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11. Is communication key in stroke rehabilitation and recovery? National linked stroke data study.

Author

Zingelman, Sally, Wallace, Sarah J, Kim, Joosup, Mosalski, Simon, Faux, Steven G, Cadilhac, Dominique A, Alexander, Tara, Lannin, Natasha A, Olaiya, Muideen T, Clifton, Ross, Shiner, Christine T, Starr, Susan, and Kilkenny, Monique F

Subjects
STROKE-related mortality, RESEARCH funding, VISUAL analog scale, MULTIPLE regression analysis, RETROSPECTIVE studies, MULTIVARIATE analysis, DESCRIPTIVE statistics, LONGITUDINAL method, ODDS ratio, STROKE rehabilitation, CONVALESCENCE, COMMUNICATION, QUALITY of life, MEDICAL records, ACQUISITION of data, CONFIDENCE intervals, DATA analysis software, PROPORTIONAL hazards models, ACCESS to information
Abstract

Information on the characteristics or long-term outcomes of people with communication support needs post-stroke is limited. We investigated associations between communication gains in rehabilitation and long-term outcomes (quality-of-life [EuroQOL-ED-3 L], mortality) by post-stroke communication support need status. Retrospective cohort study using person-level linked data from the Australian Stroke Clinical Registry and the Australasian Rehabilitation Outcomes Centre (2014–2017). Communication support needs were assessed using the Functional Independence Measure™ comprehension and expression items recorded on admission indicated by scores one (total assistance) to five (standby prompting). Multivariable multilevel and Cox regression models were used to determine associations with long-term outcomes. Of 8,394 patients who received in-patient rehabilitation after stroke (42% female, median age 75.6 years), two-thirds had post-stroke communication support needs. Having aphasia (odds ratio [OR] 4.34, 95% CI 3.67–5.14), being aged ≥65 years (OR 1.21, 95% CI 1.08–1.36), greater stroke severity (unable to walk on admission; OR 1.48, 95% CI 1.32–1.68) and previous stroke (OR 1.25, 95% CI 1.11–1.41) were associated with increased likelihoods of having communication support needs. One-point improvement in FIM™ expression was associated with reduced likelihood of self-reporting problems related to mobility (OR 0.85, 95% CI: 0.80–0.90), self-care (OR 0.79, 95% CI: 0.74–0.86) or usual activities (OR 0.84, 95% CI: 0.75–0.94) at 90–180 days. Patients with communication support needs had greater mortality rates within one-year post-stroke (adjusted hazard ratio 1.99, 95% CI: 1.65–2.39). Two-thirds of patients with stroke require communication support to participate in healthcare activities. Establishing communication-accessible stroke care environments is a priority. [ABSTRACT FROM AUTHOR]

Published
2024
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12. Safety and efficacy of fluoxetine on functional outcome after acute stroke (AFFINITY): a randomised, double-blind, placebo-controlled trial

