---
title: "Outcomes and delays for long-stay inpatients discharged to residential aged care: a retrospective"
id: "pubmed-42608335"
canonical_url: "https://medichelpline.com/clinical-feed/pubmed-42608335"
content_type: "clinical_feed_article"
specialty: "Pharmacology"
source_name: "PubMed / NCBI"
source_url: "https://pubmed.ncbi.nlm.nih.gov/42608335/"
doi: "10.1071/AH26115"
published_at: "2026-09-03T00:00:00.000Z"
evidence_level: "Journal Article"
license: "CC-BY-NC-4.0 / Informational Use"
---
# Outcomes and delays for long-stay inpatients discharged to residential aged care: a retrospective
## Provenance & Clinical Metadata
- **Canonical URL:** https://medichelpline.com/clinical-feed/pubmed-42608335
- **Specialty:** [Pharmacology](https://medichelpline.com/clinical-feed/pharmacology.md)
- **Primary Source:** PubMed / NCBI
- **Source URL:** [Original Journal Publication](https://pubmed.ncbi.nlm.nih.gov/42608335/)
- **DOI:** [10.1071/AH26115](https://doi.org/10.1071%2FAH26115)
- **Published At:** 2026-09-03T00:00:00.000Z
- **Evidence Rating:** Journal Article
## Executive GIST (TL;DR)
- This retrospective cohort study used the Metro South Hospital and Health Service long-stay dashboard to evaluate pathway timing and 90-day outcomes for adults flagged as **long-stay** awaiting admission to **residential aged care homes (RACHs)** between 1 January and 31 May 2025 and subsequently admitted within the health service. - Inclusion was adults flagged as long-stay with a primary reason of awaiting RACH admission who were later admitted to a RACH within the service; 198 of 293 flagged patients met these criteria and were analysed. - The cohort median age was 83 years; 48% were male and 49% had documented dementia. - Median acute hospital length of stay (LOS) was 28 days. Median time from hospital admission to readiness for the RACH pathway was 10 days; median time from readiness to RACH admission was 24 days. Interim care bed LOS, where applicable, was included in the readiness-to-admission interval. - The primary outcome was a 90-day composite labeled **unsuccessful placement**, defined as any of emergency department presentation, unplanned hospital readmission, or non-return placement failure within 90 days of RACH admission. - Within 90 days of RACH admission, 32% attended an emergency department, 22% had an unplanned readmission, and 5% experienced non-return placement failure. Overall, 36% met the composite **unsuccessful placement** outcome. - The authors conclude that long-stay inpatients discharged to RACHs face substantial pathway delays and frequent early acute-care utilisation. They suggest strengthening early family engagement and goals-of-care documentation as potential supports for safer transitions and targets for quality improvement. - Keywords reported include **aged care**, **dashboard**, **delayed discharge**, **geriatrics**, **hospital discharge**, **long-stay**, **nursing home**, **readmission**, and **residential aged care**. - The abstract does not report detailed statistical modelling results, effect estimates for modifiable factors, or study limitations beyond what is summarized; those details are not reported in the source abstract.
