PMID- 37573545
OWN - NLM
STAT- MEDLINE
DCOM- 20231229
LR  - 20240106
IS  - 1741-6612 (Electronic)
IS  - 1440-6381 (Linking)
VI  - 42
IP  - 4
DP  - 2023 Dec
TI  - Factors associated with entry to residential care in frail older inpatients.
PG  - 720-727
LID - 10.1111/ajag.13231 [doi]
AB  - OBJECTIVE: To examine factors that may influence the risk of discharge to a 
      residential aged care facility (RACF) in a population of frail older inpatients. 
      METHODS: We analysed data from 5846 inpatients aged over 60 years from 27 
      hospitals in Queensland, Australia, admitted from independent living and referred 
      for geriatric consultation. Patients underwent an interRAI Acute Care 
      Comprehensive Geriatric Assessment by trained nurses. Frailty was assessed using 
      a 52-item frailty index (FI). Risk/protective factors were determined a priori. 
      Logistic regression assessed the relationship between factors and discharge 
      destination, adjusted for FI, age, sex and hospital. Frailty x risk/protective 
      factor interactions were performed. RESULTS: Patients had a mean (SD) age of 79.7 
      (8.2) years and a mean (SD) FI of 0.44 (0.14). Twenty-nine per cent (n = 1678) of 
      patients were discharged to an RACF. Each 0.1 increment in FI increased the risk 
      of discharge to an RACF by 54% (OR 1.54, 95% CI 1.40-1.68, p < 0.01). Being 
      married or in a de facto relationship had protective effects up to an FI of 0.7, 
      whereas behavioural and psychological symptoms of dementia (BPSD) increased the 
      risk of RACF discharge up to an FI of 0.7. Female sex, faecal incontinence and 
      living alone did not influence the relationship between frailty and discharge 
      destination. CONCLUSIONS: The association between frailty and discharge to RACF 
      has previously been recognised but here we found that risk and protective factors 
      can influence this association. Whether early identification and management of 
      mutable factors can reduce discharge to RACF should be addressed in future 
      studies.
CI  - (c) 2023 The Authors. Australasian Journal on Ageing published by John Wiley & Sons 
      Australia, Ltd on behalf of AJA Inc.
FAU - Misquitta, Karen
AU  - Misquitta K
AUID- ORCID: 0000-0002-5006-3005
AD  - Faculty of Medicine, The University of Queensland, Brisbane, Queensland, 
      Australia.
FAU - Reid, Natasha
AU  - Reid N
AD  - Centre for Health Services Research, The University of Queensland, Brisbane, 
      Queensland, Australia.
FAU - Hubbard, Ruth E
AU  - Hubbard RE
AD  - Centre for Health Services Research, The University of Queensland, Brisbane, 
      Queensland, Australia.
FAU - Gordon, Emily H
AU  - Gordon EH
AD  - Centre for Health Services Research, The University of Queensland, Brisbane, 
      Queensland, Australia.
LA  - eng
PT  - Journal Article
DEP - 20230813
PL  - Australia
TA  - Australas J Ageing
JT  - Australasian journal on ageing
JID - 9808874
SB  - IM
MH  - Aged
MH  - Humans
MH  - Female
MH  - Middle Aged
MH  - *Frail Elderly
MH  - *Frailty/diagnosis/epidemiology
MH  - Inpatients
MH  - Homes for the Aged
MH  - Hospitalization
MH  - Geriatric Assessment
OTO - NOTNLM
OT  - frailty
OT  - long-term care
OT  - nursing homes
OT  - residential facilities
OT  - risk factors
EDAT- 2023/08/13 18:41
MHDA- 2023/12/29 06:43
CRDT- 2023/08/13 14:51
PHST- 2023/07/09 00:00 [revised]
PHST- 2023/04/27 00:00 [received]
PHST- 2023/07/12 00:00 [accepted]
PHST- 2023/12/29 06:43 [medline]
PHST- 2023/08/13 18:41 [pubmed]
PHST- 2023/08/13 14:51 [entrez]
AID - 10.1111/ajag.13231 [doi]
PST - ppublish
SO  - Australas J Ageing. 2023 Dec;42(4):720-727. doi: 10.1111/ajag.13231. Epub 2023 
      Aug 13.