The Association between Access to Emergency Respite and Hospital Admission: A Longitudinal, Cohort Case Register Study

Autor/inn/en	Patil, Dipti; Hall, Abigail; Hasan, Syeda; Pye, Holly; Lonergan, Paul; Bowker, Lindsay; Bethina, Laxmiram; Morris, Rohan
Titel	The Association between Access to Emergency Respite and Hospital Admission: A Longitudinal, Cohort Case Register Study
Quelle	In: British Journal of Learning Disabilities, 50 (2022) 4, S.504-513 (10 Seiten)Infoseite zur Zeitschrift PDF als Volltext Verfügbarkeit
Zusatzinformation	ORCID (Patil, Dipti) ORCID (Hall, Abigail) ORCID (Hasan, Syeda) ORCID (Pye, Holly) ORCID (Lonergan, Paul) ORCID (Bowker, Lindsay) ORCID (Bethina, Laxmiram) ORCID (Morris, Rohan)
Sprache	englisch
Dokumenttyp	gedruckt; online; Zeitschriftenaufsatz
ISSN	1354-4187
DOI	10.1111/bld.12425
Schlagwörter	Hospitals; At Risk Persons; Clinical Diagnosis; Intervention; Respite Care; Intellectual Disability; Correlation + Suchen Sie Ihr Suchwort? Krankengymnast; Krankenhaus; Risikogruppe; Intellect; Disability; Disabilities; Verstand; Behinderung; Korrelation
Abstract	Background: Reducing hospital admissions for people with a learning disability is a key objective of national guidelines. However, there are currently little available data which indicate factors which might reduce the risk of hospital admission. Using a cohort of people at risk of hospital admission, this research sought to explore the association between access to emergency respite and hospital admission. Methods: This study accessed data from 76 clients who were based within Pennine Care NHS Foundation Trust, who were on the Dynamic Risk Register due to assessed risk of possible hospital admission. After the employment of inclusion criteria, data from 51 clients were used in the analysis. The study accessed data from clinical records and any professionals meeting minutes (e.g., care and treatment review) from a 12-month period; information was collected pertaining to participants' diagnoses and the treatments and interventions that they had received. Findings: Whilst controlling for other interventions, a significant association between hospital admission and access to emergency respite was found, with emergency respite significantly reducing the odds of hospital admission (OR 0.05, CI 0 to 0.36, p = 0.001). Not having access to emergency respite increased the odds of hospital admission by 20.56 times. Conclusion: In the study catchment area, emergency respite appears to be significantly associated with a reduction in hospital admission, independent of other interventions offered. Further research is necessary to explore if this study's findings are replicable in other areas. This study has implications for the development of emergency respite services in local areas. (As Provided).
Anmerkungen	Wiley. Available from: John Wiley & Sons, Inc. 111 River Street, Hoboken, NJ 07030. Tel: 800-835-6770; e-mail: cs-journals@wiley.com; Web site: https://www.wiley.com/en-us
Erfasst von	ERIC (Education Resources Information Center), Washington, DC
Update	2024/1/01