{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,7]],"date-time":"2026-10-07T15:47:00Z","timestamp":1791388020314,"version":"4.3.3"},"reference-count":53,"publisher":"Wiley","issue":"11","license":[{"start":{"date-parts":[[2021,6,21]],"date-time":"2021-06-21T00:00:00Z","timestamp":1624233600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["agsjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J American Geriatrics Society"],"published-print":{"date-parts":[[2021,11]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>\n                      To examine individual\n                      <jats:italic>,<\/jats:italic>\n                      medication, system, and healthcare related predictors of hospitalization and emergency department (ED) presentation within 90\u2009days of entering the aged care sector, and to create risk\u2010profiles associated with these outcomes.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design and setting<\/jats:title>\n                    <jats:p>Retrospective population\u2010based cohort study using data from the Registry of Senior Australians.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Participants<\/jats:title>\n                    <jats:p>\n                      Older people (aged 65 and older) with an aged care eligibility assessment in South Australia between January 1, 2013 and May 31, 2016 (\n                      <jats:italic>N<\/jats:italic>\n                      \u00a0=\u00a022,130).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Measurements<\/jats:title>\n                    <jats:p>\n                      Primary outcomes were unplanned hospitalization and ED presentation within 90\u2009days of assessment. Individual, medication, system, and healthcare related predictors of the outcomes at the time of assessment, within 90\u2009days or 1\u2010year prior. Fine\u2013Gray models were used to calculate subdistribution hazard ratios (sHR) and 95% confidence intervals (CI). Harrell's\n                      <jats:italic>C<\/jats:italic>\n                      \u2010index assessed predictive ability.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Four thousand nine\u2010hundred and six (22.2%) individuals were hospitalized and 5028 (22.7%) had an ED presentation within 90\u2009days. Predictors of hospitalization included: being a man (hospitalization sHR\u00a0=\u00a01.33, 95% CI 1.26\u20131.42), \u22653 urgent after\u2010hours attendances (hospitalization sHR\u00a0=\u00a01.21, 95% CI 1.06\u20131.39), increasing frailty index score (hospitalization sHR\u00a0=\u00a01.19, 95% CI 1.11\u20131.28), individuals using glucocorticoids (hospitalization sHR\u00a0=\u00a01.11, 95% CI 1.02\u20131.20), sulfonamides (hospitalization sHR\u00a0=\u00a01.18, 95% CI 1.10\u20131.27), trimethoprim antibiotics (hospitalization sHR\u00a0=\u00a01.15, 95% CI 1.03\u20131.29), unplanned hospitalizations 30\u2009days prior (hospitalization sHR\u00a0=\u00a01.13, 95% CI 1.04\u20131.23), and ED presentations 1\u2009year prior (hospitalization sHR\u00a0=\u00a01.07, 95% CI 1.04\u20131.10). Similar predictors and hazard estimates were also observed for ED presentations. The hospitalization models out\u2010of\u2010sample predictive ability (\n                      <jats:italic>C<\/jats:italic>\n                      \u2010index\u00a0=\u00a00.653, 95% CI 0.635\u20130.670) and ED presentations (\n                      <jats:italic>C<\/jats:italic>\n                      \u2010index\u00a0=\u00a00.647, 95% CI 0.630\u20130.663) were moderate.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>One in five individuals with aged care eligibility assessments had unplanned hospitalizations and\/or ED presentation within 90\u2009days with several predictors identified at the time of aged care eligibility assessment. This is an actionable period for targeting at\u2010risk individuals to reduce hospitalizations.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jgs.17317","type":"journal-article","created":{"date-parts":[[2021,6,22]],"date-time":"2021-06-22T02:05:05Z","timestamp":1624327505000},"page":"3142-3156","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":21,"title":["Predictors of short\u2010term hospitalization and emergency department presentations in aged care"],"prefix":"10.1111","volume":"69","author":[{"given":"Maria C.","family":"Inacio","sequence":"first","affiliation":[{"name":"Registry of Senior Australians South Australian Health and Medical Research Institute  Adelaide South Australia Australia"},{"name":"UniSA Allied Health and Human Performance University of South Australia  Adelaide South Australia Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Robert N.","family":"Jorissen","sequence":"additional","affiliation":[{"name":"Registry of Senior Australians South Australian Health and Medical Research Institute  Adelaide South Australia Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jyoti","family":"Khadka","sequence":"additional","affiliation":[{"name":"Registry of Senior Australians South Australian Health and Medical Research Institute  Adelaide South Australia Australia"},{"name":"College of Nursing and Health Sciences Flinders University  Adelaide South Australia Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Craig","family":"Whitehead","sequence":"additional","affiliation":[{"name":"College of Medicine and Public Health Flinders University  Adelaide South Australia Australia"},{"name":"Southern Adelaide Local Health Network SA Health  Adelaide South Australia Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"John","family":"Maddison","sequence":"additional","affiliation":[{"name":"Northern Adelaide Local Health Network SA Health  Adelaide South Australia Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alice","family":"Bourke","sequence":"additional","affiliation":[{"name":"Central Adelaide Local Health Network SA Health  Adelaide South Australia Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Clarabelle T.","family":"Pham","sequence":"additional","affiliation":[{"name":"College of Medicine and Public Health Flinders University  Adelaide South Australia Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jonathon","family":"Karnon","sequence":"additional","affiliation":[{"name":"College of Medicine and Public Health Flinders University  Adelaide South Australia Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Steve L.","family":"Wesselingh","sequence":"additional","affiliation":[{"name":"South Australian Health and Medical Research Institute  Adelaide South Australia Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elizabeth","family":"Lynch","sequence":"additional","affiliation":[{"name":"Faculty of Health and Medical Sciences University of Adelaide  Adelaide South Australia Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gillian","family":"Harvey","sequence":"additional","affiliation":[{"name":"Faculty of Health and Medical Sciences University of Adelaide  Adelaide South Australia Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gillian E.","family":"Caughey","sequence":"additional","affiliation":[{"name":"Registry of Senior Australians South Australian Health and Medical Research Institute  Adelaide South Australia Australia"},{"name":"UniSA Allied Health and Human Performance University of South Australia  Adelaide South Australia Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maria","family":"Crotty","sequence":"additional","affiliation":[{"name":"College of Medicine and Public Health Flinders University  Adelaide South Australia Australia"},{"name":"Southern Adelaide Local Health Network SA Health  Adelaide South Australia Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2021,6,21]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1186\/1471-227X-11-21"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.5694\/j.1326-5377.2006.tb00289.x"},{"key":"e_1_2_10_4_1","unstructured":"JiangHJ WeissAJ BarrettML.Characteristics of Emergency Department Visits for Super\u2010Utilizers by Payer 2014: Statistical Brief #221. 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