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Discharge of patients to long-term care from a large acute hospital over a 12-year period

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Abstract

Background

Several factors may be important in determining the discharge of patients to long-term care from the acute hospital.

Aims

We aimed to look at factors associated with discharge to long-term care from St. James’s Hospital, Dublin between 1997 and 2008.

Methods

Data obtained from a long-term care database within the geriatric service were analysed. This service is responsible for assessing and listing all patients for long-term care within the hospital.

Results

3,107 patients were listed and 2,520 discharged to long-term care during the period. Mean age was 81.7 ± 7.3 years and 64.1 % were female. The number listed increased since 1997, but there was no change in age or gender. Median time to discharge was 52 days, but varied by year and was longer for public versus private facilities (mean difference = 18 days, P = 0.006). Mortality of those awaiting long-term care was 17.0 %, but varied significantly by year and ranged form 9.3–29.0 %. Mortality was higher in males, in those of older age and during the winter months.

Conclusions

Variation in the time to discharge appears to be associated with changes in the provision of publicly funded private nursing home beds.

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References

  1. Central Statistics Office Ireland: Census Reports and life Expectancy Tables 1996–2006. http://www.cso.ie

  2. U Barry, C Conlon (2010) Elderly care in Ireland—provisions and providers. In: UCD School of Social Justice Working Papers Series, vol 10, issue no 1. University College Dublin, Dublin, pp 1–34

  3. Who Cares? An investigation into the Right to Nursing Home Care in Ireland, Office of the Ombudsman Ireland. Chapter 3.2 Background: Nursing Home Subvention Scheme (NHSS), 9 Nov 2010

  4. Accounts of Public Services 2010. Report of Comptroller and Auditor General, vol 2, chapt 48, Nursing home care costs, 19 Sept 2011

  5. O’Neill D, Brennan J (2001) Contracted beds in private nursing home: not a solution to long term care needs in Dublin. Ir Med J 94(7):218

    PubMed  Google Scholar 

  6. Coughlan T, O’Neill D (2001) General hospital resources consumed by an elderly population awaiting long-term care. Ir Med J 94(7):206–208

    PubMed  CAS  Google Scholar 

  7. Byrne DG, Chung SL, Bennett K, Silke B (2010) Age and outcome in acute emergency medical admissions. Age Ageing 39(6):694–698

    Article  PubMed  Google Scholar 

  8. Gallagher P, O’Callaghan N, Henry C (2008) Do relatives of elderly patients block the discharge process? Ir Med J 101(3):70–72

    PubMed  CAS  Google Scholar 

  9. HSE National Casemix Programme (2010): Letter dated 17th February in response to Parliamentary Question [5857/10] put to the Minister for Health, Dáil Éireann, 4 February 2010. http://www.hse.ie/eng/about/PersonalPQ

  10. Nursing Home Support Scheme—a fair deal, Dept of Health. http://www.dohc.ie

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Conflict of interest

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Authors and Affiliations

  1. Mercer’s Institute for Research on Ageing, St James’s Hospital, Top Floor, Hospital 4, James’s St, Dublin 8, Ireland

    K. McCarroll

  2. Department of Gerontology, St James’s Hospital, James’s St, Dublin 8, Ireland

    K. McCarroll, J. B. Walsh, D. Coakley, M. Casey, J. Harbison, D. Robinson, C. Murphy, J. Oxley & C. Cunningham

  3. Department of Gerontology, Trinity College, Dublin, Ireland

    R. A. Kenny

Authors
  1. K. McCarroll
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  2. J. B. Walsh
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  3. D. Coakley
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  4. M. Casey
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  5. J. Harbison
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  6. D. Robinson
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  7. C. Murphy
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  8. J. Oxley
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  9. R. A. Kenny
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  10. C. Cunningham
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Corresponding author

Correspondence to K. McCarroll.

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McCarroll, K., Walsh, J.B., Coakley, D. et al. Discharge of patients to long-term care from a large acute hospital over a 12-year period. Ir J Med Sci 182, 345–348 (2013). https://doi.org/10.1007/s11845-012-0884-8

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  • DOI: https://doi.org/10.1007/s11845-012-0884-8

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