Author

Hankey, Graeme J., Hackett, Maree L., Almeida, Osvaldo P., Flicker, Leon, Mead, Gillian E., Dennis, Martin S., Etherton-Beer, Christopher, Ford, Andrew H., Billot, Laurent, Jan, Stephen, Lung, Thomas, Murray, Veronica, Lundström, Erik, Anderson, Craig S., Herbert, Robert, Carter, Gregory, Donnan, Geoffrey A., Nguyen, Huy-Thang, Gommans, John, Yi, Qilong, Li, Qiang, Bompoint, Severine, Barrett, Sarah, Claxton, Anne, O'Dea, Julia, Tang, Michelle, Williams, Clare, Peterson, Shenae, Drummond, Christie, Hong, Uyen-Ha, Le, Linh-Thi My, Ngo, Tram-Thi Bich, Mai, Yen-Bao, Han, Huyen-Thanh, Truong, Nhu-Quynh, Nguyen, Huong-Thi, Ngo, Hai-Thanh, Nguyen, -Thi Binh, Ha, Oanh-Thi Kieu, Nguyen, Trang-Le Huyen, Lindley, Richard I., New, Peter, Lee, Andrew, Tran, Thanh-Trung, Le, Loan-Tran Truc Mai, Kieu, Thuy-Le Vu, Nguyen, Sang-Van, Nguyen, Thuy-Anh Diem, Dang, Tam-Nhat, Phan, Hanh-Thi Truc, Vo, Loan-Thi Ngoc, Nguyen, Mai-Hue, Dang, Hanh-Cao, Tran, Hong-Thi, Dam, Linh-Thi Cam, Ngo, Trinh-Thi Kim, Pham, Thai-Nguyen Thanh, Pham, Binh-Nguyen, Dao, Nha-Thi Thanh, Nguyen, Huong-Thi Bich, Le, Linh-Thi Cam, Do, Chi-Minh, Huynh, Huy-Quoc, Tran, Giau-Thi Kim, Le, Oanh-Thi, Tran, Ly-Thi Khanh, Duong, Chinh-Dinh, Kieu, Duong-Van, Le, Na, Nguyen, Hoa-Ngoc, Le, Binh-Van, Nguyen, Long-Thanh, Nguyen, Long-Van, Dinh, Tuan-Quoc, Vo, Tan-Van, Bui, Tram-Ngoc, Hoang, Uyen-Thi To, Nguyen, Hien-Thi Bich, Nguyen, Ha-Thi Thu, Lam, Nga-Thuy, Le, Khanh-Kim, Trinh, Phuong-Thanh, Huynh, Hop-Quang, Nguyen, Thao-Thi Thu, Lu, Huyen-Ngoc, Pham, Tham-Hong, Nguyen, Sam-Hoanh, Le, Ninh-Hong, Nguyen, Giang-Truong, Doan, Bich-Thi, Pham, Sung-Phuoc, Luong, Duong-Huu, Mai, Ha-Van, Tran, Thuc-Van, Do, Phuong-Thi, Le, Hoai-Thi, Nguyen, Chi-Van, Nguyen, Phuong-Doan, Mai, Ton-Duy, Dao, Phuong-Viet, Nguyen, Dung-Tien, Khuong, Dai-Quoc, Vuong, Trung-Xuan, Vu, Lan-Tuong, Ngo, Ngoc-Duc, Dang, Hanh-Hong, Truong, Phuong-Thai, Le, Ngan-Thi, Hoang, Hoa-Van, Do, Chung-Quang, Nguyen, Minh-Thao, Dam, Anh-Hai, Le, Quynh-Nhu, Nguyen, Ngoc-Hoang, Nguyen, Tuyen-Van, Le, Toan-Dinh, Dinh, Ha-Thi Hai, Pham, Cuong-Van, Thach, Khanh-Thi Ngoc, Nguyen, Linh-Hai, Nguyen, Loan-Thi, Le, Vien-Chi, Tran, Phuong-Hong, Nguyen, Tai-Anh, Le, Tuan-Van, Truong, Luyen-Van, Bui, Tue-Chau, Huynh, Ngoc-Xuan, Dinh, Lap-Van, Pham, An-Gia, Le, Trang-Thi Huyen, Nguyen, Vy-Tuong, Nguyen, Yen-Hai, Nguyen, Thang-Ba, Thai, Huy, Pham, Quyen-Thi Ngoc, Dao, Khoa-Duy, Pham, Quoc-Nguyen Bao, Dang, Thuong-Thi Huyen, Dinh, Huong-Huynh To, Tong, Trang-Mai, Vu, Thuy-Thi, Le, Si-Tri, Tran, Tai-Ngoc, Tran, Phuong-Hoai, Dinh, Ngoc-Thuy Nhu, Nguyen, Binh-Thanh, Do, Vinh-Phuong, Nguyen, Anh-Ngoc, Nguyen, Binh-Thi