Population, mortality and place of death in Germany (1950–2050) – Implications for end-of-life care in the future

Public Health ◽  
2012 ◽  
Vol 126 (11) ◽  
pp. 937-946 ◽  
Author(s):  
S.T. Simon ◽  
B. Gomes ◽  
P. Koeskeroglu ◽  
I.J. Higginson ◽  
C. Bausewein
Keyword(s):  
End Of Life ◽  
End Of Life Care ◽  
Place Of Death ◽  
Life Care ◽  
The Future ◽  
Population Mortality

scholarly journals Why Did an Out-of-Hospital Shift of Death and Dying Occur in Canada after 1994?

2014 ◽  
Vol 2014 ◽  
pp. 1-11 ◽  
Author(s):  
Donna M. Wilson ◽  
Jessica A. Hewitt ◽  
Roger E. Thomas ◽  
Boris Woytowich
Keyword(s):  
End Of Life ◽  
End Of Life Care ◽  
Death And Dying ◽  
Place Of Death ◽  
Mortality Data ◽  
Life Care ◽  
Canadian Population ◽  
Direct And Indirect Impacts ◽  
Indirect Impacts ◽  
Population Mortality

Canadian population mortality data reveal a significantly reduced proportion of deaths occurring in hospitals after 1994. Hospital deaths peaked at 80.5% in 1994, after a longstanding hospitalization-of-death trend in Canada. A decline in hospital-based death and dying has also occurred in some other countries. As the place of death can have multiple significant direct and indirect impacts on dying individuals, their families, and health services utilization and costs, it is important to understand factors for an out-of-hospital shift. An integrative review of Canadian print literature from 1995 was undertaken to identify these factors, with three themes emerging: (1) changes in health care and health system reforms after 1994 reduced both the availability and desirability of hospital-based care, (2) sociodemographic developments including aging of the population, increased multiculturalism, and diversity in accepted end-of-life care practices shifted place preferences, and (3) advances in palliative and end-of-life care, including a palliative care expansion out of hospital, supported nonhospital death, and dying processes. The period following 1994 was thus a time of major transformation during which the place of death and dying underwent important changes that supported and promoted a transition from hospital-based end-of-life care.

scholarly journals What is the impact of population ageing on the future provision of end-of-life care? Population-based projections of place of death

2017 ◽  
Vol 32 (2) ◽  
pp. 329-336 ◽  
Author(s):  
Anna E Bone ◽  
Barbara Gomes ◽  
Simon N Etkind ◽  
Julia Verne ◽  
Fliss EM Murtagh ◽  
...  
Keyword(s):  
End Of Life ◽  
End Of Life Care ◽  
Population Based ◽  
Population Ageing ◽  
Place Of Death ◽  
Life Care ◽  
The Future ◽  
The Impact

Place of Death of Geriatric Population in Turkey: A 7-Year Observational Study

2021 ◽  
pp. 082585972110365
Author(s):  
Serdar Ceylan ◽  
Merve Guner Oytun ◽  
Arzu Okyar Bas ◽  
Zeynep Kahyaoglu ◽  
Burcu B. Dogu ◽  
...  
Keyword(s):  
End Of Life ◽  
End Of Life Care ◽  
University Hospital ◽  
Place Of Death ◽  
Public Health Issue ◽  
Hospital Death ◽  
Chronic Obstructive ◽  
Life Care ◽  
Geriatric Population ◽  
Significant Difference

