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Australas J Ageing. 2014 Jun;33(2):114-20. doi: 10.1111/ajag.12010. Epub 2013 Mar 11.

Residential aged care: the de facto hospice for New Zealand's older people.

Author information

1
Freemasons' Department of Geriatric Medicine, University of Auckland, Auckland, New Zealand.

Abstract

AIM:

To describe short-term mortality among residential aged care (RAC) residents in Auckland, New Zealand.

METHOD:

Prospective follow-up, 6828 residents (median age 86 years, 69.8% women) from census-type survey (10/9/2008); 152 facilities. Mortality data from central sources.

RESULTS:

Eight hundred and sixty-one (12.6%) died by 6 months. Survival related to RAC length of stay before the survey: those resident <1 month (subgroup, n = 380) having 80.0% survival, 1-6 months 83.2% and >6 months 87.4% (P < 0.0001). In those admitted to private hospital from acute hospital (n = 104 of the subgroup of 380), 6-month mortality was 36.5% (P < 0.0001 vs other 'short stayers'). Significant mortality predictors were: private hospital admission from acute hospital (hazard ratio (HR) = 2.02), unscheduled GP visit during the prior 2 weeks (HR = 1.90), personal care disability (HR = 1.90) and acute hospital admission number during the previous 2 years (≥3; HR = 5.40).

CONCLUSIONS:

RAC mortality (especially post admission) is high. Training and resource in the sector should reflect this.

KEYWORDS:

home for older people; mortality; nursing home; older people; palliative care

PMID:
24521449
DOI:
10.1111/ajag.12010
[Indexed for MEDLINE]

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