Thanh, Blacker, David, Bunce, Lindsey, Tan, Ai Ling, Ghia, Darshan, Edmonds, Gillian, O'Loughlin, Nicole, Ewing, Megan, Whittaker, Kerri-Ann, Deane, Lorralee, Gawarikar, Yash, Jones, Brett, Lopez, Maria, Nagesh, Koushik, Siracusa, Emma, Davis, Stephen, McDonald, Amy, Tsoleridis, Jess, McCoy, Rachael, Jackson, David, Silver, Gab, Bates, Timothy R., Boudville, Amanda, Southwell, Lynda, Cordato, Dennis, McDougall, Alan J., Cappelen-Smith, Cecilia, Calic, Zeljka, Askar, Shabeel, Cheng, Qi, Kumar, Raymond, Geraghty, Richard, Duroux, Maree, Ratcliffe, Megan, Shone, Samantha, McLennan, Cassandra, Sahathevan, Ramesh, Hair, Casey, Levy, Stanley, Macdonald, Beverley, Nham, Benjamin, Rigney, Louise, Nathani, Dev, Gopinath, Sumana, Patel, Vishal, Mamun, Abul, Trewin, Benjamin, Phua, Chun, Choong, Ho, Tarrant, Lauren, Boyle, Kerry, Hewitt, Luisa, Hourn, Monique, Masterson, Amanda, Oakley, Kim, Ruddell, Karen, Sanctuary, Colette, Veitch, Kimberley, Burdusel, Camelia, Lee, Lina, Cheuk, Gary, Christley, Jeremy, Hartwell, Tabitha, Davenport, Craig, Hickey, Kate, Robertson, Rosanna, Carr, Michelle, Akbari, Sam, Coyle, Hannah, O'Neill, Megan, Redpath, Cameron, Roberts, Caroline, Tabesh, Marjan, Withiel, Toni, Abeysuriya, Kapila, Granger, Andrew, Abraham, Angela, Chua, Chermaine, Do Nguyen, Dung, Surendran, Vathani, Daines, Melissa, Shivlal, David, Latif, Mudassar, Mughal, Noreen, Morgan, Patricia, Krause, Martin, Priglinger, Miriam, Shandiz, Ehsan E., Day, Susan, Kho, Lay, Pollack, Michael, Dunne, Judith, Baines, Helen, Rees, Merridie, White, Jenni, Withanage, Aicuratiya, Delcourt, Candice, Carcel, Cheryl, Malavera, Alejandra, Kunchok, Amy, Ray, Elizabeth, Pepper, Elizabeth, Duckett, Emily, Ormond, Sally, Moey, Andrew, Kleinig, Timothy, Maxwell, Vanessa, Baldwin, Chantal, Vallat, Wilson, Field, Deborah, Markus, Romesh, Page, Kirsty, Wheelwright, Danielle, Bolitho, Sam, Faux, Steven, Sangvatanakul, Fix, Brown, Alexis, Walker, Susan, Massey, Jennifer, Hayes, Hillary, Katrak, Pesi, Winker, Annie, Zagami, Alessandro, Bailey, Alanah, Mccormack, Sarah, Murray, Andrew, Rollason, Mark, Taylor, Christopher, O'Rourke, Fintan, Kuang, Ye Min, Burnet, Heike, Liu, Yvonne, Wu, Aileen, Ramirez, Diana, Wijeratne, Tissa, Celestino, Sherisse, Low, Essie, Chen, Cynthia, Bergqvist, Jennifer, Evans, Andrew, Leung, Queenie, Jude, Martin, McQueen, Rachael, Mohr, Katherine, Kernaghan, Latitia, Stockle, Paul, Tan, Boon L., Laubscher, Sara, Schmid, Diana, Spooner, Melissa, Lallu, Bhavesh, Pepperell, Bronwen, Chalissery, John, Mahawish, Karim, DeCaigney, Susan, Broughton, Paula, Knight, Karen, Duque, Veronica, McNaughton, Harry, Lanford, Jeremy, Fu, Vivian, and Wong, Lai-Kin

