Most Read Articles
Roshini Claire Anthony, 3 days ago

Patients with mild hypertension who are at low risk for cardiovascular disease (CVD) do not appear to derive mortality or CVD benefit from antihypertensive treatments, raising questions on the need for treatment in this population, according to a recent study from England.

Pearl Toh, 6 days ago
A personalized computerized neurofeedback intervention for training attention and memory shows potential in cognitive training for healthy elderly men, who improved in cognitive performance after the training, although no significant improvements were seen in the overall study population.
4 days ago
The simple Atrial fibrillation (AF) Better Care (ABC) pathway holistically updates the integrated care for AF patients and helps reduce the risk of adverse outcomes such as all-cause mortality, stroke/major bleeding/cardiovascular death and hospitalization, according to a study.
Yesterday
Type 1 diabetes impairs cognitive functioning in children, and this effect is exacerbated by extreme glycaemic levels, according to a recent meta-analysis.

Discharge to home uncommon in elderly

04 Mar 2018
The government will focus on building "community networks" to support those with dementia instead.

Less than 20 percent of elderly adults in immediate care facilities are discharged to their homes, a recent Japan study reports. Older age, need for greater care and the presence of several medical conditions are among the factors that appear to be significantly related to discharge to home.

Researchers accessed the information of 342,758 elderly individuals (mean age 84.3±8.2 years; 31.4 percent male) admitted to geriatric immediate care centres. Over the 2-year follow-up, only 65,210 participants (19.0 percent) were discharged to home.

In comparison, 21.0 percent (n=72,047) were transferred to a hospital, 10.2 percent (n=34,879) were transferred to other long-term care (LTC) facilities, 1.4 percent (n=4,674) were transferred to another place, 3.7 percent (n=12,659) died, and 7.0 percent (n=23,954) were discharged but were missing destination information.

After 1 year, the cumulative incidence of discharge to home was only 20.7 percent (95 percent CI, 20.5–20.8).

The multivariable competing-risk Cox proportional hazards regression model showed that older age (hazard ratio [HR] per 1-year increase, 0.98; 0.98–0.98; p<0.001), higher level of care needed (HR for level 5 vs level 1, 0.51; 0.49–0.53; p<0.001) and the presence of dementia (HR, 0.68; 0.65–0.72; p<0.001) were all associated with a decreased likelihood of discharge to home.

In comparison, males (HR, 1.07; 1.05–1.09; p<0.001) and those who received home-based LTC services a month before admission (HR, 2.53; 2.46–2.61; p<0.001) were more likely to be discharged to home.

Editor's Recommendations
Most Read Articles
Roshini Claire Anthony, 3 days ago

Patients with mild hypertension who are at low risk for cardiovascular disease (CVD) do not appear to derive mortality or CVD benefit from antihypertensive treatments, raising questions on the need for treatment in this population, according to a recent study from England.

Pearl Toh, 6 days ago
A personalized computerized neurofeedback intervention for training attention and memory shows potential in cognitive training for healthy elderly men, who improved in cognitive performance after the training, although no significant improvements were seen in the overall study population.
4 days ago
The simple Atrial fibrillation (AF) Better Care (ABC) pathway holistically updates the integrated care for AF patients and helps reduce the risk of adverse outcomes such as all-cause mortality, stroke/major bleeding/cardiovascular death and hospitalization, according to a study.
Yesterday
Type 1 diabetes impairs cognitive functioning in children, and this effect is exacerbated by extreme glycaemic levels, according to a recent meta-analysis.