46e8bda8936d4a0ca430
15 Ncee19c5a08f84fd89526fa82c5e09f03
16 Nde26fae2950949bf8c91a06381fa3d91
17 Ndfa42d50958d4c5283ff0fbe668e1a62
18 Nf7c21a401aa847eeb9147ce38569f6e6
19 anzsrc-for:11
20 anzsrc-for:1103
21 schema:author N5a36d51b5a48464987d977193a281f17
22 schema:citation sg:pub.10.1007/bf03324656
23 sg:pub.10.1007/bf03339873
24 sg:pub.10.1007/s11739-009-0325-5
25 sg:pub.10.1007/s12160-010-9210-8
26 https://app.dimensions.ai/details/publication/pub.1074606775
27 https://app.dimensions.ai/details/publication/pub.1074989105
28 https://app.dimensions.ai/details/publication/pub.1075122040
29 https://app.dimensions.ai/details/publication/pub.1075259240
30 https://app.dimensions.ai/details/publication/pub.1076376836
31 https://app.dimensions.ai/details/publication/pub.1076959402
32 https://app.dimensions.ai/details/publication/pub.1077188041
33 https://app.dimensions.ai/details/publication/pub.1077392956
34 https://app.dimensions.ai/details/publication/pub.1077392957
35 https://app.dimensions.ai/details/publication/pub.1081636932
36 https://doi.org/10.1001/archinte.1992.00400220090016
37 https://doi.org/10.1001/archinte.1996.00440060067008
38 https://doi.org/10.1002/jhm.992
39 https://doi.org/10.1016/0196-6553(95)90060-8
40 https://doi.org/10.1046/j.1365-2524.2000.00270.x
41 https://doi.org/10.1056/nejm200005113421906
42 https://doi.org/10.1093/ndt/15.2.212
43 https://doi.org/10.1097/00003246-199301000-00011
44 https://doi.org/10.1097/00003727-198811000-00008
45 https://doi.org/10.1097/00005650-198108000-00005
46 https://doi.org/10.1108/13660759910298716
47 https://doi.org/10.1111/j.1445-2197.2009.05130.x
48 https://doi.org/10.1111/j.1532-5415.1990.tb03451.x
49 https://doi.org/10.1111/j.1532-5415.1996.tb00910.x
50 https://doi.org/10.1161/01.str.28.3.543
51 https://doi.org/10.1353/cja.2005.0048
52 https://doi.org/10.1590/s1135-57272001000300007
53 https://doi.org/10.1787/737005512385
54 https://doi.org/10.4061/2011/534781
55 https://doi.org/10.5694/j.1326-5377.2004.tb06403.x
56 https://doi.org/10.7326/0003-4819-118-3-199302010-00011
57 schema:datePublished 2016-02
58 schema:datePublishedReg 2016-02-01
59 schema:description Delayed discharges represent an inefficient use of acute hospital beds. Social isolation and referral to a public-funded rehabilitation unit were significant predictors of delayed discharges while admission from an institution was a protective factor for older hip fracture patients. Preventing delays could save between 11.2 and 30.7 % of total hospital costs for this patient group. INTRODUCTION: Delayed discharges of older patients from acute care hospitals are a major challenge for administrative, humanitarian, and economic reasons. At the same time, older people are particularly vulnerable to social isolation which has a detrimental effect on their health and well-being with cost implications for health and social care services. The purpose of the present study was to determine the impact and costs of social isolation on delayed hospital discharge. METHODS: A prospective study of 278 consecutive patients aged 75 or older with hip fracture admitted, as an emergency, to the Orthopaedics Department of Hospital Universitário de Santa Maria, Portugal, was conducted. A logistic regression model was used to examine the impact of relevant covariates on delayed discharges, and a negative binomial regression model was used to examine the main drivers of days of delayed discharges. Costs of delayed discharges were estimated using unit costs from national databases. RESULTS: Mean age at admission was 85.5 years and mean length of stay was 13.1 days per patient. Sixty-two (22.3 %) patients had delayed discharges, resulting in 419 bed days lost (11.5 % of the total length of stay). Being isolated or at a high risk of social isolation, measured with the Lubben social network scale, was significantly associated with delayed discharges (odds ratio (OR) 3.5) as was being referred to a public-funded rehabilitation unit (OR 7.6). These two variables also increased the number of days of delayed discharges (2.6 and 4.9 extra days, respectively, holding all else constant). Patients who were admitted from an institution were less likely to have delayed discharges (OR 0.2) with 5.5 fewer days of delay. Total costs of delayed discharges were between 11.2 and 30.7 % of total costs (€2352 and €9317 per patient with delayed discharge) conditional on whether waiting costs for placement in public-funded rehabilitation unit were included. CONCLUSION: High risk of social isolation, social isolation and referral to public-funded rehabilitation units increase delays in patients' discharges from acute care hospitals.
