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dc.contributor.authorHarrison, Jennifer Kirstyen
dc.contributor.authorGarcia Garrido, Azucenaen
dc.contributor.authorRhynas, Sarah J.en
dc.contributor.authorLogan, Gemmaen
dc.contributor.authorMacLullich, Alasdair M. J.en
dc.contributor.authorMacArthur, Julieten
dc.contributor.authorShenkin, Susanen
dc.date.accessioned2022-06-22T15:05:13Z
dc.date.available2022-06-22T15:05:13Z
dc.date.issued2016-10-15
dc.identifier.citationHarrison, J.K., Garcia Garrido, A., Rhynas, S.J., Logan, G., MacLullich, A.M.J., MacArthur, J. and Shenkin, S. (2017) 'New institutionalisation following acute hospital admission: A retrospective cohort study', Age and Ageing, 46(2), pp. 238-244.en
dc.identifier.issn1468-2834en
dc.identifier.issn0002-0729
dc.identifier.urihttps://doi.org/10.1093/ageing/afw188
dc.identifier.urihttps://eresearch.qmu.ac.uk/handle/20.500.12289/12356
dc.descriptionItem not available in this repository.
dc.description.abstractBackground: institutionalisation following acute hospital admission is common and yet poorly described, with policy documents advising against this transition. Objective: to characterise the individuals admitted to a care home on discharge from an acute hospital admission and to describe their assessment. Design and setting: a retrospective cohort study of people admitted to a single large Scottish teaching hospital. Subjects: 100 individuals admitted to the acute hospital from home and discharged to a care home. Methods: a single researcher extracted data from ward-based case notes. Results: people discharged to care homes were predominantly female (62%), widowed (52%) older adults (mean 83.6 years) who lived alone (67%). About 95% had a diagnosed cognitive disorder or evidence of cognitive impairment. One-third of cases of delirium were unrecognised. Hospital stays were long (median 78.5 days; range 14–231 days) and transfers between settings were common. Family request, dementia, mobility, falls risk and behavioural concerns were the commonest reasons for the decision to admit to a care home. About 55% were in the acute hospital when the decision for a care home was made and 44% of that group were discharged directly from the acute hospital. Conclusions: care home admission from hospital is common and yet there are no established standards to support best practice. Decisions should involve the whole multidisciplinary team in partnership with patients and families. Documentation of assessment in the case notes is variable. We advocate the development of interdisciplinary standards to support the assessment of this vulnerable and complex group of patients.en
dc.description.sponsorshipThe project was funded by a grant from The Alex and Elizabeth Gibson Trust: Scottish Charity Number SC043311. J.K.H. is supported by a clinical research fellowship from Alzheimer Scotland and The University of Edinburgh Centre for Cognitive Ageing and Cognitive Epidemiology, part of the cross council Lifelong Health and Wellbeing Initiative (MR/L501530/1). Funding from the Biotechnology and Biological Sciences Research Council (BBSRC) and Medical Research Council (MRC) is gratefully acknowledged. S.J.R. is supported by an Alzheimer Scotland post doctoral fellowship as part of a Dementia Clinical Academic Research Career Scheme, funded by NHS Lothian and The University of Edinburgh, Alzheimer Scotland Dementia Research Centre. The funders played no part in the design, analysis or conduct of the study.en
dc.description.urihttps://doi.org/10.1093/ageing/afw188en
dc.format.extent238-244en
dc.language.isoenen
dc.publisherOxford University Pressen
dc.relation.ispartofAge and Ageingen
dc.subjectInstitutionalisationen
dc.subjectCare Homeen
dc.subjectCognitionen
dc.subjectInterdisciplinaryen
dc.subjectStandardsen
dc.subjectOlder Peopleen
dc.titleNew institutionalisation following acute hospital admission: A retrospective cohort studyen
dc.typeArticleen
dcterms.accessRightsnone
dcterms.dateAccepted2016-10-04
dc.description.volume46en
dc.description.ispublishedpub
rioxxterms.typeJournal Article/Reviewen
rioxxterms.publicationdate2016-10-15
refterms.depositExceptionpublishedGoldOAen
refterms.accessExceptionNAen
refterms.technicalExceptionNAen
refterms.panelUnspecifieden
qmu.authorLogan, Gemmaen
dc.description.statuspub
dc.description.number2en
refterms.versionNAen


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