Which Aged Care inpatients are potentially suitable for community-based acute care?

Autor: McCarthy RM; Department of Aged Care and Rehabilitation, Royal North Shore Hospital, Sydney, New South Wales, Australia. robynm@med.usyd.edu.au, Ogle SJ, Finnegan TP, Hilmer SN
Jazyk: angličtina
Zdroj: Australasian journal on ageing [Australas J Ageing] 2012 Mar; Vol. 31 (1), pp. 56-9. Date of Electronic Publication: 2011 Jul 03.
DOI: 10.1111/j.1741-6612.2011.00525.x
Abstrakt: Aim: To identify Aged Care inpatients potentially suitable for Acute/Post-Acute Care (APAC)-Aged Care, a new service offering community-based acute care as an alternative to hospital admission for frail older people.
Methods: Criteria were developed to identify suitable patients for APAC-Aged Care and applied to consecutive Aged Care inpatient admissions at Royal North Shore Hospital, Sydney, Australia, through retrospective chart review.
Results: Only 5/90 reviewed patients were potentially suitable for APAC-Aged Care. All five were from Residential Aged Care Facilities. The median age of the 90 patients was 86 years; 30% lived in Residential Aged Care Facilities; 53% of patients were medically stable on presentation; 70% required investigations beyond a standard baseline set; 27% had either no new functional decline on presentation or adequate community support to manage this; 91% had allied health input and 41% had medical/surgical consultation.
Conclusion: APAC-Aged Care is a potentially suitable alternative to acute inpatient hospitalisation in a select minority of Aged Care patients.
(© 2011 The Authors. Australasian Journal on Ageing © 2011 ACOTA.)
Databáze: MEDLINE
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