Observational studyBMC palliative care2018
Place of death in patients with dementia and the association with comorbidities: a retrospective population-based observational study in Germany.
Observational study in BMC palliative care, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.
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Who cites it
17 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Place of death in Parkinson's disease: A systematic review and meta-analysis of associated factors.Journal of Parkinson's disease · 2026Pooled it
- Place of death for people with dementia: A scoping review.PloS one · 2026Article
- Survival outcomes among hospitalized patients with dementia: a propensity score matching analysis.Acta neurologica Belgica · 2025Article
- Describing the elements of an effective dementia palliative care service.BMC palliative care · 2025Article
- Factors affecting the place of death in patients with liver cancer in China, 2013-2020: A population-based study.Cancer pathogenesis and therapy · 2025Article
- [Cause of death statistics-how to avoid misinterpretation of mortality data].Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz · 2025Article
- What care do people with dementia receive at the end of life? Lessons from a retrospective clinical audit of deaths in hospital and other settings.BMC geriatrics · 2024Article
- Article
- Home-based care for people living with dementia at the end of life: the perspective of experts.BMC palliative care · 2023Article
- Outcomes and Predictors of In-Hospital Mortality among Older Patients with Dementia.Journal of clinical medicine · 2022Article
- Illnesses and Symptoms in Older Adults at the End of Life at Different Places of Death in Korea.International journal of environmental research and public health · 2022Article
- Pharmacological treatment in the dying geriatric patient: describing use and dosage of opioids in the acute geriatric wards and palliative care units of three hospitals.European geriatric medicine · 2021Article
- [Hospitalization of nursing home residents in the last phase of life: an analysis of health insurance data].Zeitschrift fur Gerontologie und Geriatrie · 2021Article
- Caring ahead: Mixed methods development of a questionnaire to measure caregiver preparedness for end-of-life with dementia.Palliative medicine · 2021Article
- Place of Death for Persons With and Without Cognitive Impairment in the United States.Journal of the American Geriatrics Society · 2021Article
- Palliative Care in Advanced Dementia.Frontiers in psychiatry · 2020Review
- Conceptualising comorbidity and multimorbidity in dementia: A scoping review and syndemic framework.Journal of multimorbidity and comorbidityArticle
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundDue to increasing life expectancy, more and more older people are suffering from dementia and comorbidities. To date, little information is available on place of death for dementia patients in Germany. In addition, the association of place of death and comorbidities is unknown.
methodsA population-based cross-sectional survey was conducted in Westphalia-Lippe (Germany), based on the analysis of death certificates from 2011. Individuals with dementia ≥ 65 years were identified using the documented cause of death. In this context, all mentioned causes of death were included. In addition, ten selected comorbidities were also analyzed. The results were presented descriptively. Using multivariate logistic regression, place of death was analyzed for any association with comorbidities.
resultsA total of 10,364 death certificates were analyzed. Dementia was recorded in 1646 cases (15.9%; mean age 86.3 ± 6.9 years; 67.3% women). On average, 1.5 ± 1.0 selected comorbidities were present. Places of death were distributed as follows: home (19.9%), hospital (28.7%), palliative care unit (0.4%), nursing home (49.5%), hospice (0.9%), no details (0.7%). The death certificates documented cardiac failure in 43.6% of cases, pneumonia in 25.2%, and malignant tumour in 13.4%. An increased likelihood of dying in hospital compared to home or nursing home, respectively, was found for the following comorbidities (OR [95%-CI]): pneumonia (2.96 [2.01-4.35], p = 0.001); (2.38 [1.75-3.25], p = 0.001); renal failure (1.93 [1.26-2.97], p = 0.003); (1.65 [1.18-2.32], p = 0.003); and sepsis (13.73 [4.88-38.63], p = 0.001); (7.34 [4.21-12.78], p = 0.001).
conclusionThe most common place of death in patients with dementia is the retirement or nursing home, followed by hospital and home. Specific comorbidities, such as pneumonia or sepsis, correlated with an increased probability of dying in hospital.
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