Published
2020
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13. Is communication key in stroke rehabilitation and recovery? National linked stroke data study

Author

Zingelman, Sally, primary, Wallace, Sarah J, additional, Kim, Joosup, additional, Mosalski, Simon, additional, Faux, Steven G, additional, Cadilhac, Dominique A, additional, Alexander, Tara, additional, Lannin, Natasha A, additional, Olaiya, Muideen T, additional, Clifton, Ross, additional, Shiner, Christine T, additional, Starr, Susan, additional, and Kilkenny, Monique F, additional

Published
2023
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15. Risk Factors Associated with Major Adverse Cardiovascular Events after Ischemic Stroke: A Linked Registry Study.

Author

Dharan, Ajay S., Dalli, Lachlan L., Olaiya, Muideen T., Cadilhac, Dominique A., Nedkoff, Lee, Kim, Joosup, Andrew, Nadine E., Sundararajan, Vijaya, Thrift, Amanda G., Faux, Steven G., Grimley, Rohan, Kilkenny, Monique F., and Kuhn, Lisa

Subjects
MAJOR adverse cardiovascular events, ISCHEMIC stroke, STROKE, TRANSIENT ischemic attack
Abstract

Introduction: Survivors of stroke are at risk of experiencing subsequent major adverse cardiovascular events (MACE). We aimed to determine the incidence of, and risk factors for, MACE after first-ever ischemic stroke, by age group (18–64 years vs. ≥65 years). Methods: Observational cohort study using patient-level data from the Australian Stroke Clinical Registry (2009–2013), linked with hospital administrative data. We included adults with first-ever ischemic stroke who had no previous acute cardiovascular admissions and followed these patients for 2 years post-discharge, or until the first post-stroke MACE event. A Fine-Gray sub-distribution hazard model, accounting for the competing risk of non-cardiovascular death, was used to determine factors for incident post-stroke MACE. Results: Among 5,994 patients with a first-ever ischemic stroke (median age 73 years, 45% female), 17% were admitted for MACE within 2 years (129 events per 1,000 person-years). The median time to first post-stroke MACE was 117 days (89 days if aged <65 years vs. 126 days if aged ≥65 years; p = 0.025). Among patients aged 18–64 years, receiving intravenous thrombolysis (sub-distribution hazard ratio [SHR] 0.51 [95% CI, 0.28–0.92]) or being discharged to inpatient rehabilitation (SHR 0.65 [95% CI, 0.46–0.92]) were associated with a reduced incidence of post-stroke MACE. In those aged ≥65 years, being unable to walk on admission (SHR 1.33 [95% CI 1.15–1.54]), and history of smoking (SHR 1.40 [95% CI 1.14–1.71]) or atrial fibrillation (SHR 1.31 [95% CI 1.14–1.51]) were associated with an increased incidence of post-stroke MACE. Acute management in a large hospital (>300 beds) for the initial stroke event was associated with reduced incidence of post-stroke MACE, irrespective of age group. Conclusions: MACE is common within 2 years of stroke, with most events occurring within the first year. We have identified important factors to consider when designing interventions to prevent MACE after stroke, particularly among those aged <65 years. [ABSTRACT FROM AUTHOR]

Published
2024
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16. Fracture Risk Increases After Stroke or Transient Ischemic Attack and Is Associated With Reduced Quality of Life

Author

Dalli, Lachlan L., primary, Borschmann, Karen, additional, Cooke, Shae, additional, Kilkenny, Monique F., additional, Andrew, Nadine E., additional, Scott, David, additional, Ebeling, Peter R., additional, Lannin, Natasha A., additional, Grimley, Rohan, additional, Sundararajan, Vijaya, additional, Katzenellenbogen, Judith M., additional, Cadilhac, Dominique A., additional, Anderson, Craig, additional, Donnan, Geoffrey, additional, Levi, Christopher, additional, Thrift, Amanda, additional, Middleton, Sandy, additional, Faux, Steven, additional, Denisenko, Sonia, additional, Dewey, Helen, additional, Godecke, Erin, additional, Katzenellenbogen, Judy, additional, Lalor, Erin, additional, Lee, Andrew, additional, Longworth, Mark, additional, Cadigan, Greg, additional, Dilworth, Cindy, additional, Price, Chris, additional, Hill, Kelvin, additional, Page, Matthew, additional, Egan, Jen, additional, Grabsch, Brenda, additional, Kung, Francis, additional, Moss, Karen, additional, Street, Steven, additional, Tod, Emma, additional, Gibbs, Adele, additional, Purvis, Tara, additional, and Reyneke, Megan, additional

Published
2023
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18. Letters

Author

Cadden, Julie, Faux, Steven, Sattler, Larissa, Hing, Wayne, and Vertullo, Christopher

Published
2020

19. The ravages of prolonged bed rest: An update on multidisciplinary care for the deconditioned patient.

Author

LAM, STEPHANIE, THOMPSON, BELINDA, and FAUX, STEVEN G.

