High mortality of older patients admitted to hospital from care homes and insight into potential interventions to reduce hospital admissions from care homes

the Norfolk experience

A C L Ong, K Sabanathan, J F Potter, P K Myint

Research output: Contribution to journalArticle

22 Citations (Scopus)

Abstract

There is a high mortality rate in patients admitted to hospitals acutely from care homes. In a retrospective case analysis study of 3772 older people admitted to the Department of Medicine for the Elderly between January and June 2005, 340 (9.0%) were from care homes, and 93 (27.3%) of the residents died during the index admission. Nearly 40% of these deaths occurred within 24h of admission indicating a high level of less appropriate admissions. Investigating eight nursing homes which admitted the highest number of patients from one primary care trust revealed that the most cited reasons for admission were the lack of advance care plans, access to General Practitioners (GPs) out of hours, as well as general access to palliative care and specialist nurses, and poor communication between patient, relatives, GPs, hospitals and care home staff. Our findings provide some useful insight into the factors that need to be addressed to avoid unnecessary or inappropriate admissions from care homes for better end of life care in aging societies.

Original languageEnglish
Pages (from-to)316-319
Number of pages4
JournalArchives of Gerontology and Geriatrics
Volume53
Issue number3
DOIs
Publication statusPublished - 5 Jan 2011

Fingerprint

Home Care Services
home care
mortality
Mortality
general practitioner
General Practitioners
experience
Terminal Care
nursing home
Nursing Homes
Palliative Care
General Hospitals
Primary Health Care
nurse
Communication
Medicine
medicine
resident
staff
death

Keywords

  • aged
  • aged, 80 and over
  • cause of death
  • female
  • Great Britain
  • homes for the aged
  • hospital mortality
  • humans
  • male
  • middle aged
  • nursing homes
  • patient admission
  • patient transfer
  • retrospective studies

Cite this

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title = "High mortality of older patients admitted to hospital from care homes and insight into potential interventions to reduce hospital admissions from care homes: the Norfolk experience",
abstract = "There is a high mortality rate in patients admitted to hospitals acutely from care homes. In a retrospective case analysis study of 3772 older people admitted to the Department of Medicine for the Elderly between January and June 2005, 340 (9.0{\%}) were from care homes, and 93 (27.3{\%}) of the residents died during the index admission. Nearly 40{\%} of these deaths occurred within 24h of admission indicating a high level of less appropriate admissions. Investigating eight nursing homes which admitted the highest number of patients from one primary care trust revealed that the most cited reasons for admission were the lack of advance care plans, access to General Practitioners (GPs) out of hours, as well as general access to palliative care and specialist nurses, and poor communication between patient, relatives, GPs, hospitals and care home staff. Our findings provide some useful insight into the factors that need to be addressed to avoid unnecessary or inappropriate admissions from care homes for better end of life care in aging societies.",
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T1 - High mortality of older patients admitted to hospital from care homes and insight into potential interventions to reduce hospital admissions from care homes

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AU - Ong, A C L

AU - Sabanathan, K

AU - Potter, J F

AU - Myint, P K

N1 - Copyright © 2010 Elsevier Ireland Ltd. All rights reserved.

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N2 - There is a high mortality rate in patients admitted to hospitals acutely from care homes. In a retrospective case analysis study of 3772 older people admitted to the Department of Medicine for the Elderly between January and June 2005, 340 (9.0%) were from care homes, and 93 (27.3%) of the residents died during the index admission. Nearly 40% of these deaths occurred within 24h of admission indicating a high level of less appropriate admissions. Investigating eight nursing homes which admitted the highest number of patients from one primary care trust revealed that the most cited reasons for admission were the lack of advance care plans, access to General Practitioners (GPs) out of hours, as well as general access to palliative care and specialist nurses, and poor communication between patient, relatives, GPs, hospitals and care home staff. Our findings provide some useful insight into the factors that need to be addressed to avoid unnecessary or inappropriate admissions from care homes for better end of life care in aging societies.

AB - There is a high mortality rate in patients admitted to hospitals acutely from care homes. In a retrospective case analysis study of 3772 older people admitted to the Department of Medicine for the Elderly between January and June 2005, 340 (9.0%) were from care homes, and 93 (27.3%) of the residents died during the index admission. Nearly 40% of these deaths occurred within 24h of admission indicating a high level of less appropriate admissions. Investigating eight nursing homes which admitted the highest number of patients from one primary care trust revealed that the most cited reasons for admission were the lack of advance care plans, access to General Practitioners (GPs) out of hours, as well as general access to palliative care and specialist nurses, and poor communication between patient, relatives, GPs, hospitals and care home staff. Our findings provide some useful insight into the factors that need to be addressed to avoid unnecessary or inappropriate admissions from care homes for better end of life care in aging societies.

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KW - cause of death

KW - female

KW - Great Britain

KW - homes for the aged

KW - hospital mortality

KW - humans

KW - male

KW - middle aged

KW - nursing homes

KW - patient admission

KW - patient transfer

KW - retrospective studies

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