View in EDS HTML Full Text PDF Full Text

Hospital-service use in the last year of life by patients aged ⩾60 years who died of heart failure or cardiomyopathy: A retrospective linked data study.

Saved in:
Bibliographic Details
Title: Hospital-service use in the last year of life by patients aged ⩾60 years who died of heart failure or cardiomyopathy: A retrospective linked data study.
Authors: Singh, Gursharan K, Bowers, Alison P, Ferguson, Caleb, Ivynian, Serra E, Chambers, Shirley, Davidson, Patricia M, Hickman, Louise D
Source: Palliative Medicine. Sep2023, Vol. 37 Issue 8, p1232-1240. 9p.
Subjects: Terminal care, Hospital emergency services, Cardiomyopathies, Medical care, Retrospective studies, Patients, Medical care use, Hospital admission & discharge, Hospital care, Descriptive statistics, Critical care medicine, Medical appointments, Heart failure, Palliative treatment, Old age
Geographic Terms: Queensland
Abstract: Background: Understanding patterns of health care use in the last year of life is critical in health services planning. Aim: To describe hospital-based service and palliative care use in hospital in the year preceding death for patients who died of heart failure or cardiomyopathy in Queensland from 2008 to 2018 and had at least one hospitalisation in the year preceding death. Design: A retrospective data linkage study was conducted using administrative health data relating to hospitalisations, emergency department visits and deaths. Participants and setting: Participants included were those aged ⩾60 years, had a hospitalisation in their last year of life and died of heart failure or cardiomyopathy in Queensland, Australia. Results: Of the 4697 participants, there were 25,583 hospital admissions. Three quarters (n = 3420, 73%) of participants were aged ⩾80 years and over half died in hospital (n = 2886, 61%). The median number of hospital admissions in the last year of life was 3 (interquartile range [IQR] 2–5). The care type was recorded as 'acute' for 89% (n = 22,729) of hospital admissions, and few (n = 853, 3%) hospital admissions had a care type recorded as 'palliative.' Of the 4697 participants, 3458 had emergency department visit(s), presenting 10,330 times collectively. Conclusion: In this study, patients who died of heart failure or cardiomyopathy were predominantly aged ⩾80 years and over half died in hospital. These patients experienced repeat acute hospitalisations in the year preceding death. Improving timely access to palliative care services in the outpatient or community setting is needed for patients with heart failure. [ABSTRACT FROM AUTHOR]
Copyright of Palliative Medicine is the property of Sage Publications Inc. and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
Full text is not displayed to guests.
FullText Links:
  – Type: pdflink
Text:
  Availability: 1
Header DbId: pbh
DbLabel: Psychology and Behavioral Sciences Collection
An: 171950753
AccessLevel: 6
PubType: Academic Journal
PubTypeId: academicJournal
PreciseRelevancyScore: 0
IllustrationInfo
Items – Name: Title
  Label: Title
  Group: Ti
  Data: Hospital-service use in the last year of life by patients aged ⩾60 years who died of heart failure or cardiomyopathy: A retrospective linked data study.
– Name: Author
  Label: Authors
  Group: Au
  Data: <searchLink fieldCode="AR" term="%22Singh%2C+Gursharan+K%22">Singh, Gursharan K</searchLink><br /><searchLink fieldCode="AR" term="%22Bowers%2C+Alison+P%22">Bowers, Alison P</searchLink><br /><searchLink fieldCode="AR" term="%22Ferguson%2C+Caleb%22">Ferguson, Caleb</searchLink><br /><searchLink fieldCode="AR" term="%22Ivynian%2C+Serra+E%22">Ivynian, Serra E</searchLink><br /><searchLink fieldCode="AR" term="%22Chambers%2C+Shirley%22">Chambers, Shirley</searchLink><br /><searchLink fieldCode="AR" term="%22Davidson%2C+Patricia+M%22">Davidson, Patricia M</searchLink><br /><searchLink fieldCode="AR" term="%22Hickman%2C+Louise+D%22">Hickman, Louise D</searchLink>
– Name: TitleSource
  Label: Source
  Group: Src
  Data: <searchLink fieldCode="JN" term="%22Palliative+Medicine%22">Palliative Medicine</searchLink>. Sep2023, Vol. 37 Issue 8, p1232-1240. 9p.
