Predicting who will be admitted to a care home from hospital?

Jenni Burton is a Clinical Research Fellow in Geriatric Medicine funded by the Alzheimer Scotland Dementia Research Centre and the Centre for Cognitive Ageing and Cognitive Epidemiology at the University of Edinburgh. Here she discusses the results of two linked systematic reviews of predictors of care home admission from hospital. She tweets @JenniKBurton.

Care home admission from hospital has long been recognised as an area of significant variation in practice (Oliver D et al. 2014. Making our health and care systems fit for an ageing population) and one which remains a strategic target to reduce across the UK. However, more than half of care home admissions each year in Scotland come directly from hospital settings. It is therefore important to explore the predictors of this life-changing transition to help inform prognostication, communication with individuals and their families, service planning and the extent to which we can intervene to prevent or modify this outcome.  Continue reading

New institutionalisation following an acute hospital admission

Jenni Harrison is a Clinical Research Fellow in Geriatric Medicine funded by the Alzheimer Scotland Dementia Research Centre and the Centre for Cognitive Ageing and Cognitive Epidemiology at the University of Edinburgh. Here she discusses her recently published paper in Age and Ageing. She tweets @JenniKHarrison.

hospitalNew care home admission (also termed new institutionalisation) following an acute hospital admission occurs commonly in the UK. However, national policy documents argue the practice should generally be avoided. Furthermore it is known to be an area of six-fold variation in practice

However, research to understand new care home admission has been limited and little is known about those who experience this extremely important transition. Our interdisciplinary research study evaluated one hundred people admitted from home to a single hospital who were newly admitted to institutional care at the time of discharge. Continue reading