## Clinical Analysis & Structured Key Points
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more resources ](https://pubmed.ncbi.nlm.nih.gov/42608335/#linkout) Title & authors Abstract Similar articles MeSH terms LinkOut - more resources Aust Health Rev Actions * [ Search in PubMed ](https://pubmed.ncbi.nlm.nih.gov/?term=%22Aust+Health+Rev%22%5Bjour%5D&sort=date&sort_order=desc) * [ Search in NLM Catalog ](https://www.ncbi.nlm.nih.gov/nlmcatalog?term=%22Aust+Health+Rev%22%5BTitle+Abbreviation%5D) * [ Add to Search ](https://pubmed.ncbi.nlm.nih.gov/42608335/) . 2026 Sep 3;50(3):AH26115. doi: 10.1071/AH26115. # Outcomes after discharge from acute hospital to residential aged care among long-stay inpatients: a retrospective cohort study using a health service long-stay dashboard [Terry Stewart Nash](https://pubmed.ncbi.nlm.nih.gov/?term=Nash+TS&cauthor_id=42608335)[ 1 ](https://pubmed.ncbi.nlm.nih.gov/42608335/#full-view-affiliation-1 "Princess Alexandra Hospital, The University of Queensland, 199 Ipswich Road, Brisbane, Qld 4067, Australia.")[ 2 ](https://pubmed.ncbi.nlm.nih.gov/42608335/#full-view-affiliation-2 "CAREPACT, HLCC, Metro South Hospital and Health Service, 199 Ipswich Road, Woolloongabba, Qld 4120, Australia."), [Erin Cranitch](https://pubmed.ncbi.nlm.nih.gov/?term=Cranitch+E&cauthor_id=42608335)[ 3 ](https://pubmed.ncbi.nlm.nih.gov/42608335/#full-view-affiliation-3 "CAREPACT, HLCC, Princess Alexandra Hospital, Woolloongabba, Qld, Australia."), [Paula Mcleister](https://pubmed.ncbi.nlm.nih.gov/?term=Mcleister+P&cauthor_id=42608335)[ 3 ](https://pubmed.ncbi.nlm.nih.gov/42608335/#full-view-affiliation-3 "CAREPACT, HLCC, Princess Alexandra Hospital, Woolloongabba, Qld, Australia."), [Juliana Friedrich](https://pubmed.ncbi.nlm.nih.gov/?term=Friedrich+J&cauthor_id=42608335)[ 4 ](https://pubmed.ncbi.nlm.nih.gov/42608335/#full-view-affiliation-4 "Department of Social Work, Princess Alexandra Hospital, Woolloongabba, Qld, Australia."), [Michelle Jiang](https://pubmed.ncbi.nlm.nih.gov/?term=Jiang+M&cauthor_id=42608335)[ 5 ](https://pubmed.ncbi.nlm.nih.gov/42608335/#full-view-affiliation-5 "Principal Advisor, Long Stay, Metro South Health Service District, Woolloongabba, Qld, Australia."), [Fiona Trad](https://pubmed.ncbi.nlm.nih.gov/?term=Trad+F&cauthor_id=42608335)[ 6 ](https://pubmed.ncbi.nlm.nih.gov/42608335/#full-view-affiliation-6 "Brain Injury and Rehabilitation Unit, Princess Alexandra Hospital, Woolloongabba, Qld, Australia."), [Brett Davies](https://pubmed.ncbi.nlm.nih.gov/?term=Davies+B&cauthor_id=42608335)[ 7 ](https://pubmed.ncbi.nlm.nih.gov/42608335/#full-view-affiliation-7 "Biostatistics, Queensland Cyber Infrastructure Foundation, Saint Lucia, Qld, Australia."), [Cara Barnett](https://pubmed.ncbi.nlm.nih.gov/?term=Barnett+C&cauthor_id=42608335)[ 8 ](https://pubmed.ncbi.nlm.nih.gov/42608335/#full-view-affiliation-8 "Department of Medicine, Princess Alexandra Hospital, Woolloongabba, Qld, Australia."), [Alan Ho](https://pubmed.ncbi.nlm.nih.gov/?term=Ho+A&cauthor_id=42608335)[ 9 ](https://pubmed.ncbi.nlm.nih.gov/42608335/#full-view-affiliation-9 "Office of the Chief Operating Officer, Metro South Hospital and Health Service, Woolloongabba, Qld, Australia."), [Aisling Fleury](https://pubmed.ncbi.nlm.nih.gov/?term=Fleury+A&cauthor_id=42608335)[ 8 ](https://pubmed.ncbi.nlm.nih.gov/42608335/#full-view-affiliation-8 "Department