Highlights
- •Older adults who live alone become even more vulnerable after hospitalization.
- •Hospitalized older adults who live alone have a higher risk of non-home discharge.
- •In older adults, condition of living alone may prolong length of hospital stay.
- •Hospitalized older adults who live alone require a personalized discharge planning.
To read this article in full you will need to make a payment
Purchase one-time access:
Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online accessOne-time access price info
- For academic or personal research use, select 'Academic and Personal'
- For corporate R&D use, select 'Corporate R&D Professionals'
Subscribe:
Subscribe to European Journal of Internal MedicineAlready a print subscriber? Claim online access
Already an online subscriber? Sign in
Register: Create an account
Institutional Access: Sign in to ScienceDirect
References
- Hospital-ADL study group. Unravelling the potential mechanisms behind hospitalization-associated disability in older patients; the Hospital-Associated Disability and impact on daily Life (Hospital-ADL) cohort study protocol.BMC Geriatr. 2016 Mar 5; 16: 59https://doi.org/10.1186/s12877-016-0232-3
- Validity, reliability and feasibility of tools to identify frail older patients in inpatient hospital care: a systematic review.J Nutr Health Aging. 2016 Feb; 20: 218-230https://doi.org/10.1007/s12603-015-0567-z
- FIRI-SIGG study group. The multidimensional prognostic index predicts in-hospital length of stay in older patients: a multicentre prospective study.Age Ageing. 2016 Jan; 45: 90-96https://doi.org/10.1093/ageing/afv167
- Association between hospital admission risk profile score and skilled nursing or acute rehabilitation facility discharges in hospitalized older adults.J Am Geriatr Soc. 2016 Oct; 64 ([Epub 2016 Sep 7]): 2095-2100https://doi.org/10.1111/jgs.14345
- A predictive score to identify hospitalized patients' risk of discharge to a post-acute care facility.BMC Health Serv Res. 2008 Jul 22; 8: 154https://doi.org/10.1186/1472-6963-8-154
- Real-time prediction of mortality, readmission, and length of stay using electronic health record data.J Am Med Inform Assoc. 2016 May; 23 ([Epub 2015 Sep 15]): 553-561https://doi.org/10.1093/jamia/ocv110
- Predicting length of stay among patients discharged from the emergency department-using an accelerated failure time model.PLoS One. 2017 Jan 20; 12 ([eCollection 2017])e0165756https://doi.org/10.1371/journal.pone.0165756
- Real-time prediction of inpatient length of stay for discharge prioritization.J Am Med Inform Assoc. 2016 Apr; 23 ([Epub 2015 Aug 7]): e2-e10https://doi.org/10.1093/jamia/ocv106
- Validation of the DECAF score to predict hospital mortality in acute exacerbations of COPD.Thorax. 2016 Feb; 71: 133-140https://doi.org/10.1136/thoraxjnl-2015-207775
- D-SCOPE The social environment's relationship with frailty.J Appl Gerontol. 2017 Jan; 1 (733464816688310)
- Loneliness and social isolation as risk factors for mortality: a meta-analytic review.Perspect Psychol Sci. 2015 Mar; 10: 227-237https://doi.org/10.1177/1745691614568352
- Loneliness and living alone: what are we really measuring?.Arch Intern Med. 2012 Jul 23; 172: 1084-1085https://doi.org/10.1001/archinternmed.2012.2649
- Living alone and risk of mortality in older, community-dwelling adults.JAMA Intern Med. 2013 Feb 25; 173: 320-321https://doi.org/10.1001/jamainternmed.2013.1597
- The differential diagnosis of living alone: comment on “living alone and risk of mortality in older, community-dwelling adults”.JAMA Intern Med. 2013 Feb 25; 173: 321https://doi.org/10.1001/jamainternmed.2013.1617
- Health status in elderly persons living alone.JAMA Intern Med. 2013 Feb 25; 173: 323-324https://doi.org/10.1001/jamainternmed.2013.1601
- Mortality of older persons living alone: Singapore Longitudinal Ageing Studies.BMC Geriatr. 2015 Oct 15; 15: 126https://doi.org/10.1186/s12877-015-0128-7
- KORA Study Group Living alone is a risk factor for mortality in men but not women from the general population: a prospective cohort study.BMC Public Health. 2007 Nov 16; 7: 335https://doi.org/10.1186/1471-2458-7-335
- Living alone and discharge to skilled nursing facility care after hospitalization in older adults.J Am Geriatr Soc. 2017 Oct 26; ([Epub ahead of print])https://doi.org/10.1111/jgs.15150
