Maria Crotty
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View article: Exploring the needs and preferences of older trauma patients: a qualitative study
Exploring the needs and preferences of older trauma patients: a qualitative study Open
This study underscores the importance of a comprehensive and person-centered approach to trauma care for older people, offering valuable insights for healthcare providers and policymakers striving to enhance the quality of care and improve…
View article: 'Taking charge’ after a diagnosis of cognitive impairment or dementia: A randomised controlled trial
'Taking charge’ after a diagnosis of cognitive impairment or dementia: A randomised controlled trial Open
Background and Objectives Self-directed programs can steer positive trajectories after life-changing health events. This study evaluated if one such program (Take Charge) could improve quality of life (QoL) after diagnosis of mild cognitiv…
View article: Identification of Quality Indicators Used to Monitor, Evaluate and Improve Rural and Remote Care for Older People: A Scoping Review
Identification of Quality Indicators Used to Monitor, Evaluate and Improve Rural and Remote Care for Older People: A Scoping Review Open
Objective Quality indicators (QIs) specific to older adults receiving health care in rural and remote settings can be used to monitor healthcare quality, inform service improvements, and outcomes for these populations. This scoping review …
View article: 3603 Multimodal non-invasive neurophysiological testing of small fibre neuropathy in long COVID
3603 Multimodal non-invasive neurophysiological testing of small fibre neuropathy in long COVID Open
View article: Variation in healthcare services utilization and continuity of care in long-term care facilities: a cross-sectional study
Variation in healthcare services utilization and continuity of care in long-term care facilities: a cross-sectional study Open
View article: Investigating older people’s preferences for an urgent care service: a discrete choice experiment
Investigating older people’s preferences for an urgent care service: a discrete choice experiment Open
Background Emergency and urgent care, where patients perceive the need for immediate access to medical advice or treatment, comprises a large and significant component of health care delivery. Older people are over-represented in Emergency…
View article: The risk of delirium or dementia‐related hospitalization among individuals living with dementia after long‐term care entry: A population‐based risk prediction model
The risk of delirium or dementia‐related hospitalization among individuals living with dementia after long‐term care entry: A population‐based risk prediction model Open
INTRODUCTION Identifying individuals with dementia in long‐term care facilities (LTCFs) at risk for delirium or dementia‐related hospitalizations can support individualized risk mitigation. METHODS Using the Registry of Senior Australians …
View article: Germicidal UV Light and Incidence of Acute Respiratory Infection in Long-Term Care for Older Adults
Germicidal UV Light and Incidence of Acute Respiratory Infection in Long-Term Care for Older Adults Open
Importance Infectious outbreaks of respiratory viruses within long-term care facilities (LTCFs) for older adults are associated with high rates of hospitalization and death. Despite evidence that airborne transmission contributes substanti…
View article: Optimising older People’s Transition from acute care Into residential aged care through Multidisciplinary Assessment and Liaison (OPTIMAL): protocol for a stepped wedge cluster randomised controlled trial with embedded process evaluation
Optimising older People’s Transition from acute care Into residential aged care through Multidisciplinary Assessment and Liaison (OPTIMAL): protocol for a stepped wedge cluster randomised controlled trial with embedded process evaluation Open
BACKGROUND: Care transitions by older adults discharged from hospital require good coordination and communication to prevent adverse events and potentially preventable readmissions. Implementation of multicomponent interventions tailored t…
View article: Models of care across settings supporting ageing in place: a narrative review
Models of care across settings supporting ageing in place: a narrative review Open
Summary Older people's preference is to age in place. With an ageing population, the demand for services that are effective in supporting older people to live at home independently has increased dramatically. This narrative review provides…
View article: Economic Evaluation of the InTENSE Program of Therapy Alongside Botulinum Neurotoxin a for the Rehabilitation of Chronic Upper Limb Spasticity
Economic Evaluation of the InTENSE Program of Therapy Alongside Botulinum Neurotoxin a for the Rehabilitation of Chronic Upper Limb Spasticity Open
Spasticity is a persistent and debilitating consequence of stroke and effective rehabilitation is a healthcare priority. Botulinum neurotoxin A (BoNT-A) with supportive therapy has increasingly been embedded within clinical practice for tr…
View article: Take charge after long COVID: a mixed methods randomised controlled pilot study protocol
Take charge after long COVID: a mixed methods randomised controlled pilot study protocol Open
This study adheres to the Declaration of Helsinki. This study was approved by the Southern Adelaide Clinical Human Research Ethics Committee (approval number: 2022/SSA00695/OFR: 219.22, protocol version 3.3 19 February 2024). The results w…
View article: Implementing frailty interventions in hospitals: A systematic review of strategies and outcomes
Implementing frailty interventions in hospitals: A systematic review of strategies and outcomes Open
Objectives This systematic review aimed to identify the nature and effects of implementation strategies used to improve the care of older people with frailty in hospital settings. Methods We included randomised controlled trials (RCTs), no…
View article: What Is Important to Older People When Accessing Urgent Health Care: Key Considerations and Recommendations From Consumer Consultations
What Is Important to Older People When Accessing Urgent Health Care: Key Considerations and Recommendations From Consumer Consultations Open
Introduction Emergency departments (ED) worldwide are under pressure. Older people are disproportionally represented in ED, and many of these presentations are for nonlife‐threatening ailments that could be attended to elsewhere. Urgent ca…
View article: Severe Cognitive Decline in Long-term Care Is Related to Gut Microbiome Production of Metabolites Involved in Neurotransmission, Immunomodulation, and Autophagy
