TY  - JOUR
PY  - 2018//
TI  - Predictors of emergency department attendance by people with dementia in their last year of life: retrospective cohort study using linked clinical and administrative data
JO  - Alzheimer's and dementia
A1  - Sleeman, Katherine E.
A1  - Perera, Gayan
A1  - Stewart, Robert
A1  - Higginson, Irene J.
SP  - 20
EP  - 27
VL  - 14
IS  - 1
N2  - 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>
LA  - en
SN  - 1552-5260
UR  - http://dx.doi.org/10.1016/j.jalz.2017.06.2267
ID  - ref1
ER  -