A multi-centre European study of factors affecting the discharge destination of older people admitted to hospital: analysis of in-hospital data from the ACMEplus project

Campbell, Susan; Seymour, D. G.; Primrose, W R; Lynch, Joanna; Dunstan, Edmund; Espallargues, Mireia; Lamura, Giovanni; Lawson, P.; Philp, Ian; Mestheneos, Elizabeth; Polityńska, Barbara; Räihä, Ismo

doi:10.1093/ageing/afi141

Cited by 90 publications

(78 citation statements)

References 19 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…It has not been previously established that a single functional mobility measure, the MEMS score at admission and discharge, predicts discharge destination with 71% accuracy. In contrast to other studies, the primary reason for admission was a significant predictor of discharge destination 10, 11, but age 10, 12, 13, 18, gender 13 and ethnicity 10 were not. We suggest that this study is also more generalisable than others that examined factors affecting discharge destination in discrete older adult populations, such as medical 13, stroke 9, 12, 14, 15 and hip fracture 18.…”

Section: Discussioncontrasting

confidence: 99%

“…Lindenberg et al 11 found that diagnosis was not associated with discharge destination in a heterogeneous group of older patients undergoing rehabilitation who had previously lived at home. However, studies have found that an array of functional, cognitive and social measures used together had a high chance of predicting discharge destination 11, 12, 13. From a clinician's perspective, identifying a single, simple measure to assist in the prediction of discharge to a range of destinations would be more useful clinically than currently available tools that involve multiple assessments.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Use of a functional mobility measure to predict discharge destinations for patients admitted to an older adult rehabilitation ward: A feasibility study

2017

View full text Add to dashboard Cite

ObjectiveTo investigate whether the discharge destination for older adults can be predicted using functional mobility as measured by the Modified Elderly Mobility Scale (MEMS), associated with demographic and primary reason for admission variables.MethodsA retrospective cohort population audit of 257 patients admitted and discharged from four tertiary older adult rehabilitation wards in a three‐month period. A number of predictor variables were considered alongside the discharge destination.ResultsMultinomial statistical modelling established that MEMS prior to (P < 0.001), MEMS on completion (P = 0.009) of rehabilitation physiotherapy and primary reason for admission (P = 0.002) were significant variables to predict discharge destination. The model correctly predicted 71% of observed patient discharge destinations.ConclusionThe MEMS in conjunction with primary reason for admission was able to predict discharge destination with 71% accuracy in a heterogeneous population of older adults following rehabilitation.

show abstract

Section: Discussioncontrasting

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Use of a functional mobility measure to predict discharge destinations for patients admitted to an older adult rehabilitation ward: A feasibility study

2017

View full text Add to dashboard Cite

show abstract

“…Mortality among older patients is also influenced by the amount of assistance needed in activities of daily living (ADL) prior to admission (Incalzi et al, 1997). A large European study across the UK, Spain, Italy, Greece, Poland and Finland identified functional independence as a key predictor of whether older people admitted to acute medical settings return home or are admitted to other institutions (Campbell et al, 2005).…”

Section: Introductionmentioning

confidence: 99%

Predictors of discharge destination for 234 patients admitted to a combined geriatric medicine/old age psychiatry unit

Astell

Clark

Hartley

2008

Int J Geriat Psychiatry

View full text Add to dashboard Cite

The findings suggest that although the key precipitants of admission to joint geriatric medicine/old age psychiatric care are behavioural and psychiatric, these factors are intercurrent, can be successfully treated in an appropriate environment, and do not play a major role in determining discharge outcome. These findings confirm the broad spectrum of need among older patients admitted to acute medical care identified in previous research and support the case for specialised joint provision to address their physical and mental health needs.

show abstract

“…The higher disability prevalence among women can be explained by the fact that women live longer than men [57]. Campbell et al (2005) argue that gender is sometimes mentioned in literature as a demographic factor related to functional decline, but it doesn't seem to have a meaningful importance [58].However, there are important differences between genders in terms of different tasks assigned to women and men. These differences should be taken into account when assessing functional status.…”

Section: Gendermentioning

confidence: 99%

The most important considerations in the assessment of functional decline in seniors: a literature review

Jahan¹

2017

APJHS

View full text Add to dashboard Cite

In recent years, there has been much focus on functional decline associated with aging, but not many studies have examined how functional decline can be effectively evaluated and detected at earlier stages of the aging process. Early detection of functional decline helps to intervene much earlier to avoid many of negative consequences of functional decline and frailty. Late identification of functional decline is problematic to the individuals and the healthcare systems considering that the percentage of the world population represented by people over the age of 65 is increasing rapidly worldwide. The aim of this review was to investigate the most important considerations in the assessment of functional decline in the population of seniors, and to explore relevant literature to provide a ground for an effective functional assessment for this population. Comprehensive literature search of the English-language articles for people aged 65 and over were conducted by searching MEDLINE and PubMed. The literature describes two main segments of elderly population with functional decline that should be assessed in different ways: Hospitalized and community-dwelling elders. When working with elderly clients, it is significantly important to identify all the factors that may contribute to the clinical picture of the client. Identification of risk factors, such as inability to do basic activities of daily living, social isolation, or lack of resources may help healthcare providers to intervene on time to avoid many catastrophic changes that affect seniors' health-related quality of life.

show abstract

A multi-centre European study of factors affecting the discharge destination of older people admitted to hospital: analysis of in-hospital data from the ACMEplus project

Abstract: case-mix systems to compare risk-adjusted hospital outcome in older medical patients need to incorporate information about physical function, cognition and presenting problems in addition to diagnosis.

Cited by 90 publications

References 19 publications

Use of a functional mobility measure to predict discharge destinations for patients admitted to an older adult rehabilitation ward: A feasibility study

Use of a functional mobility measure to predict discharge destinations for patients admitted to an older adult rehabilitation ward: A feasibility study

Predictors of discharge destination for 234 patients admitted to a combined geriatric medicine/old age psychiatry unit

The most important considerations in the assessment of functional decline in seniors: a literature review

Contact Info

Product

Resources

About