Severe Cognitive Decline in Long-term Care Is Related to Gut Microbiome Production of Metabolites Involved in Neurotransmission, Immunomodulation, and Autophagy Open
Aging-associated cognitive decline affects more than half of those in long-term residential aged care. Emerging evidence suggests that gut microbiome–host interactions influence the effects of modifiable risk factors. We investigated the r…
View article: Title: State of Stroke Rehabilitation in Australia: A WHO STARS Assessment to Identify Strengths and Gaps Across Policy, Practice and Funding
Title: State of Stroke Rehabilitation in Australia: A WHO STARS Assessment to Identify Strengths and Gaps Across Policy, Practice and Funding Open
View article: Cost efficiency of inpatient rehabilitation following acquired brain injury: the first international adaptation of the UK approach
Cost efficiency of inpatient rehabilitation following acquired brain injury: the first international adaptation of the UK approach Open
Objectives To adapt and apply a model for evaluating the functional benefits and cost efficiency of specialist inpatient rehabilitation to the Australian context, comparing functional outcomes and savings in the cost of ongoing care after …
View article: The Lack of Effect of Botulinum Toxin-A on Upper Limb Activity in Chronic Stroke: A Short Report from the InTENSE Trial
The Lack of Effect of Botulinum Toxin-A on Upper Limb Activity in Chronic Stroke: A Short Report from the InTENSE Trial Open
We examined the effect of botulinum toxin-A on upper limb impairments and activity limitations in chronic stroke. This study is a secondary analysis of control group data from a national, multicenter, Phase III randomized trial with a mask…
View article: Facilitating the transition from hospital to home after hip fracture surgery: a qualitative study from the HIP HELPER trial
Facilitating the transition from hospital to home after hip fracture surgery: a qualitative study from the HIP HELPER trial Open
View article: Exploring the needs and preferences of older trauma patients: A qualitative study
Exploring the needs and preferences of older trauma patients: A qualitative study Open
Background: Trauma in older people is emerging as a major health issue, with falls being the most common cause. Despite existing guidelines for trauma care of older populations, adoption is limited and undertreatment persists. This study a…
View article: Intestinal microbiology and urinary tract infection associated risk in long-term aged care residents
Intestinal microbiology and urinary tract infection associated risk in long-term aged care residents Open
View article: Exposure to doxycycline increases risk of carrying a broad range of enteric antimicrobial resistance determinants in an elderly cohort
Exposure to doxycycline increases risk of carrying a broad range of enteric antimicrobial resistance determinants in an elderly cohort Open
View article: Hospital Staff Perspectives on the Drivers and Challenges in Implementing a Virtual Rehabilitation Ward: Qualitative Study
Hospital Staff Perspectives on the Drivers and Challenges in Implementing a Virtual Rehabilitation Ward: Qualitative Study Open
Background Over the past decade, the adoption of virtual wards has surged. Virtual wards aim to prevent unnecessary hospital admissions, expedite home discharge, and enhance patient satisfaction, which are particularly beneficial for the o…
View article: Using FRAME to adapt an evidence‐based dyadic intervention program for people living with dementia in residential aged care: A pilot feasibility study
Using FRAME to adapt an evidence‐based dyadic intervention program for people living with dementia in residential aged care: A pilot feasibility study Open
Introduction The purpose of this study was to examine the feasibility of adapting and translating an evidence‐based occupational therapist‐delivered program shown to be effective in the community to residential aged care (RAC). The program…
View article: Frailty evidence‐practice gaps in acute care hospitals
Frailty evidence‐practice gaps in acute care hospitals Open
Objectives Frailty is common in hospitalised older people. Clinical practice guidelines for the management of frailty provide recommendations for identification and management; however, adoption into practice in hospitals is limited. This …
View article: Hospital-Based Health Professionals’ Perceptions of Frailty in Older People
Hospital-Based Health Professionals’ Perceptions of Frailty in Older People Open
Background and Objectives There is a high prevalence of frailty amongst older patients in hospital settings. Frailty guidelines exist but implementation to date has been challenging. Understanding health professional attitudes, knowledge, …
View article: Predictors of mortality shortly after entering a long-term care facility
Predictors of mortality shortly after entering a long-term care facility Open
Objective Moving into a long-term care facility (LTCF) requires substantial personal, societal and financial investment. Identifying those at high risk of short-term mortality after LTCF entry can help with care planning and risk factor ma…
View article: National surveillance using a clinical quality indicator for prolonged antipsychotic use among older Australians with dementia who access aged care services
National surveillance using a clinical quality indicator for prolonged antipsychotic use among older Australians with dementia who access aged care services Open
Objectives Dementia guidelines recommend antipsychotics are only used for behavioral and psychological symptoms when non‐drug interventions fail, and to regularly review use. Population‐level clinical quality indicators (CQIs) for dementia…
View article: Primary, allied health, selected specialists, and mental health service utilisation by home care recipients in Australia before and after accessing the care, 2017–2019
Primary, allied health, selected specialists, and mental health service utilisation by home care recipients in Australia before and after accessing the care, 2017–2019 Open
View article: Hospitalisations and emergency department presentations by older individuals accessing long-term aged care in Australia
Hospitalisations and emergency department presentations by older individuals accessing long-term aged care in Australia Open
Objective The study examined emergency department (ED) presentations, unplanned hospitalisations and potentially preventable hospitalisations in older people receiving long-term care by type of care received (i.e. permanent residential age…