The Pattern of Hospital Admissions Prior to Care Home Placement in People With Parkinson's Disease: Evidence of a Period of Crisis for Patients and Carers

Joanna Klaptocz; William K. Gray; Sophie Marwood; Mitali Agarwal; Joseph Ziegler; Zoszka Webb; Meghna Prabhakar; Annette Hand; Lloyd Oates; Claire McDonald; Richard W. Walker

doi:10.1177/0898264318786125

The Pattern of Hospital Admissions Prior to Care Home Placement in People With Parkinson's Disease: Evidence of a Period of Crisis for Patients and Carers

Joanna Klaptocz, William K. Gray, Sophie Marwood, Mitali Agarwal, Joseph Ziegler, Zoszka Webb, Meghna Prabhakar, Annette Hand, Lloyd Oates, Claire McDonald, Richard W. Walker

Nursing Midwifery and Health Department

Research output: Contribution to journal › Article › peer-review

7 Citations (Scopus)

Abstract

OBJECTIVES: We hypothesized that the number and length of hospital admissions in people with Parkinson's disease (PD) would increase immediately prior to admission to a care home relative to those who were able to continue living at home or who died.

METHOD: PD patients at Hoehn and Yahr Stages III to V were followed-up over two and a half years with deaths and care home placements recorded. Hospital admissions data were collected over this period.

RESULTS: Of 286 patients included in the study, 7.3% entered a care home and 28.3% died. In the final 120 days prior to the study exit point (care home placement, death, or continued living at home), longer hospital stay was significantly associated with care home placement, after adjusting for the competing risk of death.

CONCLUSION: Our data provide evidence that, for many people with PD, a period of crisis is reached immediately prior to care home placement.

Original language	English
Pages (from-to)	1616-1630
Journal	Journal of Aging and Health
Volume	31
Issue number	9
Early online date	4 Jul 2018
DOIs	https://doi.org/10.1177/0898264318786125
Publication status	Published - 1 Oct 2019

Keywords

Parkinson’s disease
care homes
hospital admission
care burden

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10.1177/0898264318786125

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Klaptocz, J., Gray, W. K., Marwood, S., Agarwal, M., Ziegler, J., Webb, Z., Prabhakar, M., Hand, A., Oates, L., McDonald, C., & Walker, R. W. (2019). The Pattern of Hospital Admissions Prior to Care Home Placement in People With Parkinson's Disease: Evidence of a Period of Crisis for Patients and Carers. Journal of Aging and Health, 31(9), 1616-1630. https://doi.org/10.1177/0898264318786125

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abstract = "OBJECTIVES: We hypothesized that the number and length of hospital admissions in people with Parkinson's disease (PD) would increase immediately prior to admission to a care home relative to those who were able to continue living at home or who died.METHOD: PD patients at Hoehn and Yahr Stages III to V were followed-up over two and a half years with deaths and care home placements recorded. Hospital admissions data were collected over this period.RESULTS: Of 286 patients included in the study, 7.3% entered a care home and 28.3% died. In the final 120 days prior to the study exit point (care home placement, death, or continued living at home), longer hospital stay was significantly associated with care home placement, after adjusting for the competing risk of death.CONCLUSION: Our data provide evidence that, for many people with PD, a period of crisis is reached immediately prior to care home placement.",

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author = "Joanna Klaptocz and Gray, {William K.} and Sophie Marwood and Mitali Agarwal and Joseph Ziegler and Zoszka Webb and Meghna Prabhakar and Annette Hand and Lloyd Oates and Claire McDonald and Walker, {Richard W.}",

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Klaptocz, J, Gray, WK, Marwood, S, Agarwal, M, Ziegler, J, Webb, Z, Prabhakar, M, Hand, A, Oates, L, McDonald, C & Walker, RW 2019, 'The Pattern of Hospital Admissions Prior to Care Home Placement in People With Parkinson's Disease: Evidence of a Period of Crisis for Patients and Carers', Journal of Aging and Health, vol. 31, no. 9, pp. 1616-1630. https://doi.org/10.1177/0898264318786125

TY - JOUR

T1 - The Pattern of Hospital Admissions Prior to Care Home Placement in People With Parkinson's Disease

T2 - Evidence of a Period of Crisis for Patients and Carers

AU - Klaptocz, Joanna

AU - Gray, William K.

AU - Marwood, Sophie

AU - Agarwal, Mitali

AU - Ziegler, Joseph

AU - Webb, Zoszka

AU - Prabhakar, Meghna

AU - Hand, Annette

AU - Oates, Lloyd

AU - McDonald, Claire

AU - Walker, Richard W.

PY - 2019/10/1

Y1 - 2019/10/1

N2 - OBJECTIVES: We hypothesized that the number and length of hospital admissions in people with Parkinson's disease (PD) would increase immediately prior to admission to a care home relative to those who were able to continue living at home or who died.METHOD: PD patients at Hoehn and Yahr Stages III to V were followed-up over two and a half years with deaths and care home placements recorded. Hospital admissions data were collected over this period.RESULTS: Of 286 patients included in the study, 7.3% entered a care home and 28.3% died. In the final 120 days prior to the study exit point (care home placement, death, or continued living at home), longer hospital stay was significantly associated with care home placement, after adjusting for the competing risk of death.CONCLUSION: Our data provide evidence that, for many people with PD, a period of crisis is reached immediately prior to care home placement.

AB - OBJECTIVES: We hypothesized that the number and length of hospital admissions in people with Parkinson's disease (PD) would increase immediately prior to admission to a care home relative to those who were able to continue living at home or who died.METHOD: PD patients at Hoehn and Yahr Stages III to V were followed-up over two and a half years with deaths and care home placements recorded. Hospital admissions data were collected over this period.RESULTS: Of 286 patients included in the study, 7.3% entered a care home and 28.3% died. In the final 120 days prior to the study exit point (care home placement, death, or continued living at home), longer hospital stay was significantly associated with care home placement, after adjusting for the competing risk of death.CONCLUSION: Our data provide evidence that, for many people with PD, a period of crisis is reached immediately prior to care home placement.

KW - Parkinson’s disease

KW - care homes

KW - hospital admission

KW - care burden

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DO - 10.1177/0898264318786125

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SN - 0898-2643

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JO - Journal of Aging and Health

JF - Journal of Aging and Health

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ER -

The Pattern of Hospital Admissions Prior to Care Home Placement in People With Parkinson's Disease: Evidence of a Period of Crisis for Patients and Carers

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