Likelihood of death among hospital inpatients in New Zealand: Prevalent cohort study

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dc.contributor.author Gott, Caryl en
dc.contributor.author Broad, Joanna en
dc.contributor.author Zhang, X en
dc.contributor.author Jarlbaek, L en
dc.contributor.author Clark, D en
dc.coverage.spatial England en
dc.date.accessioned 2018-11-26T00:38:21Z en
dc.date.issued 2017-12-06 en
dc.identifier.uri http://hdl.handle.net/2292/44577 en
dc.description.abstract OBJECTIVES: (1) To establish the likelihood of dying within 12 months for a cohort of hospital inpatients in New Zealand (NZ) on a fixed census date; (2) to identify associations between likelihood of death and key sociodemographic, diagnostic and service-related factors and (3) to compare results with, and extend findings of, a Scottish study undertaken for the same time period and census date. National databases of hospitalisations and death registrations were used, linked by unique health identifier. PARTICIPANTS: 6074 patients stayed overnight in NZ hospitals on the census date (10 April 2013), 40.8% of whom were aged ≥65 years; 54.4% were women; 69.1% of patients were NZ European; 15.3% were Maori; 7.6% were Pacific; 6.1% were Asian and 1.9% were 'other'. SETTING: All NZ hospitals. RESULTS: 14.5% patients (n=878) had died within 12 months: 1.6% by 7 days; 4.5% by 30 days; 8.0% by 3 months and 10.9% by 6 months. In logistic regression models, the strongest predictors of death within 12 months were: age ≥80 years (OR=5.52(95% CI 4.31 to 7.07)); a history of cancer (OR=4.20(3.53 to 4.98)); being Māori (OR=1.62(1.25 to 2.10)) and being admitted to a medical specialty, compared with a surgical specialty (OR=3.16(2.66 to 3.76)). CONCLUSION: While hospitals are an important site of end of life care in NZ, their role is less significant than in Scotland, where 30% of an inpatient cohort recruited using similar methods and undertaken on the same census date had died within 12 months. One reason for this finding may be the extended role of residential long-term care facilities in end of life care provision in NZ. en
dc.language eng en
dc.relation.ispartofseries BMJ Open en
dc.rights Items in ResearchSpace are protected by copyright, with all rights reserved, unless otherwise indicated. Previously published items are made available in accordance with the copyright policy of the publisher. Details obtained from http://www.sherpa.ac.uk/romeo/issn/2044-6055/ en
dc.rights.uri https://researchspace.auckland.ac.nz/docs/uoa-docs/rights.htm en
dc.rights.uri http://creativecommons.org/licenses/by-nc/4.0/ en
dc.subject death en
dc.subject end of life en
dc.subject ethnicity en
dc.subject hospital en
dc.subject mortality en
dc.subject palliative care en
dc.title Likelihood of death among hospital inpatients in New Zealand: Prevalent cohort study en
dc.type Journal Article en
dc.identifier.doi 10.1136/bmjopen-2017-016880 en
pubs.issue 12 en
pubs.volume 7 en
dc.rights.holder Copyright: The authors en
dc.identifier.pmid 29217720 en
pubs.author-url https://www.ncbi.nlm.nih.gov/pubmed/29217720 en
pubs.publication-status Published online en
dc.rights.accessrights http://purl.org/eprint/accessRights/OpenAccess en
pubs.subtype Article en
pubs.elements-id 719467 en
pubs.org-id Medical and Health Sciences en
pubs.org-id Nursing en
pubs.org-id School of Medicine en
pubs.org-id Medicine Department en
dc.identifier.eissn 2044-6055 en
dc.identifier.pii bmjopen-2017-016880 en
pubs.number e016880 en
pubs.record-created-at-source-date 2018-12-12 en
pubs.online-publication-date 2017-12-06 en
pubs.dimensions-id 29217720 en


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