Accurate identification of hospital admissions from care homes; development and validation of an automated algorithm.

Abstract:

Background:measuring the complex needs of care home residents is crucial for resource allocation. Hospital patient administration systems (PAS) may not accurately identify admissions from care homes. Objective:to develop and validate an accurate, practical method of identifying care home resident hospital admission using routinely collected PAS data. Method:admissions data between 2011 and 2012 (n = 103,105) to an acute Trust were modelled to develop an automated tool which compared the hospital PAS address details with the Care Quality Commission's (CQC) database, producing a likelihood of care home residency. This tool and the Nuffield method (CQC postcode match only) were validated against a manual check of a random sample of admissions (n = 2,000). A dataset from a separate Trust was analysed to assess generalisability. Results:the hospital PAS was inaccurate; none of the admissions from a care home identified on manual check had a care home source of admission recorded on the PAS. Both methods performed well; the automated tool had a higher positive predictive value than the Nuffield method (100% 95% confidence interval (CI) 98.23-100% versus 87.10% 95%CI 82.28-91.00%), meaning those coded as care home residents were more likely to actually be from a care home. Our automated tool had a high level of agreement 99.2% with the second Trust's data (Kappa 0.86 P < 0.001). Conclusions:care home status is not routinely or accurately captured. Automated matching offers an accurate, repeatable, scalable method to identify care home residency and could be used as a tool to benchmark how care home residents use acute hospital resources across the National Health Service.

journal_name

Age Ageing

journal_title

Age and ageing

authors

Housley G,Lewis S,Usman A,Gordon AL,Shaw DE

doi

10.1093/ageing/afx182

subject

Has Abstract

pub_date

2018-05-01 00:00:00

pages

387-391

issue

3

eissn

0002-0729

issn

1468-2834

pii

4757114

journal_volume

47

pub_type

杂志文章
  • Human immunodeficiency virus (HIV) in older people.

    abstract::The number of older people living with human immunodeficiency virus (HIV) in the UK is rising. Older people are at risk of acquiring HIV infection for a multitude of reasons. This, combined with effective HIV treatment which has significantly prolonged life expectancy, means that health care professionals working in t...

    journal_title:Age and ageing

    pub_type: 杂志文章,评审

    doi:10.1093/ageing/afq009

    authors: Pratt G,Gascoyne K,Cunningham K,Tunbridge A

    更新日期:2010-05-01 00:00:00

  • Identifying a sample of elderly people by a postal screen.

    abstract::This paper describes how a sample of elderly people were identified from the electoral register using an initial postal screen, and reports a technique that was used to increase the response to the screen. ...

    journal_title:Age and ageing

    pub_type: 杂志文章

    doi:10.1093/ageing/16.2.119

    authors: Cartwright A,Smith C

    更新日期:1987-03-01 00:00:00

  • Persistent pain is a risk factor for frailty: a systematic review and meta-analysis from prospective longitudinal studies.

    abstract:Background:pain is prevalent in frail older adults; however, the association of pain and frailty has not been evaluated yet by a systematic assessment of prospective longitudinal studies. Objective:we aimed to assess the association of persistent pain as a risk factor for frailty incidence, using data from longitudina...

    journal_title:Age and ageing

    pub_type: 杂志文章,meta分析

    doi:10.1093/ageing/afy104

    authors: Saraiva MD,Suzuki GS,Lin SM,de Andrade DC,Jacob-Filho W,Suemoto CK

    更新日期:2018-11-01 00:00:00

  • Carotid disease in acute stroke.

    abstract:BACKGROUND:the Oxfordshire Community Stroke Project (OCSP) devised a simple clinical classification for acute stroke which predicted mortality, functional recovery and patterns of recurrent stroke. We aimed to determine whether this could predict the presence of carotid disease and be used to select which patients with...

    journal_title:Age and ageing

    pub_type: 杂志文章

    doi:10.1093/ageing/27.6.677

    authors: Mead GE,Shingler H,Farrell A,O'Neill PA,McCollum CN

    更新日期:1998-11-01 00:00:00

  • Drug compliance amongst psychiatric day hospital attenders.

