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Which aged care inpatients are potentially suitable for community-based acute care?
Author(s)Robyn M McCarthy, Susan J Ogle, Terence P Finnegan, Sarah N Hilmer
Journal titleAustralasian Journal on Ageing, vol 31, no 1, March 2012
PublisherWiley-Blackwell, March 2012
Pagespp 56-59
Sourcewileyonlinelibrary.com
KeywordsAcute illness ; Octogenarians ; Nonagenarians ; Community care ; Hospital at home ; Australia.
AnnotationThe aim of the research was to identify Aged Care inpatients potentially suitable for Acute/Post-Acute Care (APAC)-Aged Care, a new service offering community-based acute care as an alternative to hospital admission for frail older people. Criteria were developed to identify suitable patients for APAC-Aged Care and applied to consecutive Aged Care inpatient admissions at Royal North Shore Hospital, Sydney, Australia, through retrospective chart review. Findings showed that only five of the 90 reviewed patients were potentially suitable for APAC-Aged Care. All five were from Residential Aged Care Facilities. The median age of the 90 patients was 86 years; 30% lived in Residential Aged Care Facilities; 53% of patients were medically stable on presentation; 70% required investigations beyond a standard baseline set; 27% had either no new functional decline on presentation or adequate community support to manage this; 91% had allied health input and 41% had medical/surgical consultation. APAC-Aged Care is therefore a potentially suitable alternative to acute inpatient hospitalisation in a select minority of Aged Care patients. (JL).
Accession NumberCPA-130405220 A
ClassmarkCHA: BBM: BBR: PA: LD:N: 7YA

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