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Factors associated with hospital deaths in the oldest old
 — a cross-sectional study
Author(s)Lucy Victoria Pocock, Alex Ives, Andy Pring
Journal titleAge and Ageing, vol 45, no 3, May 2016
PublisherOxford University Press, May 2016
Pagespp 372-376
Sourcewww.ageing.oxfordjournals.org
KeywordsGeneral hospitals ; In-patients ; Octogenarians ; Nonagenarians ; Death ; At risk.
AnnotationThe aim of the research was to study associations between the likelihood of hospital death with patient demographics, cause of death and co-morbidities for people aged 85 or above at death who had previously been admitted to hospital in a 12-month period. This was a cross-sectional study, using death registration data and hospital episode statistics, for 671,178 England residents who had been admitted to hospital during the 12 months before death and were aged 85 or over at death during 2008-12. The outcome variable was the likelihood of dying in hospital. Covariates included gender, age, social deprivation, care home residence, cause of death and co-morbidity. Potential associations were explored by multivariable regression analysis. 62% of the sample died in hospital. The likelihood of dying in hospital was found to vary significantly with age, cause of death, deprivation, number of emergency hospital admissions and co-morbidities. People aged over 90 at the time of death were less likely to die in hospital than those aged 85-89. People who were care home residents at the time of death were significantly less likely to die in hospital. Having a mention of dementia on the death certificate was significantly associated with a reduction in the likelihood of dying in hospital. Overall findings showed that the likelihood of an older person dying in hospital was significantly associated with a number of socio-demographic factors, such as age and level of deprivation. Care home residence was significantly associated with a reduction in likelihood of hospital death. (JL).
Accession NumberCPA-160805215 A
ClassmarkLD3: LF7: BBM: BBR: CW: CA3

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