Abstract

Abstract Background More than 30% of older people are discharged with new or additional disability following an acute hospital admission.1, 2 Older adults who are frail experience even higher levels of hospital-associated disability.3 For patients who experience hospital-associated disability, fewer than half will recover to their pre-illness level of functioning after 1 year and rates of death and nursing home placement are high.4 The economic consequences of hospital-associated disability are longer hospital length-of stay, increased rates of re-admission after discharge, an increased requirement for home care packages and long-term residential care beds. Methods An observational study was undertaken to determine the profile and needs of adults ≥75 years admitted to an acute hospital. Medical records were reviewed by two advanced nurse practitioners on day 1 of admission. From January 8th -22nd 2024, 352 hospital admission episodes were reviewed. Objectives Results Conclusion In conclusion, the results highlighted a need for 1. An increase in beds available in a Specialist Geriatric ward 2. A greater awareness at ED level of admitting specialty 3. An increase in the number of beds to be made available such as rehabilitation beds to facilitate early discharge from the acute hospital.

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