Subjects
BED rest, ALLIED health personnel, FRAILTY, PATIENT care
Abstract

Deconditioning describes functional decline, progressive weakness and physiological changes that result from prolonged bed rest and inactivity. Frailty is a syndrome in which age-related physiological changes are accelerated or exacerbated in multiple systems. Deconditioning is more likely in patients who experience frailty. Due to the complexities of these conditions, optimal management involves a multidisciplinary team comprised of GPs, specialists and allied health professionals. [ABSTRACT FROM AUTHOR]

Published
2023

20. Implementation of an in-reach rehabilitation program can increase the rate of discharge home from acute hospital care.

Author

Wu, Jane, Shiner, Christine T., Faux, Steven G., and Yuriko Watanabe

Subjects
LENGTH of stay in hospitals, EVALUATION of human services programs, FUNCTIONAL status, MANN Whitney U Test, HUMAN services programs, MEDICAL care research, CRITICAL care medicine, DESCRIPTIVE statistics, REHABILITATION, DATA analysis software, DISCHARGE planning
Abstract

Objective. This study describes how a model of early rehabilitation ('in-reach rehabilitation') can be integrated into acute care provision for hospitalised patients with high rehabilitation needs. This pragmatic evaluation aimed to assess service impact on home discharge rates from acute care. Methods. An integrated early rehabilitation service was implemented at a tertiary teaching hospital in Sydney, Australia. Eligible patients were screened, placed on a waitlist, and treated in order of debility (six to eight patients concurrently). Routine data were collected and compared between those who received an in-reach rehabilitation program, and controls who remained on waitlist. Results. From December 2021 to September 2022, 229 patients were identified as suitable for in-reach rehabilitation; of whom 100 received an in-reach program and the remaining 129 were waitlist controls. Patients who received in-reach rehabilitation achieved a significantly higher rate of discharge home from acute care compared to waitlist controls (46.0% vs 24.0%, P = 0.002) and lower rates of transfer to subacute inpatient rehabilitation (43.0% vs 62.0%). This was despite in-reach patients having high functional care needs (60% needed assistance from ≥two people to mobilise) and complex medical needs (median hospital length of stay 44.5 days, IQR 27.8-66.0). Conclusions. It is feasible to deliver in-reach rehabilitation to hospitalised patients with heterogeneous diagnoses who have high rehabilitation needs. The rate of discharge home directly from acute wards is higher among those patients who received early in-reach rehabilitation compared to those on a waitlist. [ABSTRACT FROM AUTHOR]

Published
2023
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21. Effect of Additional Rehabilitation After Botulinum Toxin-A on Upper Limb Activity in Chronic Stroke: The InTENSE Trial

Author

Lannin, Natasha A., Ada, Louise, English, Coralie, Ratcliffe, Julie, Faux, Steven G., Palit, Mithu, Gonzalez, Senen, Olver, John, Cameron, Ian, Crotty, Maria, Bowman, Malcolm, Milte, Rachel, Vratsistas-Curto, Angela, McNamara, Annabel, Shiner, Christine, Lynch, Elizabeth, Schneider, Emma, Beaumont, Louise, Killington, Maggie, Coulter, Megan, Sindhusake, Doungkamol, Anthonisz, Brian, Mei Khor, Hong, Tan, Justin, Teo, Kwong, Ng, Lily, Huang, Lydia, Paul, Maria, Simon, Neil, Gupta, Nidhi, Martens, Rebecca, Bolitho, Sam, Morrison, Shea, Hooper, Sue, Chow, Yan, Watanabe, Yuriko, Cowling, Adrian, Flu, Clara, Edwards, Debbie, Toma, Emily, Hendrey, Genevieve, Sheehan, Jacinta, Butler, Josh, Hocking, Judith, Rutzou, Lauren, White, Megan, Snigg, Michael, Hughes, Rhiannon, Sweeney, Sarah, Flint, Sophie, Levy, Tam, Bramah, Val, Lathlean, Cameron, McCallum, Carrie, Chui, Elaine, Allan, Frances, Webber, Heather, Cameron, Jenna, Campbell, Jo, Lawson, Julie, Zenouith, Kalavani, Borschmann, Karen, Moloney, Katelyn, Jolliffe, Laura, Cameron, Lisa, Howlett, Owen, Nicks, Rebecca, and O’Keefe, Sophie

