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Predictors of Community Discharge from a Geriatric Assessment and Rehabilitation Unit

Published online by Cambridge University Press:  29 November 2010

L. Pereles
Affiliation:
Holy Cross Hospital
J. Peitchinis
Affiliation:
Holy Cross Hospital
E. Jennings
Affiliation:
Holy Cross Hospital
T. Fung
Affiliation:
Holy Cross Hospital

Abstract

This study explored admission factors which predicted the successful return to the community of patients entering a Geriatric Assessment and Rehabilitation Program (GARP). A stepwise logistic regression technique was used to determine predictive factors from a consecutive sample of 100 medical or surgical geriatric patients admitted for a four to six week rehabilitation program. The significant independent predictors of discharge which could be determined at the time of admission were ability to safely medicate, admission from the community, GDS score and the number of supports. The ability to safely medicate may be an important but under-utilized predictor.

Résumé

Cette étude examine les facteurs d'admission pouvant déterminer la réinsertion dans la communauté de patients ayant été admis au programme gériatrique d'évaluation et de rééducation (GARP). La régression logistique à inclusion hiérarchique a été utilisée afin de déterminer les facteurs de prédiction au sein d'un échantillon consécutif de 100 personnes, nécessitant des soins médicaux ou chirurgicaux en gériatrie, admises à un programme de rééducation de quatre à six semaines. Les principaux prédicteurs indépendants établissant le congé et pouvant être déterminés dès l'admission étaient: la possibilité de prescrire sans danger des médicaments, l'admission d'une personne provenant de la communauté, la valeur «GDS» et le soutien social. La possibilité de prescrire sans danger des médicaments peut constituer un prédicteur important, quoi qu'il ne soit pas souvent utilisé.

Type
Articles
Copyright
Copyright © Canadian Association on Gerontology 1994

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