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dc.contributor.authorComans, Tracy A
dc.contributor.authorPeel, Nancye M
dc.contributor.authorHubbard, Ruth E
dc.contributor.authorMulligan, Andrew D
dc.contributor.authorGray, Leonard C
dc.contributor.authorScuffham, Paul A
dc.date.accessioned2018-09-28T07:19:09Z
dc.date.available2018-09-28T07:19:09Z
dc.date.issued2016
dc.identifier.issn0002-0729
dc.identifier.doi10.1093/ageing/afv196
dc.identifier.urihttp://hdl.handle.net/10072/99758
dc.description.abstractBackground: older people are high users of healthcare resources. The frailty index can predict negative health outcomes; however, the amount of extra resources required has not been quantified. Objective: to quantify the impact of frailty on healthcare expenditure and resource utilisation in a patient cohort who entered a community-based post-acute program and compare this to a cohort entering residential care. Methods: the interRAI home care assessment was used to construct a frailty index in three frailty levels. Costs and resource use were collected alongside a prospective observational cohort study of patients. A generalized linear model was constructed to estimate the additional cost of frailty and the cost of alternative residential care for those with high frailty. Results: participants (n = 272) had an average age of 79, frailty levels were low in 20%, intermediate in 50% and high in 30% of the cohort. Having an intermediate or high level of frailty increased the likelihood of re-hospitalisation and was associated with 22 and 43% higher healthcare costs over 6 months compared with low frailty. It was less costly to remain living at home than enter residential care unless >62% of subsequent hospitalisations in 6 months could be prevented. Conclusions: the frailty index can potentially be used as a tool to estimate the increase in healthcare resources required for different levels of frailty. This information may be useful for quantifying the amount to invest in programs to reduce frailty in the community.
dc.description.peerreviewedYes
dc.languageEnglish
dc.publisherOxford University Press
dc.relation.ispartofpagefrom317
dc.relation.ispartofpageto320
dc.relation.ispartofissue2
dc.relation.ispartofjournalAge and Ageing
dc.relation.ispartofvolume45
dc.subject.fieldofresearchGeriatrics and Gerontology
dc.subject.fieldofresearchClinical Sciences
dc.subject.fieldofresearchPsychology
dc.subject.fieldofresearchPublic Health and Health Services
dc.subject.fieldofresearchcode110308
dc.subject.fieldofresearchcode1103
dc.subject.fieldofresearchcode1701
dc.subject.fieldofresearchcode1117
dc.titleThe increase in healthcare costs associated with frailty in older people discharged to a post-acute transition care program
dc.typeJournal article
dc.type.descriptionC1 - Articles
dc.type.codeC - Journal Articles
gro.facultyGriffith Health, School of Medicine
gro.hasfulltextNo Full Text
gro.griffith.authorScuffham, Paul A.
gro.griffith.authorComans, Tracy


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