@article{ref1,
title="The combined effect of delirium and falls on length of stay and discharge",
journal="Journal for healthcare quality",
year="2023",
author="Kalivas, Benjamin and Zhang, Jingwen and Harper, Kristine and Dulin, Jennifer and Heincelman, Marc and Marsden, Justin and Hunt, Kelly J. and Mauldin, Patrick D. and Moran, William P. and Thomas, Meghan K.",
volume="45",
number="3",
pages="177-190",
abstract="INTRODUCTION: Delirium or a fall are associated with many negative outcomes including increased length of stay (LOS) and discharge to a facility; however, this relationship is incompletely understood. <br><br>METHODS: A cross-sectional study of all hospitalizations in a large, tertiary care hospital evaluated the effect of delirium and a fall on the outcomes of LOS and risk of being discharged to a facility. <br><br>RESULTS: The study included 29,655 hospital admissions. A total of 3,707 (12.5%) patients screened positive for delirium and 286 (0.96%) had a reported fall. After adjustment for covariates, relative to patients without delirium or a fall, patients with delirium only had a 1.64-fold longer LOS; patients with fall only had a 1.96-fold longer LOS; and patients who had delirium and fall had a 2.84-fold longer LOS. The adjusted odds of discharge to a facility, relative to those without delirium or a fall, was 8.98 times higher in those with delirium and a fall. <br><br>CONCLUSIONS: Delirium and falls influence LOS and likelihood of being discharged to a facility. The joint impact of falls and delirium on LOS and facility discharge was more than additive. Hospitals should consider the integrated management of delirium and falls.<p /> <p>Language: en</p>",
language="en",
issn="1062-2551",
doi="10.1097/JHQ.0000000000000377",
url="http://dx.doi.org/10.1097/JHQ.0000000000000377"
}