Australasian Journal on Ageing最新文献

{"title":"Changing cultures of ageing and spirituality By E. MacKinlay, A. Harrington, Routledge. Taylor & Francis Publishing. 2024. 170 pages. $67.19 (soft cover). ISBN: 9781032561264","authors":"Kieva Richards","doi":"10.1111/ajag.70028","DOIUrl":"https://doi.org/10.1111/ajag.70028","url":null,"abstract":"","PeriodicalId":55431,"journal":{"name":"Australasian Journal on Ageing","volume":"44 2","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-06-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144315243","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Pilot implementation of the mod-REFS frailty screening tool in an Australian home care provider to improve client health and well-being","authors":"Ahsan Saleem,&nbsp;Kylie Elder,&nbsp;Pamela Smedley,&nbsp;Rajna Ogrin,&nbsp;Judy A. Lowthian","doi":"10.1111/ajag.70056","DOIUrl":"https://doi.org/10.1111/ajag.70056","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>Frailty refers to increased vulnerability and decreased resilience with associated increased risk of adverse health outcomes. Frailty mostly affects older adults; hence, early identification is necessary to prevent further decline. To help optimise health and well-being, we aimed to implement a holistic frailty screening tool, the modified Reported Edmonton Frail Scale (mod-REFS) within an Australian aged and community home care provider.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>The Implementation Framework for Aged Care guided implementation and evaluation, including co-design with key stakeholders. Clinical (nurses and allied health) and non-clinical (personal care workers) home care staff administered the mod-REFS in a pilot. Evaluation of feasibility, acceptability and fidelity of the tool was undertaken using administrative data alongside a staff survey.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Between July and October 2023, the mod-REFS was completed for 218 clients from Queensland and Victoria, with almost two-thirds (<i>n</i> = 142, 65%) identified as either prefrail (<i>n</i> = 57, 26%) or frail (<i>n</i> = 85, 39%). A greater percentage were prefrail and frail in Victoria than in Queensland. The staff survey (<i>n</i> = 27) identified that the mod-REFS was considered helpful by most (<i>n</i> = 15, 55%); quick, easy to use, concise, very practical; and able to identify frailty levels and other important issues such as depression. Most staff (<i>n</i> = 23, 85%) required no training to use the tool.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Implementing the mod-REFS to identify prefrailty or frailty was feasible and acceptable when administered by a range of home care staff. Implementation requires input from all stakeholders. Early identification and intervention could prevent deterioration and improve well-being of those receiving home care services.</p>\u0000 </section>\u0000 </div>","PeriodicalId":55431,"journal":{"name":"Australasian Journal on Ageing","volume":"44 2","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-06-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144281434","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"First steps in co-designing an online patient decision support tool for enhanced medication management in older people","authors":"Temitope Esther Afolabi,&nbsp;Sarah N. Hilmer,&nbsp;Christopher Etherton-Beer,&nbsp;Lisa Kouladjian O'Donnell","doi":"10.1111/ajag.70053","DOIUrl":"https://doi.org/10.1111/ajag.70053","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>To develop a preliminary version (minimum viable product [MVP]) of an online medication management patient decision support for older people informed by a stakeholder committee (SC).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A SC comprising of consumers, health-care practitioners and researchers was recruited to inform the development of the MVP. The SC met via videoconferencing, individually or in groups, with investigators to provide guidance and advice on the design and features of the MVP. Brief content analysis was performed on data extracted from video-recorded meetings, meeting minutes, notes and email correspondence to inform the MVP development.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The SC comprised two older people, one carer, pharmacist, nurse, geriatrician, general practitioner and two digital health researchers (<i>n</i> = 9) from three Australian states. In collaboration with the SC, an MVP called <i>My Medicine Goals</i> (mymedicinegoals.com) was developed for older people. It supports consumers to document and update their medicines list; identify, plan and communicate goals of care; and provides a medicines information resource hub. Other tools include interactive versions of the revised Patient's Attitudes Towards Deprescribing questionnaire and self-assessment of medication risks.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>This project presents an approach empowering older people and carers to play active roles in co-design research to develop relevant and impactful online patient-facing health-care applications for older people.