Published
2020
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24. Additional file 1 of Developing a model for rehabilitation in the home as hospital substitution for patients requiring reconditioning: a Delphi survey in Australia

Author

Poulos, Roslyn G, Cole, Andrew M, Warner, Kerry N, Faux, Steven G, Nguyen, Tuan-Anh, Kohler, Friedbert, Un, Fey-Ching, Alexander, Tara, Capell, Jacquelin T, Hilvert, Dan R, O’Connor, Claire MC, and Poulos, Christopher J

Abstract

Additional file 1. Survey items where consensus was not achieved.

Published
2023
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25. Additional file 2 of Developing a model for rehabilitation in the home as hospital substitution for patients requiring reconditioning: a Delphi survey in Australia

Author

Poulos, Roslyn G, Cole, Andrew M, Warner, Kerry N, Faux, Steven G, Nguyen, Tuan-Anh, Kohler, Friedbert, Un, Fey-Ching, Alexander, Tara, Capell, Jacquelin T, Hilvert, Dan R, O’Connor, Claire MC, and Poulos, Christopher J

Abstract

Additional file 2. Survey items using multiple choice or ranking. Percentage of participants selecting options.

Published
2023
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28. Remote constraint induced therapy of the upper extremity (ReCITE): A feasibility study protocol

Author

Christie, Lauren J., primary, Fearn, Nicola, additional, McCluskey, Annie, additional, Lannin, Natasha A., additional, Shiner, Christine T., additional, Kilkenny, Anna, additional, Boydell, Jessamy, additional, Meharg, Annie, additional, Howes, Ella, additional, Churilov, Leonid, additional, Faux, Steven, additional, Doussoulin, Arlette, additional, and Middleton, Sandy, additional

Published
2022
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31. Health care interpreter use in an inpatient rehabilitation setting: examining patterns of use and associated clinical outcomes.

Author

Shiner, Christine T., Bramah, Valerie, Wu, Jane, Faux, Steven G., and Watanabe, Yuriko

Subjects
LENGTH of stay in hospitals, PATIENT aftercare, MEDICAL quality control, REHABILITATION centers, HOSPITAL patients, COMMUNICATION barriers, LINGUISTICS, PATIENT readmissions, RETROSPECTIVE studies, CULTURAL pluralism, TREATMENT effectiveness, RESEARCH funding, COMMUNICATION, DESCRIPTIVE statistics, HEALTH facility translating services, DISCHARGE planning
Abstract

Professional interpreters can improve healthcare quality and outcomes when there is language discordance between patients and health care providers. Multidisciplinary rehabilitation relies on nuanced communication; however, the use of interpreters in rehabilitation is underexplored. This study aimed to examine patterns of health care interpreter use in an inpatient rehabilitation setting. A retrospective cohort study was conducted including patients admitted for subacute rehabilitation during 2019–2020 identified as having limited English proficiency. Patterns of interpreter use (professional and "ad hoc") and rehabilitation outcomes were evaluated via medical record review. Eighty-five participants were included. During inpatient rehabilitation (median 17 [12–28] days), most clinical interactions (95%) occurred without an interpreter present. Patterns of interpreter use were variable; with greater use of ad hoc versus professional interpreters (received by 60% versus 49% of the cohort, respectively). Those who interacted with a professional interpreter had a longer length-of-stay, larger Functional Independence Measure (FIM) gain, and lower rate of hospital readmission six months post-discharge. The number of professional interpreter sessions correlated positively with FIM gain. Access to professional interpreters in inpatient rehabilitation was variable, with some patients having no or minimal access. These findings provide preliminary evidence that professional interpreter use may be associated with clinical rehabilitation outcomes. Professional health care interpreters can be used to overcome language barriers in rehabilitation. In an inpatient rehabilitation setting, professional interpreters appeared to be underutilized, with many patients having no or minimal access to interpreters. Use of ad hoc, untrained interpreters and informal communication strategies was common during rehabilitation. Use of professional interpreters appeared to be associated with favorable rehabilitation outcomes. [ABSTRACT FROM AUTHOR]

