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2 results

  • Cognitive Impairment and Length of Stay in Acute Care Hospitals: A Scoping Review of the Literature

  • Jonathan Plante, Karine Latulippe, Edeltraut Kröger, Dominique Giroux, Martine Marcotte, Sacha Nadeau, Elizabeth Doyle, Kenneth Rockwood
  • Journal:
    Canadian Journal on Aging / La Revue canadienne du vieillissement / Volume 40 / Issue 3 / September 2021
    Published online by Cambridge University Press:
    12 April 2021, pp. 405-423
    • Article
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  • Older persons experiencing a longer length of stay (LOS) or delayed discharge (DD) may see a decline in their health and well-being, generating significant costs. This review aimed to identify evidence on the impact of cognitive impairment (CI) on acute care hospital LOS/DD. A scoping review of studies examining the association between CI and LOS/DD was performed. We searched six databases; two reviewers independently screened references until November 2019. A narrative synthesis was used to answer the research question; 58 studies were included of which 33 found a positive association between CI and LOS or DD, 8 studies had mixed results, 3 found an inverse relationship, and 14 showed an indirect link between CI-related syndromes and LOS/DD. Thus, cognitive impairment seemed to be frequently associated with increased LOS/DD. Future research should consider CI together with other risks for LOS/DD and also focus on explaining the association between the two.

  • Prevalence of housing needs among inpatients: a 1 year audit of housing needs in the acute mental health unit in Tallaght Hospital

  • J. Cowman, P. Whitty
  • Journal:
    Irish Journal of Psychological Medicine / Volume 33 / Issue 3 / September 2016
    Published online by Cambridge University Press:
    16 February 2016, pp. 159-164
    Print publication:
    September 2016
  • Objective

    There is a dearth of information relating to the prevalence of housing needs among psychiatric in-patients in Ireland. Most of the information we have to date emerged as a result of attempts to plan for the closure of old psychiatric hospitals and inappropriate community residences. This study sought to identify the prevalence of housing needs among in-patients in the acute psychiatric unit in Tallaght Hospital.

    Methods

    Each week, over a 12-month period, nursing managers and/or key nurses who knew the patients well were asked for numerical data. Information was collected on the numbers of in-patients with accommodation needs, number of delayed discharges due to accommodation needs and number of discharges to homeless accommodation in the previous week.

    Results

    On average, 38% of in-patients had accommodation related needs at any one time. Most (98%) of delayed discharges had accommodation related needs. Delayed discharge in-patients with accommodation needs accounted for 28% of all inpatients and for 72% of all inpatients with accommodation related needs.

    Conclusions

    Accommodation need among psychiatric in-patients is underreported. Housing need data should be routinely collected and effective interagency strategies developed to address housing needs.