– Name: Subject
  Label: Subjects
  Group: Su
  Data: <searchLink fieldCode="DE" term="%22Terminal+care%22">Terminal care</searchLink><br /><searchLink fieldCode="DE" term="%22Hospital+emergency+services%22">Hospital emergency services</searchLink><br /><searchLink fieldCode="DE" term="%22Cardiomyopathies%22">Cardiomyopathies</searchLink><br /><searchLink fieldCode="DE" term="%22Medical+care%22">Medical care</searchLink><br /><searchLink fieldCode="DE" term="%22Retrospective+studies%22">Retrospective studies</searchLink><br /><searchLink fieldCode="DE" term="%22Patients%22">Patients</searchLink><br /><searchLink fieldCode="DE" term="%22Medical+care+use%22">Medical care use</searchLink><br /><searchLink fieldCode="DE" term="%22Hospital+admission+%26+discharge%22">Hospital admission & discharge</searchLink><br /><searchLink fieldCode="DE" term="%22Hospital+care%22">Hospital care</searchLink><br /><searchLink fieldCode="DE" term="%22Descriptive+statistics%22">Descriptive statistics</searchLink><br /><searchLink fieldCode="DE" term="%22Critical+care+medicine%22">Critical care medicine</searchLink><br /><searchLink fieldCode="DE" term="%22Medical+appointments%22">Medical appointments</searchLink><br /><searchLink fieldCode="DE" term="%22Heart+failure%22">Heart failure</searchLink><br /><searchLink fieldCode="DE" term="%22Palliative+treatment%22">Palliative treatment</searchLink><br /><searchLink fieldCode="DE" term="%22Old+age%22">Old age</searchLink>
– Name: SubjectGeographic
  Label: Geographic Terms
  Group: Su
  Data: <searchLink fieldCode="DE" term="%22Queensland%22">Queensland</searchLink>
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: Background: Understanding patterns of health care use in the last year of life is critical in health services planning. Aim: To describe hospital-based service and palliative care use in hospital in the year preceding death for patients who died of heart failure or cardiomyopathy in Queensland from 2008 to 2018 and had at least one hospitalisation in the year preceding death. Design: A retrospective data linkage study was conducted using administrative health data relating to hospitalisations, emergency department visits and deaths. Participants and setting: Participants included were those aged ⩾60 years, had a hospitalisation in their last year of life and died of heart failure or cardiomyopathy in Queensland, Australia. Results: Of the 4697 participants, there were 25,583 hospital admissions. Three quarters (n = 3420, 73%) of participants were aged ⩾80 years and over half died in hospital (n = 2886, 61%). The median number of hospital admissions in the last year of life was 3 (interquartile range [IQR] 2–5). The care type was recorded as 'acute' for 89% (n = 22,729) of hospital admissions, and few (n = 853, 3%) hospital admissions had a care type recorded as 'palliative.' Of the 4697 participants, 3458 had emergency department visit(s), presenting 10,330 times collectively. Conclusion: In this study, patients who died of heart failure or cardiomyopathy were predominantly aged ⩾80 years and over half died in hospital. These patients experienced repeat acute hospitalisations in the year preceding death. Improving timely access to palliative care services in the outpatient or community setting is needed for patients with heart failure. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
  Label:
  Group: Ab
  Data: <i>Copyright of Palliative Medicine is the property of Sage Publications Inc. and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
PLink https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=pbh&AN=171950753
RecordInfo BibRecord:
  BibEntity:
    Identifiers:
      – Type: doi
        Value: 10.1177/02692163231180912
    Languages:
      – Code: eng
        Text: English
    PhysicalDescription:
      Pagination:
        PageCount: 9
        StartPage: 1232
    Subjects:
      – SubjectFull: Terminal care
        Type: general
      – SubjectFull: Hospital emergency services
        Type: general
      – SubjectFull: Cardiomyopathies
        Type: general
      – SubjectFull: Medical care
        Type: general
      – SubjectFull: Retrospective studies
        Type: general
      – SubjectFull: Patients
        Type: general
      – SubjectFull: Medical care use
        Type: general
      – SubjectFull: Hospital admission & discharge
        Type: general
      – SubjectFull: Hospital care
        Type: general
      – SubjectFull: Descriptive statistics
        Type: general
      – SubjectFull: Critical care medicine
        Type: general
      – SubjectFull: Medical appointments
        Type: general
      – SubjectFull: Heart failure
        Type: general
      – SubjectFull: Palliative treatment
        Type: general
      – SubjectFull: Old age
        Type: general
      – SubjectFull: Queensland
        Type: general
    Titles:
      – TitleFull: Hospital-service use in the last year of life by patients aged ⩾60 years who died of heart failure or cardiomyopathy: A retrospective linked data study.
        Type: main
  BibRelationships:
    HasContributorRelationships:
      – PersonEntity:
          Name:
            NameFull: Singh, Gursharan K
      – PersonEntity:
          Name:
            NameFull: Bowers, Alison P
      – PersonEntity:
          Name:
            NameFull: Ferguson, Caleb
      – PersonEntity:
          Name:
            NameFull: Ivynian, Serra E
      – PersonEntity:
          Name:
            NameFull: Chambers, Shirley
      – PersonEntity:
          Name:
            NameFull: Davidson, Patricia M
      – PersonEntity:
          Name:
            NameFull: Hickman, Louise D
    IsPartOfRelationships:
      – BibEntity:
          Dates:
            – D: 01
              M: 09
              Text: Sep2023
              Type: published
              Y: 2023
          Identifiers:
            – Type: issn-print
              Value: 02692163
          Numbering:
            – Type: volume
              Value: 37
            – Type: issue
              Value: 8
          Titles:
            – TitleFull: Palliative Medicine
              Type: main
ResultId 1