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Centre for Policy on Ageing | |
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Predicting discharge to institutional long-term care following acute hospitalisation
— a systematic review and meta-analysis | | Author(s) | Jennifer Kirsty Harrison, Katherine E Walesby, Lorna Hamilton |
| Journal title | Age and Ageing, vol 46, no 4, July 2017 |
| Publisher | Oxford University Press, July 2017 |
| Pages | pp 547-558 |
| Source | https://academic.oup.com/ageing |
| Keywords | Discharge [hospitals] ; Acute illness ; Admission [care homes] ; Long term ; Literature reviews. |
| Annotation | Moving into long-term institutional care is a significant life event for any individual. Predictors of institutional care admission from the acute hospital setting have not been systematically reviewed. The aim of the current study was to establish predictive factors for discharge to institutional care following acute hospitalisation. The authors conducted a systematic review searching a range of databases during September 2015. The review included observational studies of patients admitted directly to long-term institutional care following acute hospitalisation where factors associated with institutionalisation were reported. From 9,176 records, 23 studies were included. Studies were heterogeneous, with the proportions discharged to a care home 3-77% (median 15%). Eleven studies of moderate to low quality were included in the quantitative synthesis. The need for institutional long-term care was associated with age, female sex, dementia and functional dependency. Discharge to long-term institutional care following acute hospitalisation is common, but current data do not allow prediction of who will make this transition. Potentially important predictors evaluated in community cohorts have not been examined in hospitalised cohorts. Understanding these predictors could help identify individuals at risk early in their admission, and support them in this transition or potentially intervene to reduce their risk. (JL). |
| Accession Number | CPA-170728226 A |
| Classmark | LD:QKJ: CHA: KW:QKH: 4Q: 64A |
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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