    abstract::Drug compliance was assessed amongst all 91 patients attending a psychogeriatric day hospital during July 1988. Of the 86 patients taking medication, the 57 functionally and 29 organically ill patients were interviewed at home, the latter with their carers. A disparity in results was shown when compliance was measured...

    journal_title:Age and ageing

    pub_type: 杂志文章

    doi:10.1093/ageing/19.3.191

    authors: Rosenvinge HP,Groarke EP,Bradshaw JW

    更新日期:1990-05-01 00:00:00

  • Review: xerostomia: a symptom which acts like a disease.

    abstract::This review considers the changes in salivary glands associated with ageing and concludes that there is no evidence to show that xerostomia is likely to result from the ageing process alone. The four main factors causing xerostomia are presented and it can be seen that the condition is a side-effect of diseases and th...

    journal_title:Age and ageing

    pub_type: 杂志文章,评审

    doi:10.1093/ageing/25.5.409

    authors: Ettinger RL

    更新日期:1996-09-01 00:00:00

  • Contribution of the elderly to a district hospital combined gastroenterology clinic.

    abstract::The contribution of the elderly to the workload of a combined consultative District Hospital Gastroenterology Clinic has been studied over a 12-year period. The elderly group comprise 24% of the total referrals with a gradually increasing trend over successive years. The service implications are discussed and the main...

    journal_title:Age and ageing

    pub_type: 杂志文章

    doi:10.1093/ageing/17.1.49

    authors: Purkayastha SK,Salter RH,Holmes KM

    更新日期:1988-01-01 00:00:00

  • Myasthenia gravis and elderly people.

    abstract::Myasthenia gravis is probably commoner than previously suspected, the annual incidence being nearer 9-10/million than earlier figures of 2-4/million. The current study found an annual incidence in Croyden of 9.1 per million (95% confidence limits 5.7-13.8 per million). Of the 22 patients (59%) seen in Croyden with new...

    journal_title:Age and ageing

    pub_type: 杂志文章

    doi:10.1093/ageing/25.1.56

    authors: Schon F,Drayson M,Thompson RA

    更新日期:1996-01-01 00:00:00

  • STOPP/START version 2-development of software applications: easier said than done?

    abstract::Explicit criteria, such as the STOPP/START criteria, are increasingly used both in clinical practice and in research to identify potentially inappropriate prescribing in older people. In an article on the STOPP/START criteria version 2, O'Mahony et al have pointed out the advantages of developing computerised criteria...

    journal_title:Age and ageing

    pub_type: 杂志文章

    doi:10.1093/ageing/afw114

    authors: Anrys P,Boland B,Degryse JM,De Lepeleire J,Petrovic M,Marien S,Dalleur O,Strauven G,Foulon V,Spinewine A

    更新日期:2016-09-01 00:00:00

  • Temporal trends in impairments of physical function among older adults during 2001-16 in Sweden: towards a healthier ageing.

    abstract:Background:a trend towards decline in disability has been reported in older adults, but less is known about corresponding temporal trends in measured physical functions. Objective:to verify these trends during 2001-16 in an older Swedish population. Methods:functional status was assessed at three occasions: 2001-04 (...

    journal_title:Age and ageing

    pub_type: 杂志文章

    doi:10.1093/ageing/afy085

    authors: Santoni G,Angleman SB,Ek S,Heiland EG,Lagergren M,Fratiglioni L,Welmer AK

    更新日期:2018-09-01 00:00:00

  • Delay in diagnosis of colorectal cancer in elderly patients.

    abstract::The medical histories of 178 colorectal cancer patients were studied retrospectively from hospital records. The average age at the time of diagnosis was 71 years. Visible loss of blood or anaemia were the commonest features. The mean time from first symptom to first medical consultation was 82.8 days. Men under 65 yea...

