New medical diagnoses and length of stay of acutely unwell older patients: Implications for funding models.

Abstract:

AIM:To examine the relationship between newly made medical diagnoses and length of stay (LOS) of acutely unwell older patients. METHODS:Consecutive patients admitted under the care of four geriatricians were randomly allocated to a model development sample (n = 937) or a model validation sample (n = 855). Cox regression was used to model LOS. Variables considered for inclusion in the development model were established risk factors for LOS and univariate predictors from our dataset. Variables selected in the development sample were tested in the validation sample. RESULTS:A median of five new medical diagnoses were made during a median LOS of 10 days. New diagnoses predicted an increased LOS (hazard ratio 0.90, 95% confidence interval 0.88-0.92). Other significant predictors of increased LOS in both samples were malnutrition and frailty. CONCLUSIONS:Identification of new medical diagnoses may have implications for Diagnosis Related Groups-based funding models and may improve the care of older people.

journal_name

Australas J Ageing

authors

Basic D,Khoo A

doi

10.1111/ajag.12160

subject

Has Abstract

pub_date

2015-09-01 00:00:00

pages

160-5

issue

3

eissn

1440-6381

issn

1741-6612

journal_volume

34

pub_type

杂志文章
  • Effects of work participation, intergenerational transfers and savings on life satisfaction of older Malaysians.

    abstract:AIM:To examine the effects of work participation, intergenerational transfers and savings on the life satisfaction of older community-dwelling Malaysians. METHOD:Data from the 1999 Survey on Perceptions of Needs and Problems of the Elderly on people aged 60 and over were used. The life satisfaction score was construct...

    journal_title:Australasian journal on ageing

    pub_type: 杂志文章

    doi:10.1111/j.1741-6612.2012.00619.x

    authors: Ng ST,Hamid TA

    更新日期:2013-12-01 00:00:00

  • The health of Australian baby boomers.

    abstract::The large baby boomer cohort is beginning to reach retirement age. This paper reviews recent Australian literature on baby boomers' health and health behaviours. Databases were searched for peer-reviewed literature and the Internet for online studies and reports. The boomers can expect an increased life span compared ...

    journal_title:Australasian journal on ageing

    pub_type: 杂志文章,评审

    doi:10.1111/j.1741-6612.2010.00412.x

    authors: Humpel N,O'Loughlin K,Wells Y,Kendig H

    更新日期:2010-03-01 00:00:00

  • Am I too old for this, Doctor? Using population life expectancy to guide clinical decision-making.

    abstract:OBJECTIVE:Prognostication is important in clinical decision-making, especially for older people. The aim was to present estimates of life expectancy for older people in New Zealand. METHODS:Statistics New Zealand age-sex-specific death rates were used to derive quartiles of expected years of life remaining in people a...

    journal_title:Australasian journal on ageing

    pub_type: 杂志文章

    doi:10.1111/ajag.12355

    authors: Broad JB,Dunstan K,Claridge A,Harris R

    更新日期:2017-03-01 00:00:00

  • Ageing as part of the curriculum for health-care professionals: A Queensland Survey.

    abstract:OBJECTIVES:Education affects the attitudes and abilities of health professionals regarding older people. This study examines the nature and amount of ageing-related content in programs at universities and in continuing education in Queensland for disciplines involved in the direct care of older people. METHODS:Surveys...

    journal_title:Australasian journal on ageing

    pub_type: 杂志文章

    doi:10.1111/ajag.12775

    authors: Liddle J,Beattie E,Gannon B,Bennett S,Pachana NA

    更新日期:2020-09-01 00:00:00

  • New ways to provide community aged care services.

    abstract::This paper will focus on the provision of community aged care services via 'direct payments' and 'social enterprise'. These are two solutions that were not fully considered by the Productivity Commission as a way to make the provision of community aged care more sustainable in Australia. The empowerment component of s...

