title: Public sector residential aged care: identifying novel associations between quality indicators and other demographic and health-related factors.
abstract: OBJECTIVE
  To explore associations among quality indicators (QI; e.g. pressure ulcers, falls and/or fractures, physical restraint, use of multiple medications, unplanned weight loss) of the Victorian Public Sector Residential Aged Care Services (VPSRACS) with other demographic and health-related factors.
  
  
  METHODS
  Data for 380 residents over a 3-month period were extracted retrospectively from client databases at four VPSRAC facilities.
  
  
  RESULTS
  Four significant logistic regression models were developed. The strongest models related to falls and polypharmacy. Significant associations for these models included the following: (1) residents with a higher body mass index were 6% less likely (95% confidence interval (CI) 1%-11%) to fall, whereas high levels of cognitive impairment increased the risk of falling by 8% (95% CI 2%-14%); (2) being ambulant with a gait aid more than doubled the risk of falling compared with non-ambulant residents (95% CI 19%-546%); and (3) higher cognitive impairment was associated with a 6% (95% CI 1%-11%) reduction in the likelihood of polypharmacy.
  
  
  CONCLUSIONS
  Identification of significant relationships between the VPSRACS QI and other demographic and health-related factors is a preliminary step towards a more in-depth understanding of the factors that influence the QI and predict adverse events.
authors.affiliation: National Ageing Research Institute, PO Box 2127, Royal Melbourne Hospital, Vic. 3050, Australia.
authors.forename: Kirsten J
authors.initials: KJ
authors.lastname: Moore
authors.affiliation: National Ageing Research Institute, PO Box 2127, Royal Melbourne Hospital, Vic. 3050, Australia.
authors.forename: Colleen J
authors.initials: CJ
authors.lastname: Doyle
authors.affiliation: Deakin University, Kitchener House, PO Box 281, Geelong, Vic. 3220, Australia. Email:
authors.forename: Trisha L
authors.initials: TL
authors.lastname: Dunning
authors.affiliation: Barwon Health, Barwon Health, PO Box 281, Geelong, Vic. 3220, Australia. Email: ; ;
authors.forename: Ann T
authors.initials: AT
authors.lastname: Hague
authors.affiliation: Barwon Health, Barwon Health, PO Box 281, Geelong, Vic. 3220, Australia. Email: ; ;
authors.forename: Lucas A
authors.initials: LA
authors.lastname: Lloyd
authors.affiliation: Barwon Health, Barwon Health, PO Box 281, Geelong, Vic. 3220, Australia. Email: ; ;
authors.forename: Jo
authors.initials: J
authors.lastname: Bourke
authors.affiliation: Safety and Quality Unit, Barwon Health, Barwon Health, PO Box 281, Geelong, Vic. 3220, Australia. Email:
authors.forename: Stephen D
authors.initials: SD
authors.lastname: Gill
mesh_terms: D000058:Accidental Falls / Q000517:prevention & control; D000368:Aged; D016001:Confidence Intervals; D016208:Databases, Factual; D005260:Female; D006304:Health Status; D006707:Homes for the Aged; D006801:Humans; D016015:Logistic Models; D008297:Male; D009735:Nursing Homes; D016017:Odds Ratio; D019984:Quality Indicators, Health Care; D012189:Retrospective Studies; D018570:Risk Assessment / Q000379:methods