</p>\u0000 </section>\u0000 </div>","PeriodicalId":55431,"journal":{"name":"Australasian Journal on Ageing","volume":"44 2","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-06-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/ajag.70053","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144273467","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Using acousmatic storytelling to facilitate communication and social interactions in people living with dementia: An iterative exploratory 12-week study","authors":"Soon Yi Chua,&nbsp;Justin Christensen,&nbsp;Renee Timmers,&nbsp;Julia Schauerman,&nbsp;Kathryn Rawling","doi":"10.1111/ajag.70052","DOIUrl":"https://doi.org/10.1111/ajag.70052","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>Communication challenges in people living with dementia can limit social interactions with fellow residents and hinder professional carers' ability to provide person-centred care. While research highlights the benefits of reminiscence, storytelling and music interventions in facilitating social interaction, the potential of using soundscapes in storytelling remains underexplored. This qualitative study investigated how acousmatic storytelling—using sound recordings and music to inspire storytelling, evoke imagery and emotion, and iteratively develop hybrid audio compositions—can enhance communication and social interactions in people living with dementia.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Twelve one-hour workshops were conducted with individuals in the early to mid-stages of dementia at a care home, using auditory cues (music and soundscapes) and visual prompts (photographs and poems) to stimulate memory recall, storytelling and group discussion. Data were collected through video and audio recordings, participant observation and semi-structured interviews with care workers.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Inductive thematic analysis identified two key themes in verbal communication: (1) reminiscence and (2) creative sound associations, as well as five themes for non-verbal behaviours: (1) supporting verbal communication, (2) substituting verbal communication, (3) expressing emotions, (4) enhancing rapport with others and (5) expressing musicality. These themes highlight how participants engaged meaningfully in both storytelling and group interactions.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Findings suggest that acousmatic storytelling offers a platform for individuals living with dementia to engage in verbal communication, employ purposeful non-verbal behaviours and participate in meaningful social interaction. This highlights its potential as a narrative approach for enhancing person-centred care in long-term care settings.</p>\u0000 </section>\u0000 </div>","PeriodicalId":55431,"journal":{"name":"Australasian Journal on Ageing","volume":"44 2","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-06-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/ajag.70052","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144273466","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Overcoming geographic barriers with telemedicine: Digital transformation strategies for preventing cardiovascular disease in older adults","authors":"Sanyuan Wei,&nbsp;Ruolan Wang","doi":"10.1111/ajag.70055","DOIUrl":"https://doi.org/10.1111/ajag.70055","url":null,"abstract":"","PeriodicalId":55431,"journal":{"name":"Australasian Journal on Ageing","volume":"44 2","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-06-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144264498","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Exploring care staff perspectives of malnutrition in residential aged care","authors":"Karly Bartrim,&nbsp;Rhiannon Hill,&nbsp;Marie-Claire O'Shea","doi":"10.1111/ajag.70054","DOIUrl":"https://doi.org/10.1111/ajag.70054","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>This study aimed to explore the understanding of care staff in Residential Aged Care (RAC) regarding malnutrition and their perspectives on the multideterminant factors associated with providing nutrition care to residents.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A qualitative study was conducted, utilising the socioecological model as a framework. Focus groups were conducted with current RAC care staff and were recruited via convenience sampling. Three focus groups were conducted using semi-structured questions.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Fifteen RAC care staff (<i>n</i> = 13 female participants) with a range of career experience participated in focus groups (five participants per focus group). Two main themes and five subthemes were identified. Theme 1: lack of understanding of malnutrition, with subthemes of: 1.1: there are no residents with malnutrition in my facility, 1.2: gaining weight is more of a concern than weight loss (associated with malnutrition), and Theme 2: feeling restrained in doing more, with subthemes of: 2.1: limited time and lack of staff impact the care I can provide, 2.2: residents with malnutrition have greater care needs, and 2.3: lack of social support contributes to malnutrition.