    journal_title:Age and ageing

    pub_type: 杂志文章

    doi:10.1093/ageing/22.4.260

    authors: Kemppainen M,Räihä I,Rajala T,Sourander L

    更新日期:1993-07-01 00:00:00

  • The prevalence of faecal incontinence in older people living at home.

    abstract:BACKGROUND:faecal incontinence affects quality of life and causes caregiver strain. Patients are often reluctant to seek help because of embarrassment and perceived lack of effective treatment. Persisting faecal soiling may lead to unwanted and premature institutionalization. OBJECTIVE:to ascertain the prevalence of f...

    journal_title:Age and ageing

    pub_type: 杂志文章

    doi:10.1093/ageing/30.6.503

    authors: Edwards NI,Jones D

    更新日期:2001-11-01 00:00:00

  • Increasing delirium skills at the front door: results from a repeated survey on delirium knowledge and attitudes.

    abstract:BACKGROUND:delirium is under-recognised in comparison to other common and serious acute disorders. A 2006 survey of UK junior doctors (not undertaking specialist training) identified poor knowledge of the diagnostic criteria and treatment of delirium. We hypothesised that increased prominence accorded to delirium in th...

    journal_title:Age and ageing

    pub_type: 杂志文章

    doi:10.1093/ageing/afw066

    authors: Jenkin RP,Al-Attar A,Richardson S,Myint PK,MacLullich AM,Davis DH

    更新日期:2016-07-01 00:00:00

  • Frequency, intensity and localization of pain as risk factors for frailty in older adults.

    abstract:Background:the association between pain characteristics and frailty risk is uncertain. Objective:to investigate the separate impact of the frequency, intensity and location of pain on frailty risk and its possible mechanisms. Methods:prospective cohort of 1505 individuals ≥63 years followed between 2012 and 2015 in S...

    journal_title:Age and ageing

    pub_type: 杂志文章

    doi:10.1093/ageing/afy163

    authors: Rodríguez-Sánchez I,García-Esquinas E,Mesas AE,Martín-Moreno JM,Rodríguez-Mañas L,Rodríguez-Artalejo F

    更新日期:2019-01-01 00:00:00

  • Beta-thromboglobulin and the diagnosis of thrombosis in elderly patients.

    abstract::The plasma concentration of beta-thromboglobulin was estimated in elderly in-patients using a radio-immuno-assay technique. There were highly significance differences between the mean values of patients with arterial or venous thrombosis, as compared with controls. The ability of the test to detect thrombosis above th...

    journal_title:Age and ageing

    pub_type: 杂志文章

    doi:10.1093/ageing/8.1.13

    authors: Denham MJ,Fisher M,James G,Hassan M,Hodkinson HM

    更新日期:1979-02-01 00:00:00

  • Measures of physical functioning after hip fracture: construct validity and responsiveness of performance-based and self-reported measures.

    abstract:OBJECTIVES:this study aimed to investigate the construct validity and responsiveness of performance-based and self-reported measures of strength, mobility and balance after hip fracture. DESIGN:secondary analysis of clinical trial data. SUBJECTS:a total of 148 older people undergoing hip fracture rehabilitation. MET...

    journal_title:Age and ageing

    pub_type: 杂志文章,随机对照试验

    doi:10.1093/ageing/afs090

    authors: Farag I,Sherrington C,Kamper SJ,Ferreira M,Moseley AM,Lord SR,Cameron ID

    更新日期:2012-09-01 00:00:00

  • Inhaled therapy in elderly COPD patients; time for re-evaluation?

    abstract:OBJECTIVE:chronic obstructive pulmonary disease (COPD) prevalence steadily increases with age. However, the effectiveness of inhaled therapy in the elderly COPD population has rarely been formally evaluated. We studied a group of elderly patients with COPD with a range of severity, selected from one General Practice re...

    journal_title:Age and ageing

    pub_type: 杂志文章

    doi:10.1093/ageing/afl174

    authors: Jarvis S,Ind PW,Shiner RJ

    更新日期:2007-03-01 00:00:00

  • Faecal incontinence in residential homes for the elderly: prevalence, aetiology and management.

