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Causes, Consequences And Costs Of Injury-related Hospitalisations For People With Dementia: Identifying Opportunities For Prevention And Enhanced Management
Funder
National Health and Medical Research Council
Funding Amount
$320,891.00
Summary
People with dementia have higher hospitalisation rates and poorer health outcomes than those of similar age without dementia. Injury is the most common cause of hospitalisation for people with dementia, however little is known about the hospitalisation experience for people with dementia who have an injury. This research will explore the influence of dementia on hospital admissions, clinical care, health outcomes and economic costs of older people with an injury to inform policy and practice.
Addressing Missing Links In The Care Of Older People To Improve Practice And Outcomes: Program Efficacy, Implementation Effectiveness And Knowledge Translation
Funder
National Health and Medical Research Council
Funding Amount
$259,507.00
Summary
Many older people live with disability and can struggle to perform even simple day-to-day activities. Unfortunately, disability escalates with age. Our population is ageing rapidly—one of the fastest in the world—due to a world-class health system and low fertility. Despite a growth in health and research initiatives over the last decade, there remains much room to improve the health and well-being of older people. This research addresses this need by undertaking an innovative and targeted progr ....Many older people live with disability and can struggle to perform even simple day-to-day activities. Unfortunately, disability escalates with age. Our population is ageing rapidly—one of the fastest in the world—due to a world-class health system and low fertility. Despite a growth in health and research initiatives over the last decade, there remains much room to improve the health and well-being of older people. This research addresses this need by undertaking an innovative and targeted program of work.Read moreRead less
The ASPREE-fracture Sub-study: Does Daily Low-dose Aspirin Reduce Fracture Risk In Healthy Older Adults?
Funder
National Health and Medical Research Council
Funding Amount
$1,351,150.00
Summary
Disability, mortality and healthcare burden from fractures in older people is a growing problem worldwide. This is despite decades of clinical research, best practice guidelines and advances in therapies that aim to reduce fracture risk. The World Health Organization has identified fracture prevention as a public health priority. This study will determine whether a widely available, simple and inexpensive health intervention—aspirin—can reduce the incidence of fracture and associated disability ....Disability, mortality and healthcare burden from fractures in older people is a growing problem worldwide. This is despite decades of clinical research, best practice guidelines and advances in therapies that aim to reduce fracture risk. The World Health Organization has identified fracture prevention as a public health priority. This study will determine whether a widely available, simple and inexpensive health intervention—aspirin—can reduce the incidence of fracture and associated disability amongst older Australians.Read moreRead less
A Multi-centre RCT To Prevent Secondary Falls In Older People Presenting To The Emergency Department With A Fall
Funder
National Health and Medical Research Council
Funding Amount
$1,534,471.00
Summary
Falls are a leading cause for presentation to Emergency Departments (EDs) by older patients. More than 50% who present to ED with a fall injury have fallen in the previous year. RESPOND is an innovative post-ED discharge program designed to reduce secondary falls in older people. RESPOND extends current falls prevention research and practice by incorporating patient-centred education with behaviour change strategies proven to be effective in the secondary prevention of cardiovascular events.
Falls Prevention In The Acute Hospital Setting: A Multi-centre Cluster Randomised Controlled Trial Of Efficacy, Cost Effectiveness And Sustainability Of The 6-PACK Program.
Funder
National Health and Medical Research Council
Funding Amount
$1,218,771.00
Summary
Older people commonly fall in hospital suffering injuries such as a broken hip which are costly for the faller and hospital. Falls can result in a nursing home stay as they reduce a person's confidence and ability to do simple tasks like showering. We have designed a program with the potential to reduce fall injuries, using an approach with promising results from one hospital. This project will evaluate this program that aims to improve the care of older people in hospital.
Characterisation of deficits in driving performance and self-regulation practices among older drivers with bilateral cataract. Despite the high prevalence of cataract among the older population, there is limited evidence on the impact of first and second eye cataract surgery on driving outcomes. This prospective study will use naturalistic in-vehicle driver monitoring devices and a state-of–the-art driving simulator to examine the association between clinical measures of vision, refractive manag ....Characterisation of deficits in driving performance and self-regulation practices among older drivers with bilateral cataract. Despite the high prevalence of cataract among the older population, there is limited evidence on the impact of first and second eye cataract surgery on driving outcomes. This prospective study will use naturalistic in-vehicle driver monitoring devices and a state-of–the-art driving simulator to examine the association between clinical measures of vision, refractive management, driving patterns, self-regulation and driving performance for bilateral cataract patients before first eye surgery, between surgeries and after second eye surgery. The results will inform Ophthalmology and licensing authorities regarding surgical and refractive management as well as fitness to drive assessments for older drivers with bilateral cataract.Read moreRead less
The impact of first and second eye cataract surgery on falls and utilisation of mental health services among older Australians. This population-based study will investigate the association and timing of cataract surgery and health-related costs in reducing the incidence of falls and utilisation of mental health services following first and second eye cataract surgery. Evidence-based recommendations will be developed to improve safety for older Australians.
Visual field impairment and injury: A population-based study. This project aims to link a large-scale ophthalmic database of visual field tests to population-based injury data which includes police-reported crash data, hospitalisation, death and trauma data in people aged over 60 years. The identification of individuals with high risk visual fields will enable the development of targeted interventions at the local, national and international level to prevent injuries due to visual field loss. Si ....Visual field impairment and injury: A population-based study. This project aims to link a large-scale ophthalmic database of visual field tests to population-based injury data which includes police-reported crash data, hospitalisation, death and trauma data in people aged over 60 years. The identification of individuals with high risk visual fields will enable the development of targeted interventions at the local, national and international level to prevent injuries due to visual field loss. Significant benefits include a reduction in the number of injuries and consequent reductions in personal harm and health care demands.Read moreRead less
Evaluation of a program to enable older, at-risk drivers to stop or limit driving, but maintain mobility. Researchers will evaluate the safety benefits of a program designed to help older drivers to make timely decisions about continuing to drive. Importantly, the program integrates the concepts of safety and mobility through providing alternate transport. The findings will provide valuable direction for promotion of healthy aging in the community.
Driving performance and self-regulation practices in drivers with dementia . Despite the high prevalence of dementia in older drivers, a substantial gap remains in the evidence regarding the natural progression of the disease and its impact on fitness to drive. This project will use a combination of real-time, in-vehicle driver monitoring devices and a state-of-the-art driving simulator. Together, these will objectively measure natural driving patterns and self-regulation practices, and provide ....Driving performance and self-regulation practices in drivers with dementia . Despite the high prevalence of dementia in older drivers, a substantial gap remains in the evidence regarding the natural progression of the disease and its impact on fitness to drive. This project will use a combination of real-time, in-vehicle driver monitoring devices and a state-of-the-art driving simulator. Together, these will objectively measure natural driving patterns and self-regulation practices, and provide a comprehensive assessment of driving performance for drivers with mild dementia and a comparison group without dementia. The project will create a partnership between leading researchers, clinicians and policy makers in order to provide an answer to a complex problem.Read moreRead less