A population-based retrospective cohort study of end-of-life emergency department visits by people with dementia: multilevel modelling of individual- and service-level factors using linked data.

ABSTRACT:

Background

emergency department (ED) visits have inherent risks for people with dementia yet increase towards the end-of-life. Although some individual-level determinants of ED visits have been identified, little is known about service-level determinants.

Objective

to examine individual- and service-level factors associated with ED visits by people with dementia in the last year of life.

Methods

retrospective cohort study using hospital administrative and mortality data at the individual-level, linked to health and social care service data at the area-level across England. The primary outcome was number of ED visits in the last year of life. Subjects were decedents with dementia recorded on the death certificate, with at least one hospital contact in the last 3 years

SUBMITTER: Williamson LE 

PROVIDER: S-EPMC9978317 | biostudies-literature | 2023 Mar

REPOSITORIES: biostudies-literature