Multisite analysis of the timing and outcomes of unplanned transfers from subacute to acute care

Australian Health Review : a Publication of the Australian Hospital Association
Julie ConsidineTrisha Dunning Am

Abstract

The aim of the present study was to examine the timing and outcomes of patients requiring an unplanned transfer from subacute to acute care. Subacute care in-patients requiring unplanned transfer to an acute care facility within four Victorian health services from 1 January to 31 December 2010 were included in the study. Data were collected using retrospective audit. The primary outcome was transfer within 24 h of subacute care admission. In all, 431 patients (median age 81 years) had unplanned transfers; of these, 37.8% had a limitation of medical treatment (LOMT) order. The median subacute care length of stay was 43 h: 29.0% of patients were transferred within 24 h and 83.5% were transferred within 72 h of subacute care admission. Predictors of transfer within 24 h were comorbidity weighting (odds ratio (OR) 1.1, P = 0.02) and LOMT order (OR 2.1, P < 0.01). Hospital admission occurred in 87.2% of patients and 15.4% died in hospital. Predictors of in-hospital mortality were comorbidity weighting (OR 1.2, P < 0.01) and the number of physiological abnormalities in the 24 h preceding transfer (OR 1.3, P < 0.01). There is a high rate of unplanned transfers to acute care within 24h of admission to subacute care. Unplanned transfers...Continue Reading

References

Apr 6, 2004·British Journal of Anaesthesia·D R Goldhill, A F McNarry
Feb 21, 2009·Journal of Advanced Nursing·Julie ConsidineRobyn Potter
Mar 17, 2010·Annals of Internal Medicine·Patrick HaentjensSteven Boonen
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Apr 16, 2014·Australian Health Review : a Publication of the Australian Hospital Association·Philip VisserDaryl Jones

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Citations

Nov 26, 2015·Australasian Emergency Nursing Journal : AENJ·Maryann Street, Julie Considine
Jun 23, 2018·International Journal for Quality in Health Care : Journal of the International Society for Quality in Health Care·Julie ConsidineAlison M Hutchinson
May 2, 2019·PM & R : the Journal of Injury, Function, and Rehabilitation·Duncan McKechnieMurray J Fisher
Nov 27, 2019·Journal of Clinical Nursing·Duncan McKechnieRochelle McKechnie
Jan 19, 2019·Australian Health Review : a Publication of the Australian Hospital Association·Duncan McKechnieTara Alexander
Mar 8, 2020·Journal of Clinical Nursing·Robin DigbyTracey K Bucknall

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