60 schema:genre research_article
61 schema:inLanguage en
62 schema:isAccessibleForFree false
63 schema:isPartOf N3cdbb98796964a1d94fa99c286368ded
64 Nc84f2dff36a648a8828ede3c69091419
65 sg:journal.1100834
66 schema:name The impact of social isolation on delayed hospital discharges of older hip fracture patients and associated costs
67 schema:pagination 737-745
68 schema:productId N290deb96b5124032844fb54fb7bc6174
69 Nbcb093441a794bbdbfcc1b70527de9e1
70 Nbfaff17f85fa4576a9509d15ddb14fdb
71 Neeefdb69e9cc4d6eb51b29b36b010f83
72 Nf41234cae7c04937a571fd016646306c
73 schema:sameAs https://app.dimensions.ai/details/publication/pub.1011126068
74 https://doi.org/10.1007/s00198-015-3293-9
75 schema:sdDatePublished 2019-04-10T20:08
76 schema:sdLicense https://scigraph.springernature.com/explorer/license/
77 schema:sdPublisher N122443c3d61c4d35a18b87399cae12d6
78 schema:url http://link.springer.com/10.1007/s00198-015-3293-9
79 sgo:license sg:explorer/license/
80 sgo:sdDataset articles
81 rdf:type schema:ScholarlyArticle
82 N02bf936d341f4a439d5cdb2937c031d4 schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
83 schema:name Length of Stay
84 rdf:type schema:DefinedTerm
85 N0c0617b50830428cbe99872f30cb903e rdf:first sg:person.01267274063.08
86 rdf:rest Nae9cd9eb68a94414aa81afd9ade5d3c4
87 N0f0772aa097441e4a4e52a1b12bb91a4 schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
88 schema:name Health Care Costs
89 rdf:type schema:DefinedTerm
90 N122443c3d61c4d35a18b87399cae12d6 schema:name Springer Nature - SN SciGraph project
91 rdf:type schema:Organization
92 N2621deffa4de45ff9da6be5603a330b9 schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
93 schema:name Aged
94 rdf:type schema:DefinedTerm
95 N290deb96b5124032844fb54fb7bc6174 schema:name dimensions_id
96 schema:value pub.1011126068
97 rdf:type schema:PropertyValue
98 N35d8639ac1ce410288137e377936bc1d schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
99 schema:name Humans
100 rdf:type schema:DefinedTerm
101 N3cdbb98796964a1d94fa99c286368ded schema:volumeNumber 27
102 rdf:type schema:PublicationVolume
103 N598fa4e1306b4d0fae7aa03875643259 schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
104 schema:name Rehabilitation Centers
105 rdf:type schema:DefinedTerm
106 N5a36d51b5a48464987d977193a281f17 rdf:first sg:person.010562301607.77
107 rdf:rest N0c0617b50830428cbe99872f30cb903e
108 N7832a82fc743406fb34a77ba66e37ec8 schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
109 schema:name Portugal
110 rdf:type schema:DefinedTerm
111 N8039ee29e058477fbc1a00eedf74bd9d schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
112 schema:name Prospective Studies
113 rdf:type schema:DefinedTerm
114 N9984f2efc2894455b2c17469fe296bf3 schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
115 schema:name Patient Discharge
116 rdf:type schema:DefinedTerm
117 N9caa5eae75f44c2099225d8a8db37b1e schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
118 schema:name Hip Fractures
119 rdf:type schema:DefinedTerm
120 Na10902b2f9cb4a66adf7f4ee8cd4990a schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
121 schema:name Female
122 rdf:type schema:DefinedTerm
123 Nae9cd9eb68a94414aa81afd9ade5d3c4 rdf:first sg:person.01307325071.02
124 rdf:rest rdf:nil
125 Nb1d3028750a141778b9bb6fabd47ccdd schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
126 schema:name Referral and Consultation
127 rdf:type schema:DefinedTerm
128 Nbc2467c940cc4ac5934edf34554ef8a6 schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
129 schema:name Socioeconomic Factors
130 rdf:type schema:DefinedTerm
131 Nbcb093441a794bbdbfcc1b70527de9e1 schema:name doi
132 schema:value 10.1007/s00198-015-3293-9
133 rdf:type schema:PropertyValue
134 Nbd02e35572c74fd5845a89324a46628f schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
135 schema:name Aged, 80 and over