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>The study explored malnutrition issues in RACs from care staff perspectives. Care staff expressed genuine care for residents, yet felt they lacked capacity to provide adequate support, particularly for those with malnutrition. Staff shortages, inadequate training, and time constraints affected their ability to attend to resident needs. The study identified systematic issues, particularly at the policy level, in malnutrition management, providing a clear focus for improvement and future research.</p>\u0000 </section>\u0000 </div>","PeriodicalId":55431,"journal":{"name":"Australasian Journal on Ageing","volume":"44 2","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-06-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/ajag.70054","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144256343","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"‘This is perfect, thank you’: Research poetry on gratitude for voluntary assisted dying in Victoria, Australia","authors":"Ben P. White,&nbsp;Ruthie Jeanneret,&nbsp;Sarah Holland-Batt,&nbsp;Evonne Miller","doi":"10.1111/ajag.70019","DOIUrl":"https://doi.org/10.1111/ajag.70019","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>To undertake the first scholarly examination in Australia of how those involved in seeking voluntary assisted dying (VAD) discuss the concept of gratitude for this new end-of-life choice. The article shares findings through research poetry, an arts-based form of research where poems are developed from data (here, interview transcripts).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Twenty-eight semi-structured qualitative interviews were conducted with 33 participants (32 family caregivers; one patient). Participants were asked about their VAD experience, with caregivers also asked about the experience of their family member. Data were thematically analysed, focusing on expressions of gratitude for VAD. Miller's five-step process was adopted to create the research poetry.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Gratitude for VAD was a significant concept for participants. We identified three gratitude themes relating to what people were grateful for, who people were grateful to and other feelings mixed in with their gratitude, such as ambivalence. We created six poems to illuminate these findings and give voice to the gratitude expressed by patients and family caregivers about VAD.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Gratitude for VAD was emphasised by participants as an important part of their experience and something that can help family caregivers cope after a VAD death. Expressions of gratitude can support health professionals providing VAD and create support for law reform in other jurisdictions. Research poetry reflecting this gratitude can contribute to reducing the stigma attached to VAD and enhance awareness of this relatively new end-of-life choice. More research is needed into the emotional experience of those involved in seeking and receiving VAD in Australia.</p>\u0000 </section>\u0000 </div>","PeriodicalId":55431,"journal":{"name":"Australasian Journal on Ageing","volume":"44 2","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-06-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/ajag.70019","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144244154","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Factors affecting progression to frailty in community-dwelling older adults during all COVID-19 waves","authors":"Ebru Çakir,&nbsp;Hatice Tuğba Yazir,&nbsp;Mustafa Çetin,&nbsp;Zehra Sarikaya Demirbaş,&nbsp;Mehmet Ilkin Naharci","doi":"10.1111/ajag.70050","DOIUrl":"https://doi.org/10.1111/ajag.70050","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>Frailty, defined as a reduced capacity to manage stress due to multisystem dysfunction, has a significant impact on quality of life, morbidity and mortality. This study aimed to identify the factors influencing the progression to frailty in community-dwelling older adults during the coronavirus disease 2019 (COVID-19) pandemic.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This prospective observational study included non-frail individuals aged 65 years or older admitted to a geriatric outpatient clinic. Evaluation was conducted before (T0) and after (T1) the pandemic. Logistic regression analysis was performed to examine factors associated with progression to frailty.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The final sample comprised 139 participants (mean age 74.8 ± 6.2 years, 60% female). The median follow-up time was 53 months (range, 27–60). Thirty-one participants (22%) developed frailty after the pandemic. In the clinical follow-up (T1), a decrease in the Mini Nutritional Assessment-Short Form score was associated with an increased risk of frailty. In the multivariate logistic regression analysis, four or more doses of the COVID-19 vaccine, sufficient physical activity and a Mini-Mental State Examination score ≥27 points were associated with a lower risk of transition to frailty, while polypharmacy and age ≥75 years were associated with an increased risk.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>This study highlights the importance of full vaccination, along with promoting physical activity, mitigating polypharmacy and enhancing cognitive health to prevent the onset of frailty during a viral pandemic.