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Centre for Policy on Ageing | |
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A multi-centre European study of factors affecting the discharge destination of older people admitted to hospital
— analysis of in-hospital data from the ACMEplus project | | Author(s) | Susan E Campbell, D Gwyn Seymour, William R Primrose |
| Corporate Author | ACMEplus Project, University of Aberdeen |
| Journal title | Age and Ageing, vol 34, no 5, September 2005 |
| Pages | pp 467-474 |
| Source | http://www.ageing.oupjournals.org |
| Keywords | Admission [hospitals] ; Discharge [hospitals] ; Evaluation ; Europe. |
| Annotation | ACMEplus is the Admission Case Mix system for the Elderly plus, a standardised method of recording hospital outcome. Previous research has shown that case-mix systems based on diagnostic data recorded at the end of hospital admission have limited ability to explain variations in hospital outcomes in older patients admitted with medical problems. In the present study, the importance of physical and cognitive function on Day 3 of hospital admission in predicting discharge destination has been quantified through ACMEplus, a Europe-wide project that is much larger in size and scope than earlier studies. After 90 days, of 1,626 patients aged 65+ in the study's 8 centres in 6 European countries, 84.7% were discharged to home, 6.4% were discharged to an alternative residence or were still in hospital, and 8.9% had died in hospital. Diagnosis was less important than physical or mental function in determining outcome, but the data suggested that the predictive ability of presenting problems of the GG type needs to be further explored. The study shows the potential for a small set of clinical variables, collected on Day 3 of a non-elective medical admission, to be used as the basis for a case-mix system for comparing risk-adjusted outcomes in older hospital patients. (RH). |
| Accession Number | CPA-050926204 A |
| Classmark | LD:QKH: LD:QKJ: 4C: 74 |
Data © Centre for Policy on Ageing |
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| ...from the Ageinfo database published by Centre for Policy on Ageing. |
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