Impact of marital status on outcomes in hospitalized patients : evidence from an academic medical center.
Prior studies have described the importance of social support on long-term patient outcomes.
Few studies have investigated the impact of social support on outcomes in hospitalized patients.
To examine the relationship between marital status, an important aspect of social support, and several hospital outcomes.
Patients included 40 820 adult medical and surgical patients discharged from a midwestern academic medical center during 1988 through 1991, of whom 21 291 were unmarried and 19 529 were married.
Using multivariable regression analyses, we compared the following outcomes in married and unmarried patients : rate of in-hospital death, rate of nursing home discharge, length of stay, and hospital charges.
Severity of illness was measured using a previously validated commercial method.
Admission severity of illness was higher in unmarried than married patients ; 40% of unmarried patients had moderate or high severity compared with 32% of married patients.
In a series of multivariable analyses, controlling for severity of illness, age, gender, race, and diagnosis, the risk of nursing home discharge was more than 2.5 times greater for unmarried than for married patients (multivariable odds ratio, 2.67 ; 95% confidence interval, 2.33 to 3.06), while the risk of in-hospital death for unmarried compared with married patients was higher among surgical patients but not among medical patients.
Mots-clés Pascal : Statut conjugal, Statut social, Hospitalisation, Indice gravité, Maladie, Facteur risque, Homme
Mots-clés Pascal anglais : Marital status, Social status, Hospitalization, Severity score, Disease, Risk factor, Human
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 96-0048994
Code Inist : 002B30A01A2. Création : 01/03/1996.