ArticleJournal of the American Geriatrics Society2016
Factors Associated with Transition from Community Settings to Hospital as Place of Death for Adults Aged 75 and Older: A Population-Based Mortality Follow-Back Survey.
Article in Journal of the American Geriatrics Society, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 2 of them syntheses that pooled it.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
15 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Impact of Specialty and Nonspecialty Palliative Care on Quality of Dying With Alzheimer's Disease or Related Dementias: A Systematic Review and Meta-Analysis.Medical care · 2025Pooled it
- The Role and Response of Palliative Care and Hospice Services in Epidemics and Pandemics: A Rapid Review to Inform Practice During the COVID-19 Pandemic.Journal of pain and symptom management · 2020Pooled it
- Interventions for unpaid carers of people living with breathlessness due to chronic respiratory diseases: Scoping review.Palliative & supportive care · 2026Article
- Recent advances in understanding the role of antidepressants to manage breathlessness in supportive and palliative care.Current opinion in supportive and palliative care · 2025Review
- Article
- Hospitalizations and emergency department visits trends among elderly individuals in proximity to death: a retrospective population-based study.Scientific reports · 2021Article
- What are the risk factors for avoidable transitions in the last year of life? A qualitative exploration of professionals' perspectives for improving care in Germany.BMC health services research · 2021Article
- Article
- Palliative Care Delivery in Cancer Patients in the Era of Covid-19 Outbreak: Unique Needs, Barriers, and Tools for Solutions.Indian journal of palliative care · 2020Article
- Service Delivery Models to Maximize Quality of Life for Older People at the End of Life: A Rapid Review.The Milbank quarterly · 2019Review
- [Find your 1%: prevalence and mortality of a community cohort of people with advanced chronic disease and palliative needs].Atencion primaria · 2019Observational
- What is the impact of population ageing on the future provision of end-of-life care? Population-based projections of place of death.Palliative medicine · 2018Article
- Developing a model of short-term integrated palliative and supportive care for frail older people in community settings: perspectives of older people, carers and other key stakeholders.Age and ageing · 2016Observational
- Factors Associated with Transition from Community Settings to Hospital as Place of Death for Adults Aged 75 and Older: A Population-Based Mortality Follow-Back Survey.Journal of the American Geriatrics Society · 2016Article
- Decision-Making about the Place of Death for Cancer Patients: A Concept Analysis.Asia-Pacific journal of oncology nursingArticle
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10 authors.
Funding
Abstract
objectivesTo identify factors associated with end-of-life (EoL) transition from usual place of care to the hospital as place of death for people aged 75 and older.
designPopulation-based mortality follow-back survey.
settingDeaths over 6 months in 2012 in two unitary authorities in England covering 800 square miles with more than 1 million residents.
participantsA random sample of people aged 75 and older who died in a care home or hospital and all those who died at home or in a hospice unit (N = 882). Cases were identified from death registrations. The person who registered the death (a relative for 98.9%) completed the survey. MEASUREMENTS: The main outcome was EoL transition to the hospital as place of death versus no EoL transition to the hospital. Multivariable modified Poisson regression was used to examine factors (illness, demographic, environmental) related to EoL transition to the hospital.
resultsFour hundred forty-three (50.2%) individuals responded, describing the care of the people who died. Most died from nonmalignant conditions (76.3%) at a mean age of 87.4 ± 6.4. One hundred forty-six (32.3%) transitioned to the hospital and died there. Transition was more likely for individuals with respiratory disease than for those with cancer (prevalence ratio (PR) = 2.07, 95% confidence interval (CI) = 1.42-3.01) and for people with severe breathlessness (PR = 1.96, 95% CI = 1.12-3.43). Transition was less likely if EoL preferences had been discussed with a healthcare professional (PR = 0.60, 95% CI = 0.42-0.88) and when there was a key healthcare professional (PR = 0.74, 95% CI = 0.58-0.95).
conclusionTo reduce EoL transition to the hospital for older people, there needs to be improved management of breathlessness in the community and better access to a key healthcare professional skilled in coordinating care, communication, facilitating complex discussions, and in planning for future care.
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