Factors associated with discharge from hospital to residential aged care for younger people with neuropsychiatric disorders: an exploratory case–control study in New South Wales, Australia
Objectives To examine the sociodemographic and diagnostic factors associated with a discharge from hospital to residential aged care (RAC) for younger people (aged 15–64 years) with neuropsychiatric disorders.Design An exploratory case–control study using a historic cohort of people with neuropsychi...
| Main Authors: | , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
BMJ Publishing Group
2022-12-01
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| Series: | BMJ Open |
| Online Access: | https://bmjopen.bmj.com/content/12/12/e065982.full |
| _version_ | 1811185527649468416 |
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| author | Simone Reppermund Preeyaporn Srasuebkul Julian Trollor Di Winkler Brian Draper Rachael Cherie Cvejic Tim R Watkins Adrian R Walker Adrienne Withall Ingrid Honan Deidre Mackechnie |
| author_facet | Simone Reppermund Preeyaporn Srasuebkul Julian Trollor Di Winkler Brian Draper Rachael Cherie Cvejic Tim R Watkins Adrian R Walker Adrienne Withall Ingrid Honan Deidre Mackechnie |
| author_sort | Simone Reppermund |
| collection | DOAJ |
| description | Objectives To examine the sociodemographic and diagnostic factors associated with a discharge from hospital to residential aged care (RAC) for younger people (aged 15–64 years) with neuropsychiatric disorders.Design An exploratory case–control study using a historic cohort of people with neuropsychiatric disorders. Cases were people transferred to RAC on hospital discharge during the study period. Controls were people not transferred to RAC on discharge during the study period.Setting Public and private hospital admissions in New South Wales (NSW), Australia.Participants People aged 15–64 years with a neuropsychiatric disorder hospitalised in NSW between July 2002 and June 2015 (n=5 16 469).Outcome measures The main outcome was transferred to RAC on discharge from hospital. We calculated ORs for sociodemographic and diagnostic factors to determine factors that may impact discharge to RAC.Results During the period of data capture, 4406 people were discharged from hospitals to RAC. Discharge to RAC was most strongly associated with diagnoses of progressive neurological and cognitive disorders. Acute precipitants of RAC transfer included a broad range of conditions and injuries (eg, Wernicke’s encephalopathy, stroke, falls) in the context of issues such as older age, not being partnered (married or de facto), living in areas of lower socioeconomic status, functional issues and the need for palliative care.Conclusions There are multiple intersecting and interacting pathways culminating in discharge from hospital to RAC among younger people with neuropsychiatric disorders. Improved capacity for interdisciplinary home care and alternative housing and support options for people with high support needs are required. |
| first_indexed | 2024-04-11T13:30:56Z |
| format | Article |
| id | doaj.art-4b5745a9d20a4f0ca02903a25699587b |
| institution | Directory Open Access Journal |
| issn | 2044-6055 |
| language | English |
| last_indexed | 2024-04-11T13:30:56Z |
| publishDate | 2022-12-01 |
| publisher | BMJ Publishing Group |
| record_format | Article |
| series | BMJ Open |
| spelling | doaj.art-4b5745a9d20a4f0ca02903a25699587b2022-12-22T04:21:49ZengBMJ Publishing GroupBMJ Open2044-60552022-12-01121210.1136/bmjopen-2022-065982Factors associated with discharge from hospital to residential aged care for younger people with neuropsychiatric disorders: an exploratory case–control study in New South Wales, AustraliaSimone Reppermund0Preeyaporn Srasuebkul1Julian Trollor2Di Winkler3Brian Draper4Rachael Cherie Cvejic5Tim R Watkins6Adrian R Walker7Adrienne Withall8Ingrid Honan9Deidre Mackechnie101 Department of Developmental Disability Neuropsychiatry, UNSW, Sydney, New South Wales, Australia1 Department of Developmental Disability Neuropsychiatry, UNSW, Sydney, New South Wales, Australia1 Department of Developmental Disability Neuropsychiatry (3DN), UNSW, Sydney, New South Wales, AustraliaLiving with Disability Research Centre, La Trobe University, Bundoora, Victoria, AustraliaDepartment of Psychiatry, University of New South Wales, Sydney, New South Wales, AustraliaDepartment of Developmental Disability Neuropsychiatry, UNSW Sydney, UNSW, New South Wales, AustraliaDepartment of Developmental Disability Neuropsychiatry, UNSW Sydney, UNSW, New South Wales, AustraliaDepartment of Developmental Disability Neuropsychiatry, UNSW Sydney, UNSW, New South Wales, AustraliaSchool of Population Health, UNSW Sydney, UNSW, New South Wales, AustraliaCerebral Palsy Alliance, Allambie Heights, New South Wales, AustraliaMS Australia, North Sydney, New South Wales, AustraliaObjectives To examine the sociodemographic and diagnostic factors associated with a discharge from hospital to residential aged care (RAC) for younger people (aged 15–64 years) with neuropsychiatric disorders.Design An exploratory case–control study using a historic cohort of people with neuropsychiatric disorders. Cases were people transferred to RAC on hospital discharge during the study period. Controls were people not transferred to RAC on discharge during the study period.Setting Public and private hospital admissions in New South Wales (NSW), Australia.Participants People aged 15–64 years with a neuropsychiatric disorder hospitalised in NSW between July 2002 and June 2015 (n=5 16 469).Outcome measures The main outcome was transferred to RAC on discharge from hospital. We calculated ORs for sociodemographic and diagnostic factors to determine factors that may impact discharge to RAC.Results During the period of data capture, 4406 people were discharged from hospitals to RAC. Discharge to RAC was most strongly associated with diagnoses of progressive neurological and cognitive disorders. Acute precipitants of RAC transfer included a broad range of conditions and injuries (eg, Wernicke’s encephalopathy, stroke, falls) in the context of issues such as older age, not being partnered (married or de facto), living in areas of lower socioeconomic status, functional issues and the need for palliative care.Conclusions There are multiple intersecting and interacting pathways culminating in discharge from hospital to RAC among younger people with neuropsychiatric disorders. Improved capacity for interdisciplinary home care and alternative housing and support options for people with high support needs are required.https://bmjopen.bmj.com/content/12/12/e065982.full |
| spellingShingle | Simone Reppermund Preeyaporn Srasuebkul Julian Trollor Di Winkler Brian Draper Rachael Cherie Cvejic Tim R Watkins Adrian R Walker Adrienne Withall Ingrid Honan Deidre Mackechnie Factors associated with discharge from hospital to residential aged care for younger people with neuropsychiatric disorders: an exploratory case–control study in New South Wales, Australia BMJ Open |
| title | Factors associated with discharge from hospital to residential aged care for younger people with neuropsychiatric disorders: an exploratory case–control study in New South Wales, Australia |
| title_full | Factors associated with discharge from hospital to residential aged care for younger people with neuropsychiatric disorders: an exploratory case–control study in New South Wales, Australia |
| title_fullStr | Factors associated with discharge from hospital to residential aged care for younger people with neuropsychiatric disorders: an exploratory case–control study in New South Wales, Australia |
| title_full_unstemmed | Factors associated with discharge from hospital to residential aged care for younger people with neuropsychiatric disorders: an exploratory case–control study in New South Wales, Australia |
| title_short | Factors associated with discharge from hospital to residential aged care for younger people with neuropsychiatric disorders: an exploratory case–control study in New South Wales, Australia |
| title_sort | factors associated with discharge from hospital to residential aged care for younger people with neuropsychiatric disorders an exploratory case control study in new south wales australia |
| url | https://bmjopen.bmj.com/content/12/12/e065982.full |
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