Evidence map›Paper›PMID 32359019›Full record

ArticleInternal medicine journal2021

Health status and healthcare trends of individuals accessing Australian aged care programmes over a decade: the Registry of Senior Australians historical cohort.

Maria C Inacio, Catherine Lang, Sarah C E Bray, Renuka Visvanathan, Craig Whitehead, Elizabeth C Griffith, Keith Evans, Megan Corlis, Steve Wesselingh

Abstract read
In one paragraph

Article in Internal medicine journal, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 39 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
39citing papers in PubMed, 3 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

39 citing papers in PubMed, 3 syntheses or guidelines pooled it.

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  18. Setting standards in residential aged care: identifying achievable benchmarks of care for long-term aged care services.International journal for quality in health care : journal of the International Society for Quality in Health Care · 2024
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Maria C InacioRegistry of Senior Australians, South Australian Health and Medical Research Institute, Adelaide, South Australia, Australia.ORCID https://orcid.org/0000-0001-8261-2665
Catherine LangRegistry of Senior Australians, South Australian Health and Medical Research Institute, Adelaide, South Australia, Australia.
Sarah C E BrayRegistry of Senior Australians, South Australian Health and Medical Research Institute, Adelaide, South Australia, Australia.
Renuka VisvanathanNational Health and Medical Research Council Centre of Research Excellence in Frailty and Healthy Ageing, University of Adelaide, Adelaide, South Australia, Australia.
Craig WhiteheadDivision of Rehabilitation, Aged Care and Palliative Care, Southern Adelaide Local Health Network, SA Health, Adelaide, South Australia, Australia.
Elizabeth C GriffithClinical Research, South Australian Health and Medical Research Institute, Adelaide, South Australia, Australia.
Keith EvansRegistry of Senior Australians, South Australian Health and Medical Research Institute, Adelaide, South Australia, Australia.
Megan CorlisResearch and Development, Helping Hand Aged Care, Adelaide, South Australia, Australia.
Steve WesselinghSouth Australian Health and Medical Research Institute, Adelaide, South Australia, Australia.

Funding

South Australian Government Department for Innovation and Skills
6 · The paper itself

Abstract

backgroundUnderstanding the health profile, service and medicine use of Australians in the aged care sector will help inform appropriate service provision for our ageing population.

aimsTo examine the 2006-2015 trends in (i) comorbidities and frailty of individuals accessing aged care, and (ii) health services, medicine use and mortality after entry into long-term care.

methodsCross-sectional and population-based trend analyses were conducted using the Registry of Senior Australians.

resultsFrom 2006 to 2015, 509 944 individuals accessed permanent residential care, 206 394 home care, 283 014 respite and 124 943 transition care. Over this time, the proportion of individuals accessing permanent residential care with high frailty scores (≥0.3) increased (19.7-49.7%), as did the proportion with 5-9 comorbidities (46.4-54.5%), with similar trends observed for those accessing other services. The median number of medicines dispensed in the year after entering permanent residential care increased from 9 (interquartile range (IQR) 6-12) to 10 (IQR 7-14), while remaining stable in home care (2006: 9, IQR 5-12, 2015: 9, IQR 6-13). Short-term (within 100 days) mortality in those accessing permanent care was higher in 2006 (15.6%, 95% CI 15.2-16.0) than 2015 (14.6%, 95% CI 14.3-14.9). Longer term (101-1095 days, 2006: 44.3%, 95% CI 43.7-45.0, 2015: 46.4%, 95% CI 45.8-46.9) mortality was higher in 2015 compared to 2006. Mortality in individuals accessing home care did not change.

conclusionThe health of older Australians accessing aged care programmes has declined while frailty increased, with an increasing use of medicine and worse long-term mortality in some. Funding and care models need to adapt to this changing profile.

Indexed as

Delivery of Health CareHealth StatusAgedAustraliaCross-Sectional StudiesHumansRegistriescomorbiditycost of illnessfrailtyhealth services for the agedmortality

Identifiers

PMID32359019
PMCPMC8251748

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.