Socio-demographic factors predict the likelihood of not returning home after hospital admission following a fall

R. Gilbert*, C. Todd, M. May, L. Yardley, Y. Ben-Shlomo

*Corresponding author for this work

Research output: Contribution to journalArticle (Academic Journal)peer-review

15 Citations (Scopus)

Abstract

Background Falls in older people result in a substantial use of resources in the NHS and care homes One way to reduce the burden would be to identify the factors associated with the likelihood of being discharged to a care home rather than being discharged home after fall-related hospitalization. We investigate the associations between discharge destination after fall-related hospital admission with ecological factors (area deprivation, ethnicity and rurality) and individual level factors (age, gender and co-morbidities)

Methods We extracted data for patients aged over 50 admitted from their 'usual residence' with a fall-related diagnosis from the Hospital Episode Statistics (HES) database

Results Increasing age, people with severe co-morbidities and people who live in less deprived, predominantly white or rural areas, were more likely to be discharged to a different residence (all P-values <0.001) We estimated that 88 3% of people from an area classified as most deprived, urban and >5% Asian would return home, compared with 78 0% from least deprived, village/isolated and all white area

Conclusion Further research is required to examine whether these patterns reflect appropriate care or alternatively that some sub-groups of society have less access to care homes than others These factors may have public health implications for the equitable allocation of budgets for the provision of care for elderly patients discharged from hospital after a fall

Original languageEnglish
Pages (from-to)117-124
Number of pages8
JournalJournal of Public Health (United Kingdom)
Volume32
Issue number1
DOIs
Publication statusPublished - Mar 2010

Keywords

  • accidental falls
  • co-morbidity
  • ethnic groups
  • health services
  • patient discharge
  • rural health services
  • socio-economic factors
  • HIP FRACTURE
  • OLDER-PEOPLE
  • CARE LAW
  • ENGLAND
  • AGE

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