    abstract::Faecal incontinence occurring at least once weekly was found in 10.3% of residents in 30 residential homes for the elderly. Fifty-two randomly-selected incontinent residents were prescribed treatment and the outcome was compared with 30 incontinent residents acting as controls. The vast majority of all incontinent res...

    journal_title:Age and ageing

    pub_type: 临床试验,杂志文章

    doi:10.1093/ageing/15.1.41

    authors: Tobin GW,Brocklehurst JC

    更新日期:1986-01-01 00:00:00

  • A pooled analysis of the efficacy of fesoterodine for the treatment of overactive bladder, and the relationship between safety, co-morbidity and polypharmacy in patients aged 65 years or older.

    abstract:Background:overactive bladder (OAB) is a common condition in older persons. Antimuscarinic treatment remains the mainstay of treatment of OAB but clinicians have been reluctant to prescribe this to older patients. This study examined efficacy and safety information from patients >65 in fesoterodine trials to reaffirm e...

    journal_title:Age and ageing

    pub_type: 杂志文章

    doi:10.1093/ageing/afw252

    authors: Wagg A,Arumi D,Herschorn S,Angulo Cuesta J,Haab F,Ntanios F,Carlsson M,Oelke M

    更新日期:2017-07-01 00:00:00

  • Duodenal ulcer disease in the elderly: a retrospective study.

    abstract::A retrospective study was performed of 163 patients aged 65 years and over with a diagnosis of duodenal ulceration admitted to one Health District over a period of six years. Eighty per cent of the patients were admitted with acute complications, 50% bled and 30% were perforated. A large proportion of these patients w...

    journal_title:Age and ageing

    pub_type: 杂志文章

    doi:10.1093/ageing/14.4.225

    authors: Watson RJ,Hooper TL,Ingram G

    更新日期:1985-07-01 00:00:00

  • Where are we in perioperative medicine for older surgical patients? A UK survey of geriatric medicine delivered services in surgery.

    abstract:INTRODUCTION:national reports have highlighted deficiencies in care provided to older surgical patients and suggested a role for innovative, collaborative, inter-specialty models of care. The extent of geriatrician-led perioperative services in the UK (excluding orthogeriatric services) has not previously been describe...

    journal_title:Age and ageing

    pub_type: 杂志文章

    doi:10.1093/ageing/afu084

    authors: Partridge JS,Collingridge G,Gordon AL,Martin FC,Harari D,Dhesi JK

    更新日期:2014-09-01 00:00:00

  • How effective is integrated care for community-dwelling frail older people? The case of the Netherlands.

    abstract::Integrated care programs have been developed to enhance the quality care for older adults in primary care. These programs usually consist of a multidisciplinary approach, with personalised care based on comprehensive geriatric assessments. However, there is limited evidence for the effectiveness of these programs in f...

    journal_title:Age and ageing

    pub_type: 杂志文章,评审

    doi:10.1093/ageing/afw081

    authors: Hoogendijk EO

    更新日期:2016-09-01 00:00:00

  • Associated factors with antipsychotic use in assisted living facilities: a cross-sectional study of 4367 residents.

    abstract:BACKGROUND:antipsychotics are widely used in assisted living (AL facilities). Even more, the prescription of these drugs is gradually increasing since the availability of second-generation atypical antipsychotics. More knowledge is needed on prescription reasons to understand this increasing prevalence. METHODS:cross-...

    journal_title:Age and ageing

    pub_type: 杂志文章

    doi:10.1093/ageing/afr032

    authors: Larrayadieu A,Abellan van Kan G,Piau A,Soto Martin M,Nourhashemi F,Rolland Y,Vellas B

    更新日期:2011-05-01 00:00:00

  • Interleukin-1 production by human monocytes in ageing and disease.

    abstract::Interleukin-1 mediates the febrile response which is often said to be reduced in the elderly. Interleukin-1 production by monocytes cultured in vitro and stimulated with bacterial lipopolysaccharide was measured. Three groups of subjects were studied; 40 normal young, 33 well elderly and 40 elderly with a history of r...