136 rdf:type schema:DefinedTerm
137 Nbfaff17f85fa4576a9509d15ddb14fdb schema:name pubmed_id
138 schema:value 26337517
139 rdf:type schema:PropertyValue
140 Nc84f2dff36a648a8828ede3c69091419 schema:issueNumber 2
141 rdf:type schema:PublicationIssue
142 Ncb102371ab1d46e8bda8936d4a0ca430 schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
143 schema:name Male
144 rdf:type schema:DefinedTerm
145 Ncee19c5a08f84fd89526fa82c5e09f03 schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
146 schema:name Health Services Research
147 rdf:type schema:DefinedTerm
148 Nde26fae2950949bf8c91a06381fa3d91 schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
149 schema:name Hospitalization
150 rdf:type schema:DefinedTerm
151 Ndfa42d50958d4c5283ff0fbe668e1a62 schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
152 schema:name Hospital Costs
153 rdf:type schema:DefinedTerm
154 Neeefdb69e9cc4d6eb51b29b36b010f83 schema:name readcube_id
155 schema:value 35028e8b56c3ddec0977977f4308bb3ef1ae61d32cb673f5867bafee0aeb537b
156 rdf:type schema:PropertyValue
157 Nf41234cae7c04937a571fd016646306c schema:name nlm_unique_id
158 schema:value 9100105
159 rdf:type schema:PropertyValue
160 Nf7c21a401aa847eeb9147ce38569f6e6 schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
161 schema:name Social Isolation
162 rdf:type schema:DefinedTerm
163 anzsrc-for:11 schema:inDefinedTermSet anzsrc-for:
164 schema:name Medical and Health Sciences
165 rdf:type schema:DefinedTerm
166 anzsrc-for:1103 schema:inDefinedTermSet anzsrc-for:
167 schema:name Clinical Sciences
168 rdf:type schema:DefinedTerm
169 sg:journal.1100834 schema:issn 0937-941X
170 1433-2965
171 schema:name Osteoporosis International
172 rdf:type schema:Periodical
173 sg:person.010562301607.77 schema:affiliation https://www.grid.ac/institutes/grid.4991.5
174 schema:familyName Landeiro
175 schema:givenName F.
176 schema:sameAs https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.010562301607.77
177 rdf:type schema:Person
178 sg:person.01267274063.08 schema:affiliation https://www.grid.ac/institutes/grid.4991.5
179 schema:familyName Leal
180 schema:givenName J.
181 schema:sameAs https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01267274063.08
182 rdf:type schema:Person
183 sg:person.01307325071.02 schema:affiliation https://www.grid.ac/institutes/grid.4991.5
184 schema:familyName Gray
185 schema:givenName A. M.
186 schema:sameAs https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01307325071.02
187 rdf:type schema:Person
188 sg:pub.10.1007/bf03324656 schema:sameAs https://app.dimensions.ai/details/publication/pub.1007479837
189 https://doi.org/10.1007/bf03324656
190 rdf:type schema:CreativeWork
191 sg:pub.10.1007/bf03339873 schema:sameAs https://app.dimensions.ai/details/publication/pub.1042023673
192 https://doi.org/10.1007/bf03339873
193 rdf:type schema:CreativeWork
194 sg:pub.10.1007/s11739-009-0325-5 schema:sameAs https://app.dimensions.ai/details/publication/pub.1023428825
195 https://doi.org/10.1007/s11739-009-0325-5
196 rdf:type schema:CreativeWork
197 sg:pub.10.1007/s12160-010-9210-8 schema:sameAs https://app.dimensions.ai/details/publication/pub.1025155028
198 https://doi.org/10.1007/s12160-010-9210-8
199 rdf:type schema:CreativeWork
200 https://app.dimensions.ai/details/publication/pub.1074606775 schema:CreativeWork
201 https://app.dimensions.ai/details/publication/pub.1074989105 schema:CreativeWork
202 https://app.dimensions.ai/details/publication/pub.1075122040 schema:CreativeWork
203 https://app.dimensions.ai/details/publication/pub.1075259240 schema:CreativeWork
204 https://app.dimensions.ai/details/publication/pub.1076376836 schema:CreativeWork
205 https://app.dimensions.ai/details/publication/pub.1076959402 schema:CreativeWork
206 https://app.dimensions.ai/details/publication/pub.1077188041 schema:CreativeWork
