Residential aged care: The de facto hospice for New Zealand's older people

Martin J. Connolly, Joanna B. Broad, Michal Boyd, Ngaire Kerse, Merryn Gott

Research output: Contribution to journalArticle

23 Citations (Scopus)

Abstract

Aim: To describe short-term mortality among residential aged care (RAC) residents in Auckland, New Zealand. Method: Prospective follow-up, 6828 residents (median age 86 years, 69.8% women) from census-type survey (10/9/2008); 152 facilities. Mortality data from central sources. Results: Eight hundred and sixty-one (12.6%) died by 6 months. Survival related to RAC length of stay before the survey: those resident <1 month (subgroup, n = 380) having 80.0% survival, 1-6 months 83.2% and >6 months 87.4% (P < 0.0001). In those admitted to private hospital from acute hospital (n = 104 of the subgroup of 380), 6-month mortality was 36.5% (P < 0.0001 vs other short stayers'). Significant mortality predictors were: private hospital admission from acute hospital (hazard ratio (HR) = 2.02), unscheduled GP visit during the prior 2 weeks (HR= 1.90), personal care disability (HR= 1.90) and acute hospital admission number during the previous 2 years (3; HR= 5.40). Conclusions: RAC mortality (especially post admission) is high. Training and resource in the sector should reflect this.
Original languageEnglish
Pages (from-to)114-120
Number of pages7
JournalAustralasian Journal on Ageing
Volume33
Issue number2
DOIs
Publication statusPublished - 2014

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