    journal_title:Australasian journal on ageing

    pub_type: 杂志文章

    doi:10.1111/ajag.12207

    authors: Taylor C,Donoghue J

    更新日期:2015-09-01 00:00:00

  • Effects of family structure on risk of institutionalisation of disabled older people in Japan.

    abstract:AIM:To examine the relationship between family structure and the risk of institutionalisation of disabled older people. METHODS:The participants were 286 disabled older people aged 65 or older who were eligible to receive formal care services under the long-term care insurance system in a town in western Japan. Family...

    journal_title:Australasian journal on ageing

    pub_type: 杂志文章

    doi:10.1111/ajag.12071

    authors: Tanihara S,Akashi C,Yamaguchi J,Une H

    更新日期:2014-12-01 00:00:00

  • Management of urinary catheters following hip fracture.

    abstract:AIM:To examine current practices and factors associated with outcomes of urinary catheter removal ('trial of void' or TOV) in patients following hip fracture. METHOD:Retrospective file audit of patients discharged over a three-year period with a diagnosis of recent hip fracture. RESULTS:There were 133 TOVs in 310 pat...

    journal_title:Australasian journal on ageing

    pub_type: 杂志文章

    doi:10.1111/ajag.12166

    authors: Street P,Thompson J,Bailey M

    更新日期:2015-12-01 00:00:00

  • Development and pilot testing of the revised Patients' Attitudes Towards Deprescribing questionnaire for people with cognitive impairment.

    abstract:OBJECTIVES:(i) To develop a version of the revised Patients' Attitude Towards Deprescribing (rPATD) questionnaire for people with mild cognitive impairment (MCI) and mild-to-moderate dementia (rPATDcog); and (ii) to capture the beliefs and attitudes of this population and their carers about deprescribing through a pilo...

    journal_title:Australasian journal on ageing

    pub_type: 杂志文章

    doi:10.1111/ajag.12576

    authors: Reeve E,Anthony AC,Kouladjian O'Donnell L,Low LF,Ogle SJ,Glendenning JE,Lorang CE,Hilmer SN

    更新日期:2018-12-01 00:00:00

  • Quality and Safety in Aged Care Virtual Issue: What Australian research published in the Australasian Journal on Ageing tells us.

    abstract:OBJECTIVE:To review studies published in the Australasian Journal on Ageing (AJA) about the aged care workforce, and to identify influences on quality of care and potential policy directions. METHODS:Articles in the AJA on the aged care workforce published from 2009 to 2018 were identified, grouped into themes and rat...

    journal_title:Australasian journal on ageing

    pub_type: 社论,评审

    doi:10.1111/ajag.12638

    authors: Wells Y,Brooke E,Solly KN

    更新日期:2019-03-01 00:00:00

  • Which cardiovascular risk factors are associated with cardiovascular disease and predict future events in advanced age in New Zealand?

    abstract:AIM:To examine the relationships between cardiovascular risk factors, cardiovascular health at baseline, and cardiovascular disease (CVD) events 28 months later, in advanced age. METHODS:108 adults in advanced age were recruited. Data were collected through a standardised questionnaire including a measure of physical ...

    journal_title:Australasian journal on ageing

    pub_type: 杂志文章

    doi:10.1111/j.1741-6612.2012.00626.x

    authors: Teh RO,Kerse NM,Robinson EM,Doughty RN,Whalley GA

    更新日期:2014-03-01 00:00:00

  • Staff conceptualisations of elder abuse in residential aged care: A rapid review.

    abstract:OBJECTIVE:The purpose of this rapid review was to explore how residential aged care staff conceptualise and identify elder abuse. METHODS:English-language publications, between 2000 and 2017, about elder abuse in residential aged care in developed countries were sought from three academic databases. Only perspectives ...

    journal_title:Australasian journal on ageing

    pub_type: 杂志文章

    doi:10.1111/ajag.12565

    authors: Radermacher H,Toh YL,Western D,Coles J,Goeman D,Lowthian J

    更新日期:2018-12-01 00:00:00

  • Challenges and adjustments in maintaining health and well-being of older Asian immigrants in New Zealand: An integrative review.