of Medicine, Princess Alexandra Hospital, Woolloongabba, Qld, Australia."), [Paula Foley](https://pubmed.ncbi.nlm.nih.gov/?term=Foley+P&cauthor_id=42608335)[ 9 ](https://pubmed.ncbi.nlm.nih.gov/42608335/#full-view-affiliation-9 "Office of the Chief Operating Officer, Metro South Hospital and Health Service, Woolloongabba, Qld, Australia.") Affiliations Expand ### Affiliations * 1 Princess Alexandra Hospital, The University of Queensland, 199 Ipswich Road, Brisbane, Qld 4067, Australia. * 2 CAREPACT, HLCC, Metro South Hospital and Health Service, 199 Ipswich Road, Woolloongabba, Qld 4120, Australia. * 3 CAREPACT, HLCC, Princess Alexandra Hospital, Woolloongabba, Qld, Australia. * 4 Department of Social Work, Princess Alexandra Hospital, Woolloongabba, Qld, Australia. * 5 Principal Advisor, Long Stay, Metro South Health Service District, Woolloongabba, Qld, Australia. * 6 Brain Injury and Rehabilitation Unit, Princess Alexandra Hospital, Woolloongabba, Qld, Australia. * 7 Biostatistics, Queensland Cyber Infrastructure Foundation, Saint Lucia, Qld, Australia. * 8 Department of Medicine, Princess Alexandra Hospital, Woolloongabba, Qld, Australia. * 9 Office of the Chief Operating Officer, Metro South Hospital and Health Service, Woolloongabba, Qld, Australia. * PMID: **42608335** * DOI: [ 10.1071/AH26115 ](https://doi.org/10.1071/ah26115) Item in Clipboard # Outcomes after discharge from acute hospital to residential aged care among long-stay inpatients: a retrospective cohort study using a health service long-stay dashboard Terry Stewart Nash et al. Aust Health Rev. 2026. Show details Display options Display options Format Abstract PubMed PMID Aust Health Rev Actions * [ Search in PubMed ](https://pubmed.ncbi.nlm.nih.gov/?term=%22Aust+Health+Rev%22%5Bjour%5D&sort=date&sort_order=desc) * [ Search in NLM Catalog ](https://www.ncbi.nlm.nih.gov/nlmcatalog?term=%22Aust+Health+Rev%22%5BTitle+Abbreviation%5D) * [ Add to Search ](https://pubmed.ncbi.nlm.nih.gov/42608335/) . 2026 Sep 3;50(3):AH26115. doi: 10.1071/AH26115. ### Authors [Terry Stewart Nash](https://pubmed.ncbi.nlm.nih.gov/?term=Nash+TS&cauthor_id=42608335)[ 1 ](https://pubmed.ncbi.nlm.nih.gov/42608335/#short-view-affiliation-1 "Princess Alexandra Hospital, The University of Queensland, 199 Ipswich Road, Brisbane, Qld 4067, Australia.")[ 2 ](https://pubmed.ncbi.nlm.nih.gov/42608335/#short-view-affiliation-2 "CAREPACT, HLCC, Metro South Hospital and Health Service, 199 Ipswich Road, Woolloongabba, Qld 4120, Australia."), [Erin Cranitch](https://pubmed.ncbi.nlm.nih.gov/?term=Cranitch+E&cauthor_id=42608335)[ 3 ](https://pubmed.ncbi.nlm.nih.gov/42608335/#short-view-affiliation-3 "CAREPACT, HLCC, Princess Alexandra Hospital, Woolloongabba, Qld, Australia."), [Paula Mcleister](https://pubmed.ncbi.nlm.nih.gov/?term=Mcleister+P&cauthor_id=42608335)[ 3 ](https://pubmed.ncbi.nlm.nih.gov/42608335/#short-view-affiliation-3 "CAREPACT, HLCC, Princess Alexandra Hospital, Woolloongabba, Qld, Australia."), [Juliana Friedrich](https://pubmed.ncbi.nlm.nih.gov/?term=Friedrich+J&cauthor_id=42608335)[ 4 ](https://pubmed.ncbi.nlm.nih.gov/42608335/#short-view-affiliation-4 "Department of Social Work, Princess Alexandra Hospital, Woolloongabba, Qld, Australia."), [Michelle Jiang](https://pubmed.ncbi.nlm.nih.gov/?term=Jiang+M&cauthor_id=42608335)[ 5 ](https://pubmed.ncbi.nlm.nih.gov/42608335/#short-view-affiliation-5 "Principal Advisor, Long Stay, Metro South Health Service District, Woolloongabba, Qld, Australia."), [Fiona Trad](https://pubmed.ncbi.nlm.nih.gov/?term=Trad+F&cauthor_id=42608335)[ 6 ](https://pubmed.ncbi.nlm.nih.gov/42608335/#short-view-affiliation-6 "Brain Injury and Rehabilitation Unit, Princess Alexandra Hospital, Woolloongabba, Qld, Australia."), [Brett Davies](https://pubmed.ncbi.nlm.nih.gov/?term=Davies+B&cauthor_id=42608335)[ 7 ](https://pubmed.ncbi.nlm.nih.gov/42608335/#short-view-affiliation-7 "Biostatistics, Queensland Cyber Infrastructure Foundation, Saint Lucia, Qld, Australia."), [Cara Barnett](https://pubmed.ncbi.nlm.nih.gov/?term=Barnett+C&cauthor_id=42608335)[ 8 ](https://pubmed.ncbi.nlm.nih.gov/42608335/#short-view-affiliation-8 "Department of Medicine, Princess Alexandra Hospital, Woolloongabba, Qld, Australia."), [Alan Ho](https://pubmed.ncbi.nlm.nih.gov/?term=Ho+A&cauthor_id=42608335)[ 9 ](https://pubmed.ncbi.nlm.nih.gov/42608335/#short-view-affiliation-9 "Office of the Chief Operating Officer, Metro South Hospital and Health Service, Woolloongabba, Qld, Australia."), [Aisling Fleury](https://pubmed.ncbi.nlm.nih.gov/?term=Fleury+A&cauthor_id=42608335)[ 8 ](https://pubmed.ncbi.nlm.nih.gov/42608335/#short-view-affiliation-8 "Department of Medicine, Princess Alexandra Hospital, Woolloongabba, Qld, Australia."), [Paula Foley](https://pubmed.ncbi.nlm.nih.gov/?term=Foley+P&cauthor_id=42608335)[ 9 ](https://pubmed.ncbi.nlm.nih.gov/42608335/#short-view-affiliation-9 "Office of the Chief Operating Officer, Metro South Hospital and Health Service, Woolloongabba, Qld, Australia.") ### Affiliations * 1 Princess Alexandra Hospital, The University of Queensland, 199 Ipswich Road, Brisbane, Qld 4067, Australia. * 2 CAREPACT, HLCC, Metro South Hospital and Health Service, 199 Ipswich Road, Woolloongabba, Qld 4120, Australia. * 3 CAREPACT, HLCC, Princess Alexandra Hospital, Woolloongabba, Qld, Australia. * 4 Department of Social Work, Princess Alexandra Hospital, Woolloongabba, Qld, Australia. * 5 Principal Advisor, Long Stay, Metro South Health Service District, Woolloongabba, Qld, Australia. * 6 Brain Injury and Rehabilitation Unit, Princess Alexandra Hospital, Woolloongabba, Qld, Australia. * 7 Biostatistics, Queensland Cyber Infrastructure Foundation, Saint Lucia, Qld, Australia. * 8 Department of Medicine, Princess Alexandra Hospital, Woolloongabba, Qld, Australia. * 9 Office of the Chief Operating Officer, Metro South Hospital and Health Service, Woolloongabba, Qld, Australia. * PMID: **42608335** * DOI: [ 10.1071/AH26115 ](https://doi.org/10.1071/ah26115) Item in Clipboard Full text links Cite Display options Display options Format Abstract PubMed PMID ## Abstract **Objective:** This study aimed to describe pathway timing and 90-day outcomes for long-stay inpatients discharged to residential aged care homes (RACHs), predominantly new entrants, and to explore potentially modifiable factors associated with delays and the composite unsuccessful placement outcome. **Methods:** A retrospective cohort study using the Metro South Hospital and Health Service long-stay dashboard was used. Adults flagged as long-stay with a primary reason of awaiting RACH admission (1 January-31 May 2025) and subsequently admitted to a RACH within the health service were included. Key intervals were hospital admission-to-readiness for the RACH pathway