@article{ref1,
title="Predictors of emergency department attendance by people with dementia in their last year of life: retrospective cohort study using linked clinical and administrative data",
journal="Alzheimer's and dementia",
year="2018",
author="Sleeman, Katherine E. and Perera, Gayan and Stewart, Robert and Higginson, Irene J.",
volume="14",
number="1",
pages="20-27",
abstract="INTRODUCTION: A fall in hospital deaths in dementia has been interpreted as indicating an improvement in end-of-life care. Whether other indicators of quality of end-of-life care, such as emergency department (ED) attendance, show a similar trend is unclear. <br><br>METHODS: Retrospective cohort study using electronic medical records from a large mental health care provider, linked to national mortality and hospital use data (2008-2013). <br><br>RESULTS: Of 4867 patients, 78.6% (3824) had at least one ED attendance during their last year of life (mean 2.13, standard deviation 2.34, range 0-54). ED attendance increased over the time period (incidence rate ratio 1.62, 95% confidence interval 1.46-1.80 for 2012-2013 compared with 2008-2009). <br><br>DISCUSSION: ED attendance in the last year of life for people with dementia is common and is increasing. Policy makers must pay attention to a broader range of indicators of poor end-of-life care alongside the place of death.<br><br>Copyright © 2017 The Authors. Published by Elsevier Inc. All rights reserved.<p /> <p>Language: en</p>",
language="en",
issn="1552-5260",
doi="10.1016/j.jalz.2017.06.2267",
url="http://dx.doi.org/10.1016/j.jalz.2017.06.2267"
}