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Reading: Factors predicting a successful post-discharge outcome for individuals aged 80 years and over

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Research & theory

Factors predicting a successful post-discharge outcome for individuals aged 80 years and over

Authors:

Line Kildal Bragstad ,

NO
About Line
OT, M.Sc, Doctoral research fellow, Faculty of Medicine, Institute of Health and Society, Department of Nursing Science, University of Oslo. P.O. Box 1130 Blindern, NO-0318 Oslo, Norway
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Marit Kirkevold,

NO
About Marit

RN, EdD, Professor, Faculty of Medicine, Institute of Health and Society, Department of Nursing Science, University of Oslo. P.O. Box 1130 Blindern, NO-0318 Oslo, Norway

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Dag Hofoss,

NO
About Dag
PhD, Professor, Faculty of Medicine, Institute of Health and Society, Department of Nursing Science, University of Oslo. P.O. Box 1130 Blindern, NO-0318 Oslo, Norway
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Christina Foss

NO
About Christina
RN, PhD, Associate Professor, Faculty of Medicine, Institute of Health and Society, Department of Nursing Science, University of Oslo. P.O. Box 1130 Blindern, NO-0318 Oslo, Norway
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Abstract

Introduction and background: The early post-discharge period is a vulnerable time for older patients with complex care requirements. This paper identifies factors predicting a self-reported successful post-discharge outcome for patients aged 80 and over by exploring factors related to the discharge process, the provision of formal home-care services, informal care and characteristics of the patients.

Methods: The study reports results from survey interviews with patients admitted from home to 14 hospitals in Norway and later discharged home. Logistic regression analysis was performed to assess the impact of a number of factors on the likelihood that the patients would report that they managed well after discharge.

Results: The odds of managing well after discharge were more than four times higher (OR=4.75, p= .022) for patients reporting that someone was present at homecoming than for those who came home to an empty house. Patients who reported receiving adequate help from the municipality had an odds four times (OR 4.18, p= .006) higher of reporting that everything went well after discharge than those who stated the help was inadequate.

Conclusions: Having someone at home upon return from hospital and having adequate formal home-care services are significantly associated with patient-reported success in managing well.

How to Cite: Bragstad LK, Kirkevold M, Hofoss D, Foss C. Factors predicting a successful post-discharge outcome for individuals aged 80 years and over. International Journal of Integrated Care. 2012;12(1):None. DOI: http://doi.org/10.5334/ijic.691
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Published on 10 Feb 2012.
Peer Reviewed

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