{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T01:38:02Z","timestamp":1787017082628,"version":"build-2736575974"},"reference-count":21,"publisher":"CSIRO Publishing","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,9,3]]},"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>This study aimed to describe pathway timing and 90-day outcomes for long-stay inpatients discharged to residential aged care homes (RACHs), predominantly new entrants, and to explore potentially modifiable factors associated with delays and the composite unsuccessful placement outcome.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A retrospective cohort study using the Metro South Hospital and Health Service long-stay dashboard was used. Adults flagged as long-stay with a primary reason of awaiting RACH admission (1 January\u201331 May 2025) and subsequently admitted to a RACH within the health service were included. Key intervals were hospital admission-to-readiness for the RACH pathway and readiness-to-RACH admission (including interim care bed length of stay, where applicable). The primary outcome was the composite of unsuccessful placement within 90 days, defined as emergency department presentation, unplanned readmission, or non-return placement failure.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Of 293 flagged patients, 198 were admitted to a RACH and included. Median age was 83 years, and 48% were male; 49% had documented dementia. Median acute length of stay was 28 days; median time from admission to readiness was 10 days, and from readiness to RACH admission was 24 days. Within 90 days, 32% attended an emergency department, 22% were readmitted, and 5% experienced non-return placement failure; 36% met the composite outcome.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Long-stay inpatients discharged to RACH experience substantial pathway delays and frequent early acute-care utilisation. Strengthening early family engagement and goals-of-care documentation may support safer transitions and help target quality improvement.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1071\/ah26115","type":"journal-article","created":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T01:10:30Z","timestamp":1787015430000},"source":"Crossref","is-referenced-by-count":0,"title":["Outcomes after discharge from acute hospital to residential aged care among long-stay inpatients: a retrospective cohort study using a health service long-stay dashboard"],"prefix":"10.1071","volume":"50","author":[{"ORCID":"https:\/\/orcid.org\/0009-0002-5059-6722","authenticated-orcid":true,"given":"Terry Stewart","family":"Nash","sequence":"first","affiliation":[{"name":"Princess Alexandra Hospital, The University of Queensland, 199 Ipswich Road A , , , .","place":["Brisbane, Qld 4067, Australia"]},{"name":"CAREPACT, HLCC, Metro South Hospital and Health Service, 199 Ipswich Road B , , , .","place":["Woolloongabba, Qld 4120, Australia"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Erin","family":"Cranitch","sequence":"additional","affiliation":[{"name":"CAREPACT, HLCC C , , , , .","place":["Woolloongabba, Qld, Australia"]},{"name":"Princess Alexandra Hospital C , , , , .","place":["Woolloongabba, Qld, Australia"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paula","family":"Mcleister","sequence":"additional","affiliation":[{"name":"CAREPACT, HLCC C , , , , .","place":["Woolloongabba, Qld, Australia"]},{"name":"Princess Alexandra Hospital C , , , , .","place":["Woolloongabba, Qld, Australia"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Juliana","family":"Friedrich","sequence":"additional","affiliation":[{"name":"Department of Social Work D , , , , .","place":["Woolloongabba, Qld, Australia"]},{"name":"Princess Alexandra Hospital D , , , , .","place":["Woolloongabba, Qld, Australia"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michelle","family":"Jiang","sequence":"additional","affiliation":[{"name":"Principal Advisor, Long Stay, Metro South Health Service District E , , , .","place":["Woolloongabba, Qld, Australia"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fiona","family":"Trad","sequence":"additional","affiliation":[{"name":"Brain Injury and Rehabilitation Unit F , , , , .","place":["Woolloongabba, Qld, Australia"]},{"name":"Princess Alexandra Hospital F , , , , .","place":["Woolloongabba, Qld, Australia"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Brett","family":"Davies","sequence":"additional","affiliation":[{"name":"Biostatistics, Queensland Cyber Infrastructure Foundation G , , , .","place":["Saint Lucia, Qld, Australia"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cara","family":"Barnett","sequence":"additional","affiliation":[{"name":"Department of Medicine H , , , , .","place":["Woolloongabba, Qld, Australia"]},{"name":"Princess Alexandra Hospital H , , , , .","place":["Woolloongabba, Qld, Australia"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alan","family":"Ho","sequence":"additional","affiliation":[{"name":"Office of the Chief Operating Officer, Metro South Hospital and Health Service I , , , .","place":["Woolloongabba, Qld, Australia"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aisling","family":"Fleury","sequence":"additional","affiliation":[{"name":"Department of Medicine H , , , , .","place":["Woolloongabba, Qld, Australia"]},{"name":"Princess Alexandra Hospital H , , , , .","place":["Woolloongabba, Qld, Australia"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paula","family":"Foley","sequence":"additional","affiliation":[{"name":"Office of the Chief Operating Officer, Metro South Hospital and Health Service I , , , .","place":["Woolloongabba, Qld, Australia"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"67","published-online":{"date-parts":[[2026,8,18]]},"reference":[{"key":"2026081721102804800_R1","unstructured":"The Long Stay Crisis: Collaborative Solutions for Delayed Discharge from Hospital of Older People Joint Discussion Paper of Dementia Australia, Council on the Ageing. 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