{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,4]],"date-time":"2026-10-04T15:42:43Z","timestamp":1791128563832,"version":"4.1.0"},"reference-count":42,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2006,5,10]],"date-time":"2006-05-10T00:00:00Z","timestamp":1147219200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J American Geriatrics Society"],"published-print":{"date-parts":[[2006,7]]},"abstract":"<jats:p>\n                    <jats:bold>OBJECTIVES:<\/jats:bold>\n                    To identify early markers of prolonged hospital stays in older people in acute hospitals.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>DESIGN:<\/jats:bold>\n                    A prospective, multicenter study.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>SETTING:<\/jats:bold>\n                    Nine hospitals in France.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>PARTICIPANTS:<\/jats:bold>\n                    One thousand three hundred six patients aged 75 and older were hospitalized through an emergency department (Sujet \u00c2g\u00e9 Fragile: \u00c9valuation et suivi (SAFEs) \u2014Frail Elderly Subjects: Evaluation and follow\u2010up).\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>MEASUREMENTS:<\/jats:bold>\n                    Data used in a logistic regression were obtained through a gerontological evaluation of inpatients, conducted in the first week of hospitalization. The center effect was considered in two models as a random and fixed effect. Two limits were used to define a prolonged hospital stay. The first was fixed at 30 days. The second was adjusted for Diagnosis Related Groups according to the French classification (f\u2010DRG).\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>RESULTS:<\/jats:bold>\n                    Nine hundred eight of the 1,306 hospital stays that made up the cohort were analyzed. Two centers (n=298) were excluded because of a large volume of missing f\u2010DRGs. Two\u2010thirds of subjects in the cohort analyzed were women (64%), with a mean age of 84. One hundred thirty\u2010eight stays (15%) lasted more than 30 days; 46 (5%) were prolonged beyond the f\u2010DRG\u2010adjusted limit. No sociodemographic variables seemed to influence the length of stay, regardless of the limit used. For the 30\u2010day limit, only cognitive impairment (odds ratio (OR)=2.2, 95% confidence interval (CI)=1.2\u20134.0) was identified as a marker for prolongation. f\u2010DRG adjustment revealed other clinical markers. Walking difficulties (OR=2.6, 95% CI=1.2\u201316.7), fall risk (OR=2.5, 95% CI=1.7\u20135.3), cognitive impairment (OR=7.1, 95% CI=2.3\u201349.9), and malnutrition risk (OR=2.5, 95% CI=1.7\u201319.6) were found to be early markers for prolonged stays, although dependence level and its evolution, estimated using the Katz activity of daily living (ADL) index, were not identified as risk factors.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>CONCLUSION:<\/jats:bold>\n                    When the generally recognized parameters of frailty are taken into account, a set of simple items (walking difficulties, risk of fall, risk of malnutrition, and cognitive impairment) enables a predictive approach to the length of stay of elderly patients hospitalized under emergency circumstances. Katz ADLs were not among the early markers identified.\n                  <\/jats:p>","DOI":"10.1111\/j.1532-5415.2006.00767.x","type":"journal-article","created":{"date-parts":[[2006,5,10]],"date-time":"2006-05-10T10:48:09Z","timestamp":1147258089000},"page":"1031-1039","source":"Crossref","is-referenced-by-count":80,"title":["Early Markers of Prolonged Hospital Stays in Older People: A Prospective, Multicenter Study of 908 Inpatients in French Acute Hospitals"],"prefix":"10.1111","volume":"54","author":[{"given":"Pierre\u2010Olivier","family":"Lang","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Damien","family":"Heitz","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Guy","family":"H\u00e9delin","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Moustapha","family":"Dram\u00e9","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nicolas","family":"Jovenin","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jo\u00ebl","family":"Ankri","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dominique","family":"Somme","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jean\u2010Luc","family":"Novella","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jean Bernard","family":"Gauvain","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pascal","family":"Couturier","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thierry","family":"Voisin","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Beno\u00eet","family":"De Wazi\u00e8re","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"R\u00e9gis","family":"Gonthier","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Claude","family":"Jeandel","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Damien","family":"Jolly","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Olivier","family":"Saint\u2010Jean","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fran\u00e7ois","family":"Blanchard","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2006,7,6]]},"reference":[{"key":"e_1_2_7_2_2","doi-asserted-by":"crossref","first-page":"1296","DOI":"10.1111\/j.1532-5415.1990.tb03451.x","article-title":"The natural history of functional morbidity in hospitalized older patients","volume":"38","author":"Hirsch CH","year":"1996","journal-title":"J Am Geriatr Soc"},{"key":"e_1_2_7_3_2","first-page":"451","article-title":"Loss of independence in activities of daily living in older adults hospitalized with medical illness","volume":"51","author":"Covinsky KE","year":"2003","journal-title":"Increased vulnerability with age"},{"key":"e_1_2_7_4_2","doi-asserted-by":"publisher","DOI":"10.1093\/gerona\/54.10.M521"},{"key":"e_1_2_7_5_2","doi-asserted-by":"crossref","first-page":"89","DOI":"10.1001\/archinte.1993.00410010111010","article-title":"Do older Medicare patients cost hospitals more? 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