- Understanding predictors of prolonged hospitalizations among general medicine patients: a guide and preliminary analysis.J Hosp Med. 2015 Sep; 10 ([Epub 2015 Jun 30]): 623-626https://doi.org/10.1002/jhm.2414
- Prolonged length of stay in hospitalized internal medicine patients.Eur J Intern Med. 2015 Dec; 26 ([Epub 2015 Nov 10]): 772-775https://doi.org/10.1016/j.ejim.2015.10.011
- Prolonged stays in hospital acute geriatric care units: identification and analysis of causes.Geriatr Psychol Neuropsychiatr Vieil. 2016 Jun 1; 14: 135-141https://doi.org/10.1684/pnv.2016.0602
- Polypharmacy, length of hospital stay, and in-hospital mortality among elderly patients in internal medicine wards. The REPOSI study.Eur J Clin Pharmacol. 2011 May; 67 ([Epub 2011 Jan 11]): 507-519https://doi.org/10.1007/s00228-010-0977-0
- Manual of guidelines for scoring the cumulative illness rating scale for geriatrics (CIRS-G).University of Pittsburgh, Pittsburg, PA1991
- The consortium to establish a registry for Alzheimer's disease (CERAD). Part I. Clinical and neuropsychological assessment of Alzheimer's disease.Neurology. 1989 Sep; 39: 1159-1165
- Depression scales for the elderly: GDS, Gilleard, Zung.Clin Gerontol. 1987; 6: 51-53
- Functional evaluation: the Barthel Index.Md State Med J. 1965; 14: 61-65
- Anemia in general medical inpatients prolongs length of stay and increases 30-day unplanned readmission rate.South Med J. 2013 May; 106: 316-320https://doi.org/10.1097/SMJ.0b013e318290f930
- AgeCoDe study group. Longitudinal predictors of institutionalization in old age.PloS One. 2015 Dec 14; 10 ([eCollection 2015]): e0144203https://doi.org/10.1371/journal.pone.0144203
- Development of a new predictive model for polypathological patients. The PROFUND index.Eur J Intern Med. 2011 Jun; 22 ([Epub 2010 Dec 22]): 311-317https://doi.org/10.1016/j.ejim.2010.11.012
- Development and validation of a multidimensional prognostic index for one-year mortality from comprehensive geriatric assessment in hospitalized older patients.Rejuvenation Res. 2008 Feb; 11: 151-161https://doi.org/10.1089/rej.2007.0569
- Ardoino I; REPOSI investigators. Defining aging phenotypes and related outcomes: clues to recognize frailty in hospitalized older patients.J Gerontol A Biol Sci Med Sci. 2017 Mar 1; 72: 395-402https://doi.org/10.1093/gerona/glw188
- In-hospital death according to dementia diagnosis in acutely ill elderly patients: the REPOSI study.Int J Geriatr Psychiatry. 2011 Sep; 26 ([Epub 2010 Nov 9]): 930-936https://doi.org/10.1002/gps.2627
- Baseline functional status as the strongest predictor of in-hospital mortality in elderly patients with non-valvular atrial fibrillation: Results of the NONAVASC registry.Eur J Intern Med. 2018 Jan Epub 2017 Sep 24; 47 (pii: S0953-6205(17)30369-2) ([Epub ahead of print]): 69-74
- Italian Society of Internal Medicine (SIMI) investigators. In-hospital death and adverse clinical events in elderly patients according to disease clustering: the REPOSI study.Rejuvenation Res. 2010 Aug; 13: 469-477https://doi.org/10.1089/rej.2009.1002
- SIMI investigators. Adverse clinical events and mortality during hospitalization and 3 months after discharge in cognitively impaired elderly patients.J Gerontol A Biol Sci Med Sci. 2013 Apr; 68 ([Epub 2012 Sep 12]): 419-425https://doi.org/10.1093/gerona/gls181
- Development and validation of a screen for specialized discharge planning services.Nurs Res. 2006 Jan-Feb; 55: 62-71
- Factors identified by experts to support decision making for post acute referral.Nurs Res. 2009 Mar-Apr; 58: 115-122https://doi.org/10.1097/NNR.0b013e318199b52a
- Effectiveness of acute geriatric unit care using acute care for elders components: a systematic review and meta-analysis.J Am Geriatr Soc. 2012 Dec; 60 ([Epub 2012 Nov 23]): 2237-2245https://doi.org/10.1111/jgs.12028
- Predictors of institutionalization of elderly persons in dependency situation in Andalusia.Enferm Clin. 2016 Jan-Feb; 26 ([Epub 2015 Sep 9]): 23-30https://doi.org/10.1016/j.enfcli.2015.08.003
- CKD-EPI (Chronic Kidney Disease Epidemiology Collaboration). A new equation to estimate glomerular filtration rate.Ann Intern Med. 2009 May 5; 150: 604-612
Article info
Publication history
Published online: June 19, 2018
Accepted:
June 14,
2018
Received in revised form:
June 6,
2018
Received:
February 14,
2018
Identification
Copyright
© 2018 European Federation of Internal Medicine. Published by Elsevier B.V. All rights reserved.