Evidence map›Paper›PMID 36456001›Full record

ArticleBMJ open2022

Factors associated with discharge from hospital to residential aged care for younger people with neuropsychiatric disorders: an exploratory case-control study in New South Wales, Australia.

Rachael Cherie Cvejic, Tim R Watkins, Adrian R Walker, Simone Reppermund, Preeyaporn Srasuebkul, Brian Draper, Adrienne Withall, Di Winkler, Ingrid Honan, Deidre Mackechnie and 1 more

Open access · goldAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in BMJ open, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
0.3field-weighted citation impact, top 34% of its field
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

0 citing papers in PubMed, 1 citations in OpenAlex.

No citing paper in PubMed yet.

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

11 authors at 5 institutions in 1 country.

Rachael Cherie CvejicDepartment of Developmental Disability Neuropsychiatry, UNSW Sydney, UNSW, New South Wales, Australia.ORCID 0000-0001-8026-2155
Tim R WatkinsDepartment of Developmental Disability Neuropsychiatry, UNSW Sydney, UNSW, New South Wales, Australia.
Adrian R WalkerDepartment of Developmental Disability Neuropsychiatry, UNSW Sydney, UNSW, New South Wales, Australia.
Simone ReppermundDepartment of Developmental Disability Neuropsychiatry, UNSW Sydney, UNSW, New South Wales, Australia.ORCID 0000-0003-4785-0224
Preeyaporn SrasuebkulDepartment of Developmental Disability Neuropsychiatry, UNSW Sydney, UNSW, New South Wales, Australia.
Brian DraperEastern Suburbs Older Persons Mental Health Service, Prince of Wales Hospital, Randwick, New South Wales, Australia.
Adrienne WithallSchool of Population Health, UNSW Sydney, UNSW, New South Wales, Australia.
Di WinklerSummer Foundation, Blackburn, Victoria, Australia.
Ingrid HonanCerebral Palsy Alliance, Allambie Heights, New South Wales, Australia.
Deidre MackechnieMS Australia, North Sydney, New South Wales, Australia.
Julian TrollorCentre for Healthy Brain Ageing, UNSW Sydney, UNSW, New South Wales, Australia J.Trollor@unsw.edu.au.ORCID 0000-0002-7685-2977
UNSW Sydney · AUCerebral Palsy Alliance · AULa Trobe University · AUMultiple Sclerosis Research Australia · AUPrince of Wales Hospital · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo examine the sociodemographic and diagnostic factors associated with a discharge from hospital to residential aged care (RAC) for younger people (aged 15-64 years) with neuropsychiatric disorders.

designAn exploratory case-control study using a historic cohort of people with neuropsychiatric disorders. Cases were people transferred to RAC on hospital discharge during the study period. Controls were people not transferred to RAC on discharge during the study period.

settingPublic and private hospital admissions in New South Wales (NSW), Australia.

participantsPeople aged 15-64 years with a neuropsychiatric disorder hospitalised in NSW between July 2002 and June 2015 (n=5 16 469). OUTCOME MEASURES: The main outcome was transferred to RAC on discharge from hospital. We calculated ORs for sociodemographic and diagnostic factors to determine factors that may impact discharge to RAC.

resultsDuring the period of data capture, 4406 people were discharged from hospitals to RAC. Discharge to RAC was most strongly associated with diagnoses of progressive neurological and cognitive disorders. Acute precipitants of RAC transfer included a broad range of conditions and injuries (eg, Wernicke's encephalopathy, stroke, falls) in the context of issues such as older age, not being partnered (married or de facto), living in areas of lower socioeconomic status, functional issues and the need for palliative care.

conclusionsThere are multiple intersecting and interacting pathways culminating in discharge from hospital to RAC among younger people with neuropsychiatric disorders. Improved capacity for interdisciplinary home care and alternative housing and support options for people with high support needs are required.

Indexed as

Hospitals, PrivatePatient DischargeAustraliaCase-Control StudiesHumansNew South WalesEPIDEMIOLOGYNEUROLOGYPSYCHIATRY

Identifiers

PMID36456001
PMCPMC9716979
OpenAlexW4310493704

What OpenQuestion holds

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LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

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.