Effectiveness and analysis of factors predictive of discharge to home in a 4-year cohort in a residential transitional care unit

Daniel Kam Yin Chan; Shouzi Zhang; Yvonne Liu; Ciaran Upton; Priya Elsa Kurien; Rui Li; Mark I. Hohenberg; Wai Tak Hung

doi:10.1002/agm2.12076

Effectiveness and analysis of factors predictive of discharge to home in a 4-year cohort in a residential transitional care unit

Daniel Kam Yin Chan, Shouzi Zhang, Yvonne Liu, Ciaran Upton, Priya Elsa Kurien, Rui Li, Mark I. Hohenberg, Wai Tak Hung

Western Sydney University

Research output: Contribution to journal › Article › peer-review

3 Citations (Scopus)

Abstract

Objective: The aim of this study was to evaluate the effectiveness and identify factors predictive of home discharge in a cohort of patients admitted to the residential Transitional Aged Care Program (r"TACP) after a stay in an acute hospital. Methods: A retrospective observational cohort study of patients admitted to a single r"TACP unit between 1 January 2014 and 31 December 2017 was carried out. Baseline patient characteristics and discharge outcomes were analyzed. Results: Three hundred sixty"nine patients were admitted during the study period. The discharge outcomes were as follows: 68% returned home, 17% went onto residential care, 14% were readmitted to hospital, and 1% died. Factors associated with not returning home were increased age, increased comorbidities, and lower Barthel Index on admission to the r"TACP. Conclusion: Our r"TACP is an effective program that successfully returns the majority (67.8%) of older patients home after an acute hospital admission. Older patients with greater comorbidities and poorer baseline functional status in our program were less likely to return home.

Original language	English
Pages (from-to)	162-167
Number of pages	6
Journal	Aging Medicine
Volume	2
Issue number	3
DOIs	https://doi.org/10.1002/agm2.12076
Publication status	Published - 2019

Open Access - Access Right Statement

© 2019 The Authors. Aging Medicine published by Beijing Hospital and John Wiley & Sons Australia, Ltd. This is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.

Keywords

communities
medical care
older people

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10.1002/agm2.12076

Cite this

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title = "Effectiveness and analysis of factors predictive of discharge to home in a 4-year cohort in a residential transitional care unit",

abstract = "Objective: The aim of this study was to evaluate the effectiveness and identify factors predictive of home discharge in a cohort of patients admitted to the residential Transitional Aged Care Program (r{"}TACP) after a stay in an acute hospital. Methods: A retrospective observational cohort study of patients admitted to a single r{"}TACP unit between 1 January 2014 and 31 December 2017 was carried out. Baseline patient characteristics and discharge outcomes were analyzed. Results: Three hundred sixty{"}nine patients were admitted during the study period. The discharge outcomes were as follows: 68% returned home, 17% went onto residential care, 14% were readmitted to hospital, and 1% died. Factors associated with not returning home were increased age, increased comorbidities, and lower Barthel Index on admission to the r{"}TACP. Conclusion: Our r{"}TACP is an effective program that successfully returns the majority (67.8%) of older patients home after an acute hospital admission. Older patients with greater comorbidities and poorer baseline functional status in our program were less likely to return home.",

keywords = "communities, medical care, older people",

author = "Chan, {Daniel Kam Yin} and Shouzi Zhang and Yvonne Liu and Ciaran Upton and Kurien, {Priya Elsa} and Rui Li and Hohenberg, {Mark I.} and Hung, {Wai Tak}",

year = "2019",

doi = "10.1002/agm2.12076",

language = "English",

volume = "2",

pages = "162--167",

journal = "Aging Medicine",

issn = "2475-0360",

publisher = "John Wiley and Sons Inc",

number = "3",

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TY - JOUR

T1 - Effectiveness and analysis of factors predictive of discharge to home in a 4-year cohort in a residential transitional care unit

AU - Chan, Daniel Kam Yin

AU - Zhang, Shouzi

AU - Liu, Yvonne

AU - Upton, Ciaran

AU - Kurien, Priya Elsa

AU - Li, Rui

AU - Hohenberg, Mark I.

AU - Hung, Wai Tak

PY - 2019

Y1 - 2019

N2 - Objective: The aim of this study was to evaluate the effectiveness and identify factors predictive of home discharge in a cohort of patients admitted to the residential Transitional Aged Care Program (r"TACP) after a stay in an acute hospital. Methods: A retrospective observational cohort study of patients admitted to a single r"TACP unit between 1 January 2014 and 31 December 2017 was carried out. Baseline patient characteristics and discharge outcomes were analyzed. Results: Three hundred sixty"nine patients were admitted during the study period. The discharge outcomes were as follows: 68% returned home, 17% went onto residential care, 14% were readmitted to hospital, and 1% died. Factors associated with not returning home were increased age, increased comorbidities, and lower Barthel Index on admission to the r"TACP. Conclusion: Our r"TACP is an effective program that successfully returns the majority (67.8%) of older patients home after an acute hospital admission. Older patients with greater comorbidities and poorer baseline functional status in our program were less likely to return home.

AB - Objective: The aim of this study was to evaluate the effectiveness and identify factors predictive of home discharge in a cohort of patients admitted to the residential Transitional Aged Care Program (r"TACP) after a stay in an acute hospital. Methods: A retrospective observational cohort study of patients admitted to a single r"TACP unit between 1 January 2014 and 31 December 2017 was carried out. Baseline patient characteristics and discharge outcomes were analyzed. Results: Three hundred sixty"nine patients were admitted during the study period. The discharge outcomes were as follows: 68% returned home, 17% went onto residential care, 14% were readmitted to hospital, and 1% died. Factors associated with not returning home were increased age, increased comorbidities, and lower Barthel Index on admission to the r"TACP. Conclusion: Our r"TACP is an effective program that successfully returns the majority (67.8%) of older patients home after an acute hospital admission. Older patients with greater comorbidities and poorer baseline functional status in our program were less likely to return home.

KW - communities

KW - medical care

KW - older people

UR - https://hdl.handle.net/1959.7/uws:52868

U2 - 10.1002/agm2.12076

DO - 10.1002/agm2.12076

M3 - Article

SN - 2475-0360

VL - 2

SP - 162

EP - 167

JO - Aging Medicine

JF - Aging Medicine

IS - 3

ER -

Effectiveness and analysis of factors predictive of discharge to home in a 4-year cohort in a residential transitional care unit

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Keywords

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