Dementia and residential aged care

Transitions between home, hospital and residential aged care for people with and without dementia

Project Members - Macquarie University

Rebecca Mitchell - Associate Professor  E: r.mitchell@mq.edu.au

Project Main Description

Dementia greatly increases a person's risk of injury-related hospitalisation. It also significantly impacts on the care received following hospitalisation including access to rehabilitation care and, ultimately, discharge destination. One of the major limitations in using hospital administrative data collections in determining the impact of dementia is the lack of accurate data on usual place of residence at admission and on discharge from hospital.  Therefore, this research is using linked hospitalisation, residential aged care and aged care assessment data collections to investigate the transitions between home, hospital and residential aged care for people within and without dementia.  The results from this research are being used to inform approaches to care management following injury to maximise the chances of meaningful functional outcomes for injured individuals with dementia.

News and media

SURE helps researchers fill knowledge gaps on aged care transitions - Sax Institute 7 September 2017

Publications

• Mitchell R, Ting HP, Draper B, Close J, Harvey L, Brodaty H et al. (2020) Frailty and risk of re-hospitalisation and mortality for aged care residents following a fall injury hospitalisation. Australasian Journal on Ageing.
• Mitchell, R., Draper, B., Close, J., Harvey, L., Brodaty, H., Do, V., ... Braithwaite, J. (2019). Future hospital service utilisation in older adults living in long-term residential aged care or the community hospitalised with a fall-related injury. Osteoporosis International, 30(10), 1995-2008
• Mitchell R. Draper B. Harvey L. Wadolowski M. Brodaty H. Close J. (in-press, accepted 4 December 20182019) Comparison of hospitalised trends, treatment cost and health outcomes of fall-related hip fracture for people aged ≥65 years living in residential aged care and the community. Osteoporosis International, 30(2):311-321.
• Mitchell R. Harvey L. Draper B. Brodaty H. Close J. (2017) Risk factors associated with residential aged care, respite and transitional aged care placement for older people following an injury-related hospitalisation.  Archives of Gerontology and Geriatrics 72, 59-66.
• Harvey L. Mitchell R. Brodaty H. Draper B. Close J. (2017) Comparison of fall-related traumatic brain injury in residential aged care and community dwelling older people: a population based study.  Australasian Journal on Ageing, 36 (2) 144-150.
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Project Sponsors

Dementia Collaborative Research Centres

Collaborators

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