Effectiveness and analysis of factors predictive of discharge to home in a 4-year cohort in a residential transitional care unit.
- Publisher:
- Wiley
- Publication Type:
- Journal Article
- Citation:
- Aging medicine (Milton (N.S.W)), 2019, 2, (3), pp. 162-167
- Issue Date:
- 2019-09-08
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| Filename | Description | Size | |||
|---|---|---|---|---|---|
| agm2.12076.pdf | Published version | 332.82 kB |
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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.
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