Volume 30, Issue 4 pp. 202-207

Hospital admissions from residential aged care facilities to a major public hospital in South Australia (1999–2005)

Jodie B Hillen

Jodie B Hillen

Discipline of General Practice, Flinders University, Adelaide, South Australia, Australia

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Richard L Reed

Corresponding Author

Richard L Reed

Discipline of General Practice, Flinders University, Adelaide, South Australia, Australia

Professor Richard L Reed, Director Discipline of General Practice, Flinders University. Email: [email protected]Search for more papers by this author
Richard J Woodman

Richard J Woodman

Discipline of General Practice, Flinders University, Adelaide, South Australia, Australia

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Deborah Law

Deborah Law

Health Services Integration, Southern Adelaide Health Service, Adelaide, South Australia, Australia

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Paul H Hakendorf

Paul H Hakendorf

Clinical Epidemiology Department, Flinders Medical Centre, Adelaide, South Australia, Australia

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Brian J Fleming

Brian J Fleming

Planning, Department of Health and Ageing, Adelaide, South Australia, Australia

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First published: 11 November 2010
Citations: 9

Conflict of interest: None to declare.

Abstract

Aim: To describe admissions patterns of residential aged care facility (RACF) residents admitted to a major public hospital.

Design, setting: Retrospective longitudinal study linking hospital admissions and the Department of Health and Ageing RACF provider data from July 1999 to June 2005.

Participants: All permanent residents of aged care facilities in South Australia admitted to a single public hospital.

Main outcome measures: Description of primary diagnoses and trends.

Results: There were 3310 admissions from 147 RACFs across South Australia. The most frequent primary diagnoses were fractured femur/pelvis, pneumonia and ischaemic heart disease. Two diagnoses increased significantly with an 11% annual increase for infections and a 5% increase for femur fractures.

Conclusion: Admissions from RACFs to a major South Australian public hospital are increasing primarily because of admissions for femur fractures and infections in high care. These conditions could be targeted for interventions to reduce hospital admissions.

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