    abstract:OBJECTIVE:There is a paucity of health-related research on older Asian immigrants in New Zealand. The aim of this review was to critically examine literature on the health and well-being of this population group. METHODS:An integrative literature review was conducted from December 2017 to February 2018. Online databas...

    journal_title:Australasian journal on ageing

    pub_type: 杂志文章,评审

    doi:10.1111/ajag.12616

    authors: Montayre J,De-Arth J,Shrestha-Ranjit J,Neville S,Holroyd E

    更新日期:2019-09-01 00:00:00

  • Non-medical needs of older patients in the emergency department.

    abstract:AIM:To determine the non-medical needs of older patients in the emergency department (ED). METHODS:We undertook a cross-sectional survey of three age groups (50-64, 65-79, 80+ years) using a self-administered questionnaire with five response options (strongly agree-strongly disagree) for 31 items. RESULTS:There were ...

    journal_title:Australasian journal on ageing

    pub_type: 杂志文章

    doi:10.1111/ajag.12265

    authors: Liu B,Taylor DM,Ling SL,MacGibbon P

    更新日期:2016-09-01 00:00:00

  • Fifth-year medical students' perceptions of the importance of frailty and competence in assessing, diagnosing and managing frailty before and after a geriatric medicine course.

    abstract:OBJECTIVE:To assess the changes in fifth-year medical students' perceptions of the importance of frailty and competence in assessing, diagnosing and managing frailty after a 4.5-week geriatric medicine course. METHODS:Students' perceived importance and competence was assessed before and after the course using a 26-ite...

    journal_title:Australasian journal on ageing

    pub_type: 杂志文章

    doi:10.1111/ajag.12788

    authors: Arakawa Martins B,Jadczak AD,Dollard J,Barrie H,Mahajan N,Tam KL,Visvanathan R

    更新日期:2020-09-01 00:00:00

  • Participation of older adults in cyberspace: how Australian older adults use the Internet.

    abstract:AIM:The present study explores how Australian older adults use the Internet. METHOD:Older adults were recruited online to complete an online survey. RESULTS:Participants primarily used the Internet for interpersonal communication, followed by information seeking, commerce and entertainment. CONCLUSION:The Internet i...

    journal_title:Australasian journal on ageing

    pub_type: 杂志文章

    doi:10.1111/j.1741-6612.2009.00374.x

    authors: Sum S,Mathews RM,Hughes I

    更新日期:2009-12-01 00:00:00

  • Spiritual reminiscence therapy for older people with loneliness, anxiety and depression living in a residential aged care facility, Malaysia: A qualitative approach.

    abstract:OBJECTIVE:To explore how older people with loneliness, anxiety and depression experience a spiritual reminiscence therapy (SRT) program and to explore its acceptability within the Malaysian population. METHODS:Unstructured observations and a focus-group discussion were carried out with 18 participants involved in a si...

    journal_title:Australasian journal on ageing

    pub_type: 杂志文章

    doi:10.1111/ajag.12598

    authors: Syed Elias SM,Petriwskyj A,Scott T,Neville C

    更新日期:2019-03-01 00:00:00

  • Malnutrition prevalence and nutrition issues in residential aged care facilities.

    abstract:OBJECTIVES:To determine the prevalence of malnutrition and investigate nutritional issues in a sample of older people living in residential aged care facilities (RACFs). METHOD:This study forms the descriptive component of a pretest post-test designed study conducted in eight RACFs. The Subject Global Assessment tool ...

    journal_title:Australasian journal on ageing

    pub_type: 杂志文章

    doi:10.1111/j.1741-6612.2008.00324.x

    authors: Gaskill D,Black LJ,Isenring EA,Hassall S,Sanders F,Bauer JD

    更新日期:2008-12-01 00:00:00

  • Developing a dementia-friendly Christchurch: Perspectives of people with dementia.