Background End-of-life care has become an important public health issue in recent years. Place of death is a major component of end-of-life care. Despite attempts to improve end-of-life care, there has not been published any data about place of deaths in Turkey. Aim: This retrospective, cross-sectional study investigates the place of death and trends over the years in geriatric age groups in Turkey. Methods: Patients who were admitted to geriatric outpatient clinic of a university hospital during a 7-year period were included. Place and date of death information were received from the death notification system and recorded as hospital or out-of-hospital death. Demographic and clinical data were collected from the hospital information system. Deaths occurring after March 1, 2020 were not included to eliminate the effect of coronavirus disease-2019 pandemic. Results: A total of 4025 (20.7%) patients were determined to be dead. Approximately three-quarters of deaths (73.0%) occurred in hospital. The number of deaths reported from nursing homes was only 13 (3.0%). Patients with dementia less frequently died in hospital, however, it was not statistically significant (12.4% vs 14.7%, P = .05). The prevalence of death in hospital was significantly higher in patients with chronic renal failure (3.1% vs 1.7%, P = .02). The presence of comorbid conditions such as heart failure, cerebrovascular disease, Parkinson's disease, chronic obstructive pulmonary disease/asthma, and cancer did not affect the place of death ( P = .24, .21, .24, .51, and .18). Out-of-hospital mortality increased with advanced age ( P < .001). No significant difference was found in the place of death over the years ( P = .41). Conclusion: To the best of our knowledge, this is the first study examining the place of death in Turkey, an aging country. Our results may help to establish policies about end-of-life care in elderly people to improve quality of life by using resources effectively.

scholarly journals Retrospective cohort analysis of real-life decisions about end-of-life care preferences in a Southeast Asian country

BMJ Open ◽  
2019 ◽  
Vol 9 (2) ◽  
pp. e024662 ◽  
Author(s):  
Woan Shin Tan ◽  
Ram Bajpai ◽  
Andy Hau Yan Ho ◽  
Chan Kee Low ◽  
Josip Car
Keyword(s):  
End Of Life ◽  
End Of Life Care ◽  
Retrospective Cohort ◽  
Chronically Ill ◽  
Place Of Death ◽  
Life Care ◽  
Care Programme ◽  
Lower Odds ◽  
Full Treatment ◽  
To Receive

ObjectiveTo describe the end-of-life care preferences of individuals, and to examine the influence of age and gender on these preferences.Design, setting and participantsA retrospective cohort study was conducted. Participants included all adults (≥21 years old) (n=3380) who had completed a statement of their preferences as part of a national Advance Care Planning (ACP) programme in Singapore. Data were extracted from the national and Tan Tock Seng Hospital ACP database.Main measuresEnd-of-life care preferences were obtained from the ACP document and differentiated by health status (healthy, chronically ill or diagnosed with advanced illnesses). To analyse the data, descriptive statistics and logistic regression analysis were used.ResultsAcross healthy and chronically ill patients, the majority did not opt for cardiopulmonary resuscitation (CPR) or other life-sustaining measures. Among individuals with advanced illnesses, 94% preferred not to attempt CPR but 69% still preferred to receive some form of active medical treatment. Approximately 40% chose to be cared for, and to die at home. Age and sex significantly predict preferences in those with advanced illnesses. Older age (>=75 years) showed higher odds for home as preferred place of care (OR 1.52; 95% CI 1.23 to 1.89) and place of death (OR 1.29; 95% CI 1.03 to 1.61) and lower odds for CPR (OR 0.31; 95% CI 0.18 to 0.54) and full treatment (OR 0.32; 95% CI 0.17 to 0.62). Being female was associated with lower odds for home as preferred place of care (OR 0.69; 95% CI 0.57 to 0.84) and place of death (OR 0.70; 95% CI 0.57 to 0.85) and higher odds for full treatment (OR 2.35; 95% CI 1.18 to 4.68).ConclusionThe majority preferred to not proceed with life-sustaining treatments, but there was still a strong preference to receive some form of limited treatment. Better understanding of end-of-life care preferences through ACP can better guide end-of-life care programme planning, and resource allocation decisions.

scholarly journals The future of end-of-life care

The Lancet ◽  
2018 ◽  
Vol 392 (10151) ◽  
pp. 915-916 ◽  
Author(s):  
Anna E Bone ◽  
Catherine J Evans ◽  
Irene J Higginson
Keyword(s):  
End Of Life ◽  
End Of Life Care ◽  
Life Care ◽  
The Future
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