Published
2023
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32. An Australian aged care home for people subject to homelessness: health, wellbeing and cost–benefit.

Author

O'Connor, Claire M. C., Poulos, Roslyn G., Sharma, Anurag, Preti, Costanza, Reynolds, Najwa L., Rowlands, Allison C., Flakelar, Kyall, Raguz, Angela, Valpiani, Peter, Faux, Steven G., Boyer, Michael, Close, Jacqueline C. T., Gupta, Leena, and Poulos, Christopher J.

Subjects
ELDER care, WELL-being, FUNCTIONAL independence measure, CARE of people, OLD age homes, HOMELESSNESS
Abstract

Background: Older people subject to homelessness face many challenges including poor health status, geriatric syndromes, and depression, coupled with barriers in accessing health and aged care services. Many are in need of formal aged care at a younger age than the general population, yet, in Australia, specialised aged-care services to support this vulnerable cohort are limited. Methods: This study was an evaluation of a new purpose-built aged care home for people with high care needs and who are homeless or at risk of homelessness. Over the first 12 months post-admission, the study examined: (1) changes in residents' physical, mental, psychological and social health, and (2) the costs incurred by the study cohort, including any cost benefit derived. Results: Thirty-five residents enrolled in the study between March 2020 – April 2021. At admission, almost half of residents were within the range for dementia, the majority were frail, at high risk for falls, and had scores indicative of depression. Over time, linear mixed-effect models showed significant improvement in personal wellbeing scores, with clinically significant improvements in overall health related quality of life. Levels of physical functional independence, frailty, and global cognition were stable, but cognitive functional ability declined over time. Comparison of 12 month pre- and post- admission cost utility data for a smaller cohort (n = 13) for whom complete data were available, suggested an average per resident saving of approximately AU$32,000, while the QALY indicators remained stable post-admission. Conclusion: While this was a small study with no control group, these preliminary positive outcomes add to the growing body of evidence that supports the need for dedicated services to support older people subject to homelessness. [ABSTRACT FROM AUTHOR]

Published
2023
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33. Ambulatory rehabilitation A model of care for the community.

Author

LAM, STEPHANIE and FAUX, STEVEN G.

Abstract

The article focuses on Rehabilitation plays a crucial role in improving the health outcomes, quality of life, and independence of individuals with disabilities. The choice of rehabilitation setting and model depends on various factors, such as the patient's condition, psychosocial and environmental factors, personal goals, and access to funding. Primary care physicians can utilize several rehabilitation services to support their adult patients with disabilities.

Published
2023

37. Living clinical guidelines for stroke: updates, challenges and opportunities

Author

English, Coralie, primary, Hill, Kelvin, additional, Cadilhac, Dominique A, additional, Hackett, Maree L, additional, Lannin, Natasha A, additional, Middleton, Sandy, additional, Ranta, Annemarei, additional, Stocks, Nigel P, additional, Davey, Julie, additional, Faux, Steven G, additional, Godecke, Erin, additional, and Campbell, Bruce CV, additional

Published
2022
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38. The exercise in pulmonary arterial hypertension (ExPAH) study: A randomized controlled pilot of exercise training and multidisciplinary rehabilitation in pulmonary arterial hypertension

Author

Chia, Karen S. W., primary, Shiner, Christine T., additional, Brown, Karen, additional, Holloway, Cameron J., additional, Moreyra, Camila, additional, Bart, Nicole, additional, Wong, Peter K. K., additional, Faux, Steven G., additional, and Kotlyar, Eugene, additional

Published
2022
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