    journal_title:Age and ageing

    pub_type: 杂志文章

    doi:10.1093/ageing/18.1.43

    authors: Rudd AG,Banerjee DK

    更新日期:1989-01-01 00:00:00

  • Medication management at home: medication-related risk factors associated with poor health outcomes.

    abstract:BACKGROUND:Some patients may have medication-related risk factors only identified by home visits, but the extent to which those risk factors are associated with poor health outcomes remains unclear. OBJECTIVE:To determine the association between medication-related risk factors and poor patient health outcomes from obs...

    journal_title:Age and ageing

    pub_type: 杂志文章

    doi:10.1093/ageing/afi202

    authors: Sorensen L,Stokes JA,Purdie DM,Woodward M,Roberts MS

    更新日期:2005-11-01 00:00:00

  • Bridging the gap: the effectiveness of teaming a stroke coordinator with patient's personal physician on the outcome of stroke.

    abstract:OBJECTIVES:to test the hypothesis as to whether persons newly discharged into the community following an acute stroke and assigned a stroke case manager would experience, compared to usual post-hospital care, better health-related quality of life (HRQL), fewer emergency room visits and less non-elective hospitalisation...

    journal_title:Age and ageing

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.1093/ageing/afm133

    authors: Mayo NE,Nadeau L,Ahmed S,White C,Grad R,Huang A,Yaffe MJ,Wood-Dauphinee S

    更新日期:2008-01-01 00:00:00

  • Changes in falls prevention policies in hospital in England and Wales.

    abstract:BACKGROUND:in 2007, the National Patient Safety Agency (NPSA) published 'Slips trips and falls in hospital' and 'Using bedrails safely and effectively'. OBJECTIVES:this observational study aimed to identify changes in local policies in hospitals in England and Wales following these publications. METHOD:policies in pl...

    journal_title:Age and ageing

    pub_type: 杂志文章

    doi:10.1093/ageing/afs063

    authors: Healey F,Treml J

    更新日期:2013-01-01 00:00:00

  • Does ingestion of cranberry juice reduce symptomatic urinary tract infections in older people in hospital? A double-blind, placebo-controlled trial.

    abstract:BACKGROUND:cranberry juice is often given to older people in hospital to prevent urinary tract infection (UTI), although there is little evidence to support its use. OBJECTIVE:to assess whether cranberry juice ingestion is effective in reducing UTIs in older people in hospital. DESIGN:randomised, placebo-controlled, ...

    journal_title:Age and ageing

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1093/ageing/afi101

    authors: McMurdo ME,Bissett LY,Price RJ,Phillips G,Crombie IK

    更新日期:2005-05-01 00:00:00

  • Renal impairment and its effects on calcium metabolism in elderly women.

    abstract::Investigation of 21 elderly women with a wide range of renal function showed that plasma creatinine concentrations above 100 mumol/l were associated with glomerular filtration rates (GFR) below 50 ml/min. Plasma 1,25-dihydroxyvitamin D concentrations and radio-calcium absorption were directly related to GFR and were l...

    journal_title:Age and ageing

    pub_type: 杂志文章

    doi:10.1093/ageing/13.1.14

    authors: Francis RM,Peacock M,Barkworth SA

    更新日期:1984-01-01 00:00:00

  • Evaluation of a nurse-led falls prevention programme versus usual care: a randomized controlled trial.

    abstract:OBJECTIVE:to evaluate a nurse-led management plan and care pathway for older people discharged from an Accident and Emergency Department after a fall. DESIGN:randomized controlled trial. SETTING:a large teaching hospital. SUBJECTS:348 consecutive patients aged 65 or over attending the Accident and Emergency Departme...

    journal_title:Age and ageing

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1093/ageing/31.3.203

    authors: Lightbody E,Watkins C,Leathley M,Sharma A,Lye M

    更新日期:2002-05-01 00:00:00