    abstract:AIM:Christchurch, New Zealand has a unique opportunity to potentially rebuild as a dementia-friendly city in the wake of the 2010 and 2011 earthquakes. The present study gathered insights from people with dementia about what would make it possible for them to live better in Christchurch. METHODS:Twenty-six older peopl...

    journal_title:Australasian journal on ageing

    pub_type: 杂志文章

    doi:10.1111/ajag.12287

    authors: Smith K,Gee S,Sharrock T,Croucher M

    更新日期:2016-09-01 00:00:00

  • Delirium management: Let's get physical? A systematic review and meta-analysis.

    abstract:OBJECTIVE:To investigate whether physical training (alone or in a multi-component intervention) is effective in preventing delirium or improving outcomes for adult patients with delirium in the hospital setting. METHODS:A systematic review, qualitative synthesis and meta-analysis of randomised controlled trials identi...

    journal_title:Australasian journal on ageing

    pub_type: 杂志文章,meta分析

    doi:10.1111/ajag.12636

    authors: Haley MN,Casey P,Kane RY,Dārziņš P,Lawler K

    更新日期:2019-12-01 00:00:00

  • The effectiveness of an educational intervention to enhance happiness in Iranian older people: Applying social support theory.

    abstract:OBJECTIVE:The aim of this study was to explore the effectiveness of an educational program based on social support theory (SST) to enhance happiness in older adults (60-75 years) in Hamadan (Iran) in 2017. METHODS:This study was a quasi-experimental intervention with a control group, consisting of 60 participants and ...

    journal_title:Australasian journal on ageing

    pub_type: 杂志文章

    doi:10.1111/ajag.12702

    authors: Moeini B,Barati M,Farhadian M,Heydari Ara M

    更新日期:2020-03-01 00:00:00

  • Validation of the language component of the Addenbrooke's Cognitive Examination--Revised (ACE-R) as a screening tool for aphasia in stroke patients.

    abstract:AIM:Several tests are available for aphasia screening following stroke. However, some of them have shortcomings such as need of specialist knowledge, low sensitivity and/or specificity and lengthy administration time. Our study aims to evaluate the language component of the Addenbrooke's Cognitive Examination--Revised ...

    journal_title:Australasian journal on ageing

    pub_type: 杂志文章

    doi:10.1111/j.1741-6612.2010.00466.x

    authors: Gaber TA,Parsons F,Gautam V

    更新日期:2011-09-01 00:00:00

  • Impediments to applying the 'dignity of risk' principle in residential aged care services.

    abstract::This discussion paper identifies four core factors currently impeding the application of the dignity of risk principle in residential aged care settings in Victoria, Australia: the fluctuating decision-making ability of residents; multiple participants in decision-making; discordance between espoused values and action...

    journal_title:Australasian journal on ageing

    pub_type: 杂志文章

    doi:10.1111/ajag.12014

    authors: Ibrahim JE,Davis MC

    更新日期:2013-09-01 00:00:00

  • Pharmacist-led medication reviews in aged care residents with dementia: A systematic review.

    abstract:OBJECTIVES:To evaluate outcomes associated with pharmacist-led medication reviews in residential aged care facility (RACF) residents with dementia. METHODS:Six scientific databases were searched. All study designs investigating pharmacist-led medication reviews in RACF residents with dementia were considered. The prot...

    journal_title:Australasian journal on ageing

    pub_type: 杂志文章,评审

    doi:10.1111/ajag.12827

    authors: McDerby N,Kosari S,Bail K,Shield A,Peterson G,Naunton M

    更新日期:2020-12-01 00:00:00

  • Role of income in intergenerational co-residence: Evidence from selected African and Asian countries.

    abstract:OBJECTIVE:The study investigates the macroeconomic determinants of co-residing arrangement between generations in selected developing countries with a focus on examining the effect of changing income level of the working generation. METHODS:A reduced form model is specified for co-residence between the older generatio...

