Profiling the medical admissions of the homeless

Acute Med. 2012;11(4):197-204.

Abstract

Aim: to describe the characteristics and outcomes of homeless people admitted to our Internal Medicine service in St. James's Hospital, Dublin (Ireland), between 2002 and 2011.

Methods: we interrogated an anonymized in-patient database.

Results: there were 1,460 homeless admissions (623 unique patients; 39% admitted more than once). Most patients were young, male, and had low comorbidity levels. Thirty-seven percent of the admissions were alcohol-related and 27% substance abuse-related. Thirteen percent had an active psychiatric illness. Their in-patient mortality rate was 5%. Seventy-two percent were discharged without the residential arrangement being explicitly documented, 15% self-discharged or absconded, and 8% were discharged to a residential facility.

Conclusion: results are novel in our context and will be relevant for local policy and practice.

MeSH terms

  • Comorbidity
  • Hospitalization*
  • Humans
  • Ill-Housed Persons*
  • Patient Discharge
  • Substance-Related Disorders