207 https://app.dimensions.ai/details/publication/pub.1077392956 schema:CreativeWork
208 https://app.dimensions.ai/details/publication/pub.1077392957 schema:CreativeWork
209 https://app.dimensions.ai/details/publication/pub.1081636932 schema:CreativeWork
210 https://doi.org/10.1001/archinte.1992.00400220090016 schema:sameAs https://app.dimensions.ai/details/publication/pub.1009165277
211 rdf:type schema:CreativeWork
212 https://doi.org/10.1001/archinte.1996.00440060067008 schema:sameAs https://app.dimensions.ai/details/publication/pub.1017586645
213 rdf:type schema:CreativeWork
214 https://doi.org/10.1002/jhm.992 schema:sameAs https://app.dimensions.ai/details/publication/pub.1002439227
215 rdf:type schema:CreativeWork
216 https://doi.org/10.1016/0196-6553(95)90060-8 schema:sameAs https://app.dimensions.ai/details/publication/pub.1038508418
217 rdf:type schema:CreativeWork
218 https://doi.org/10.1046/j.1365-2524.2000.00270.x schema:sameAs https://app.dimensions.ai/details/publication/pub.1017737421
219 rdf:type schema:CreativeWork
220 https://doi.org/10.1056/nejm200005113421906 schema:sameAs https://app.dimensions.ai/details/publication/pub.1041305713
221 rdf:type schema:CreativeWork
222 https://doi.org/10.1093/ndt/15.2.212 schema:sameAs https://app.dimensions.ai/details/publication/pub.1038955397
223 rdf:type schema:CreativeWork
224 https://doi.org/10.1097/00003246-199301000-00011 schema:sameAs https://app.dimensions.ai/details/publication/pub.1010989354
225 rdf:type schema:CreativeWork
226 https://doi.org/10.1097/00003727-198811000-00008 schema:sameAs https://app.dimensions.ai/details/publication/pub.1006831179
227 rdf:type schema:CreativeWork
228 https://doi.org/10.1097/00005650-198108000-00005 schema:sameAs https://app.dimensions.ai/details/publication/pub.1049186654
229 rdf:type schema:CreativeWork
230 https://doi.org/10.1108/13660759910298716 schema:sameAs https://app.dimensions.ai/details/publication/pub.1049786929
231 rdf:type schema:CreativeWork
232 https://doi.org/10.1111/j.1445-2197.2009.05130.x schema:sameAs https://app.dimensions.ai/details/publication/pub.1018210342
233 rdf:type schema:CreativeWork
234 https://doi.org/10.1111/j.1532-5415.1990.tb03451.x schema:sameAs https://app.dimensions.ai/details/publication/pub.1027355811
235 rdf:type schema:CreativeWork
236 https://doi.org/10.1111/j.1532-5415.1996.tb00910.x schema:sameAs https://app.dimensions.ai/details/publication/pub.1016447592
237 rdf:type schema:CreativeWork
238 https://doi.org/10.1161/01.str.28.3.543 schema:sameAs https://app.dimensions.ai/details/publication/pub.1063342291
239 rdf:type schema:CreativeWork
240 https://doi.org/10.1353/cja.2005.0048 schema:sameAs https://app.dimensions.ai/details/publication/pub.1065027136
241 rdf:type schema:CreativeWork
242 https://doi.org/10.1590/s1135-57272001000300007 schema:sameAs https://app.dimensions.ai/details/publication/pub.1068109896
243 rdf:type schema:CreativeWork
244 https://doi.org/10.1787/737005512385 schema:sameAs https://app.dimensions.ai/details/publication/pub.1107172596
245 rdf:type schema:CreativeWork
246 https://doi.org/10.4061/2011/534781 schema:sameAs https://app.dimensions.ai/details/publication/pub.1052591470
247 rdf:type schema:CreativeWork
248 https://doi.org/10.5694/j.1326-5377.2004.tb06403.x schema:sameAs https://app.dimensions.ai/details/publication/pub.1076959402
249 rdf:type schema:CreativeWork
250 https://doi.org/10.7326/0003-4819-118-3-199302010-00011 schema:sameAs https://app.dimensions.ai/details/publication/pub.1073697142
251 rdf:type schema:CreativeWork
252 https://www.grid.ac/institutes/grid.4991.5 schema:alternateName University of Oxford
253 schema:name Health Economics Research Centre, Nuffield Department of Population Health, University of Oxford, Old Road Campus, OX3 7LF, Oxford, UK
254 rdf:type schema:Organization
 




Preview window. Press ESC to close (or click here)


...