    journal_title:Australasian journal on ageing

    pub_type: 杂志文章

    doi:10.1111/ajag.12511

    authors: Aziz N,Hossain B,Emran M

    更新日期:2018-06-01 00:00:00

  • Rapid response teams to support dementia care in Australian aged care homes: Review of the evidence.

    abstract:OBJECTIVES:To identify attributes of rapid response services designed to support people with very severe and extreme responsive behaviours, otherwise known as behavioural and psychological symptoms of dementia, in aged care homes. METHODS:A rapid evidence assessment was conducted to inform the evaluation of the Severe...

    journal_title:Australasian journal on ageing

    pub_type: 杂志文章,评审

    doi:10.1111/ajag.12745

    authors: Westera A,Fildes D,Grootemaat P,Gordon R

    更新日期:2020-09-01 00:00:00

  • Group sessions with Paro in a nursing home: Structure, observations and interviews.

    abstract:AIM:We recently reported that a companion robot reduced residents' loneliness in a randomised controlled trial at an aged-care facility. This report aims to provide additional, previously unpublished data about how the sessions were run, residents' interactions with the robot and staff perspectives. METHODS:Observatio...

    journal_title:Australasian journal on ageing

    pub_type: 杂志文章,随机对照试验

    doi:10.1111/ajag.12199

    authors: Robinson H,Broadbent E,MacDonald B

    更新日期:2016-06-01 00:00:00

  • Local governance responses to social inclusion for older rural Victorians: building resources, opportunities and capabilities.

    abstract:AIM:To explore how local governance enables access to resources, creates opportunities and increases capability for older people in rural communities to experience social inclusion. METHOD:Twenty-six semi-structured interviews were undertaken with community stakeholders across two rural communities in north-east Victo...

    journal_title:Australasian journal on ageing

    pub_type: 杂志文章

    doi:10.1111/ajag.12015

    authors: Winterton R,Clune S,Warburton J,Martin J

    更新日期:2014-09-01 00:00:00

  • 'That might be a bit sexy for somebody your age': Older adult sexual health conversations in primary care.

    abstract:BACKGROUND:Many older adults are sexually active, and STIs are rising amongst this cohort. In primary care, sexual health discussions are limited as health-care practitioners commonly assume older patients aged 60+ are not sexually active or are unwilling to discuss sex. Studies have either examined patient or clinicia...

    journal_title:Australasian journal on ageing

    pub_type: 杂志文章

    doi:10.1111/ajag.12762

    authors: Malta S,Temple-Smith M,Bickerstaffe A,Bourchier L,Hocking J

    更新日期:2020-06-01 00:00:00

  • Descriptive, exploratory study of the role of nursing assistants in Australian residential aged care facilities: the example of pain management.

    abstract:AIM:This study explored the experiences of nursing assistants (NAs) who work with older people in residential aged care facilities (RACFs), to ascertain their role in Australian RACFs. Experiences with pain management were used as an example to explore their work role. METHODS:A descriptive, exploratory qualitative ap...

    journal_title:Australasian journal on ageing

    pub_type: 杂志文章

    doi:10.1111/j.1741-6612.2009.00360.x

    authors: Holloway K,McConigley R

    更新日期:2009-06-01 00:00:00

  • Geriatric Psychotropic Stewardship Team to de-escalate inappropriate psychotropic medications in general medicine inpatients: An evaluation.

    abstract:OBJECTIVES:To assess the feasibility and effectiveness of a Geriatric Psychotropic Stewardship Team (GPST) and to achieve inpatient de-escalation of inappropriate psychotropic medications in patients aged over 65 years on a general medicine ward. METHODS:A multidisciplinary GPST conducted twice-weekly rounds on genera...

    journal_title:Australasian journal on ageing

    pub_type: 杂志文章

    doi:10.1111/ajag.12501

    authors: Pellicano OA,Tong E,Yip G,Monk L,Loh X,Ananda-Rajah M,Dooley M

    更新日期:2018-06-01 00:00:00