and readiness-to-RACH admission (including interim care bed length of stay, where applicable). The primary outcome was the composite of unsuccessful placement within 90 days, defined as emergency department presentation, unplanned readmission, or non-return placement failure. **Results:** Of 293 flagged patients, 198 were admitted to a RACH and included. Median age was 83 years, and 48% were male; 49% had documented dementia. Median acute length of stay was 28 days; median time from admission to readiness was 10 days, and from readiness to RACH admission was 24 days. Within 90 days, 32% attended an emergency department, 22% were readmitted, and 5% experienced non-return placement failure; 36% met the composite outcome. **Conclusion:** Long-stay inpatients discharged to RACH experience substantial pathway delays and frequent early acute-care utilisation. Strengthening early family engagement and goals-of-care documentation may support safer transitions and help target quality improvement. **Keywords:** aged care; dashboard; delayed discharge; geriatrics; hospital discharge; long-stay; nursing home; readmission; residential aged care. © 2026 The Author(s) (or their employer(s)). Published by CSIRO Publishing. [PubMed Disclaimer](https://pubmed.ncbi.nlm.nih.gov/disclaimer/) ## Similar articles * [ Stranded: causes and effects of discharge delays involving non-acute in-patients requiring maintenance care in a tertiary hospital general medicine service. ](https://pubmed.ncbi.nlm.nih.gov/27028335/) Salonga-Reyes A, Scott IA.Salonga-Reyes A, et al.Aust Health Rev. 2017 Mar;41(1):54-62. doi: 10.1071/AH15204.Aust Health Rev. 2017.PMID: 27028335 * [ Comparing post-acute rehabilitation use, length of stay, and outcomes experienced by Medicare fee-for-service and Medicare Advantage beneficiaries with hip fracture in the United States: A secondary analysis of administrative data. ](https://pubmed.ncbi.nlm.nih.gov/29944655/) Kumar A, Rahman M, Trivedi AN, Resnik L, Gozalo P, Mor V.Kumar A, et al.PLoS Med. 2018 Jun 26;15(6):e1002592. doi: 10.1371/journal.pmed.1002592. eCollection 2018 Jun.PLoS Med. 2018.PMID: 29944655Free PMC article. * [ Not All Discharge Settings Are Created Equal: Thirty-Day Readmission Risk after Elective Colorectal Surgery. ](https://pubmed.ncbi.nlm.nih.gov/33216499/) Hoang CM, Davids JS, Maykel JA, Flahive JM, Sturrock PR, Alavi K.Hoang CM, et al.Dis Colon Rectum. 2020 Sep;63(9):1302-1309. doi: 10.1097/DCR.0000000000001727.Dis Colon Rectum. 2020.PMID: 33216499 * [ Impact of interventions to improve recovery of older adults following planned hospital admission on quality-of-life following discharge: linked-evidence synthesis. ](https://pubmed.ncbi.nlm.nih.gov/38140881/) Kinsey D, Febrey S, Briscoe S, Kneale D, Thompson Coon J, Carrieri D, Lovegrove C, McGrath J, Hemsley A, Melendez-Torres GJ, Shaw L, Nunns M.Kinsey D, et al.Health Soc Care Deliv Res. 2023 Nov;11(23):1-164. doi: 10.3310/GHTY5117.Health Soc Care Deliv Res. 2023.PMID: 38140881 * [ Early supported discharge services for people with acute stroke. ](https://pubmed.ncbi.nlm.nih.gov/28703869/) Langhorne P, Baylan S; Early Supported Discharge Trialists.Langhorne P, et al.Cochrane Database Syst Rev. 2017 Jul 13;7(7):CD000443. doi: 10.1002/14651858.CD000443.pub4.Cochrane Database Syst Rev. 2017.PMID: 28703869Free PMC article. 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