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Centre for Policy on Ageing | |
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Seriously ill hospitalized adults
— do we spend less on older patients? | | Author(s) | Mary Beth Hamel, Russell S Phillips, Joan M Teno |
| Journal title | Journal of the American Geriatrics Society, vol 44, no 9, September 1996 |
| Pages | pp 1043-1048 |
| Keywords | Terminal illness ; In-patients ; Age groups [elderly] ; Hospital services ; Grant allocation ; United States of America. |
| Annotation | The effect of age on hospital resource use for some 4,300 hospitalised adults with at least one of nine serious illnesses associated with an average of 6-month mortality of 50% was measured using: a modified version of the Therapeutic Intervention Scoring System (TISS), the performance of three invasive procedures (major surgery, dialysis, and right heart catheter placement; and estimated hospital costs. In this study based on five acute care care medical centres participating in the SUPPORT Project (the Study to Understand Prognoses and Preferences for Outcomes and Risks of Treatments), the median age of patients was 65, 43% were female, and 48% died within 6 months. When compared with similar patients younger than 50, seriously ill patients aged 80 or older receive fewer invasive procedures and hospital care that is less resource-intensive and less costly. The authors conclude that this preferential allocation of hospital services to younger patients is not based on differences in patients' severity of illness or general preferences for life extending care. (RH). |
| Accession Number | CPA-970812203 A |
| Classmark | CV: LF7: BB: LD: QCG: 7T |
Data © Centre for Policy on Ageing |
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| ...from the Ageinfo database published by Centre for Policy on Ageing. |
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