</p>\u0000 </section>\u0000 </div>","PeriodicalId":55431,"journal":{"name":"Australasian Journal on Ageing","volume":"44 2","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144190859","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The impact of outdoor physical activity on psychological resilience in older adults: The role of perceived health in active ageing","authors":"Mehmet Doğan,&nbsp;Bülent Gürbüz","doi":"10.1111/ajag.70051","DOIUrl":"https://doi.org/10.1111/ajag.70051","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>Given the rising physical and cognitive risks associated with ageing, consistent engagement in physical activity is essential for alleviating these risks and fostering active ageing. This study investigated the mediating role of perceived health in the relationship between leisure-based outdoor physical activity involvement and psychological resilience among older adults.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This cross-sectional study, conducted in 2023–2024, utilised a convenience sampling method to collect data from older adults in Türkiye who engage in outdoor physical activities. Data were collected using the Leisure Involvement Scale (LIS), Perceived Health Outcomes in Recreation Scale (PHORS) and Brief Resilience Scale (BRS). In line with the objective of the study, a mediation analysis was conducted using the PROCESS macro for data analysis.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The analyses revealed positive associations between outdoor physical activity involvement, perceived health and psychological resilience. Specifically, outdoor physical activity involvement was to positively influence perceived health and psychological resilience. Moreover, health perception was identified as a mediator in the relationship between outdoor physical activity involvement and psychological resilience. The findings suggest that participation in outdoor physical activities not only enhances health perception and psychological resilience but also highlights the crucial role of health perception as a bridge between them.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>It has been observed that outdoor physical activities positively influence the resilience of older adults through the mediating effect of health perception. Therefore, it is imperative to promote outdoor physical activities that foster active ageing, as they play a crucial role in enhancing the overall health-care framework for older adults.</p>\u0000 </section>\u0000 </div>","PeriodicalId":55431,"journal":{"name":"Australasian Journal on Ageing","volume":"44 2","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144190857","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Factors associated with length of stay in patients from residential aged care facilities admitted for behavioural and psychological symptoms of dementia","authors":"Adeloisa Pajaro,&nbsp;Timothy To,&nbsp;Craig Whitehead","doi":"10.1111/ajag.70044","DOIUrl":"https://doi.org/10.1111/ajag.70044","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>To determine factors affecting the length of stay (LOS) in patients from residential aged care facilities (RACFs) admitted for behavioural and psychological symptoms of dementia (BPSD).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Medical records for RACF patients admitted to Flinders Medical Centre between January and December 2018 were reviewed. For patients admitted with BPSD, demographics, clinical characteristics, admission characteristics and outcomes were extracted. Key outcomes were LOS and admission to a subacute unit (psychogeriatric or geriatric) for ongoing care. Factors influencing LOS and subacute admission were explored.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The average LOS was 21.7 days and median LOS 10.5 days. Younger age, prior Dementia Behaviour Management Advisory Service review, psychogeriatrician assessment, inpatient treatment order and increased number of Code Blacks (hospital code for violent behaviour) were associated with a longer LOS and subacute admission. Being women and being bed-bound were associated with shorter admission and direct discharge. Opioid use was associated with shorter admission. Use of benzodiazepine and higher dose, higher antipsychotic dose, use of antidepressant or mood stabilisers were associated with subacute admission. The presence of reversible causes was associated with direct discharge.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Certain clinical characteristics may be associated with LOS in patients with BPSD from RACFs. This information may help in the development of strategies to prevent acute presentation to hospital, minimise LOS and create pathways for improved management.</p>\u0000 </section>\u0000 </div>","PeriodicalId":55431,"journal":{"name":"Australasian Journal on Ageing","volume":"44 2","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-05-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/ajag.70044","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144135846","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}