Mortality and enrolment rates in end-of-life service for older adults in residential care homes
Background. Older adults in residential care homes in Hong Kong usually have multiple co-morbidities and need end-of-life (EOL) care. Repeated hospitalisations before death are common. The Hospital Admission Risk Reduction Program for the Elderly (HARRPE) score is correlated with mortality. We compa...
Gespeichert in:
| Veröffentlicht in: | Asian Journal of Gerontology and Geriatrics 2023-12, Vol.18 (2), p.72-78 |
|---|---|
| Hauptverfasser: | , , , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | 78 |
|---|---|
| container_issue | 2 |
| container_start_page | 72 |
| container_title | Asian Journal of Gerontology and Geriatrics |
| container_volume | 18 |
| creator | Mo, Maria YT Wong, CK Po, Yvonne MY Chan, Ki Kng, Carolyn PL |
| description | Background. Older adults in residential care homes in Hong Kong usually have multiple co-morbidities and need end-of-life (EOL) care. Repeated hospitalisations before death are common. The Hospital Admission Risk Reduction Program for the Elderly (HARRPE) score is correlated with mortality. We compared older adults identified by clinical referral with older adults identified by HARRPE score >0.4 in terms of EOL programme enrolment rate and mortality rates at 180 and 365 days. Methods. This retrospective cohort study included older adults aged >80 years residing in care homes from 1 July 2018 to 30 June 2019. We compared older adults identified by clinical referral with older adults identified by HARRPE score >0.4 in terms of EOL programme enrolment rate and mortality rates at 180 and 365 days. Results. Of 113 clinical referral patients and 735 patients with HARRPE score >0.4, 102 and 96, respectively fulfilled EOL programme criteria. Their mean age was 92 years, with female predominance (71%). Enrolment rates were similar (57% and 51%, respectively). Survival probability was higher among enrolled patients than among non-enrolled patients (p |
| doi_str_mv | 10.12809/ajgg-2022-579-oa |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_journals_3070032694</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>3070032694</sourcerecordid><originalsourceid>FETCH-LOGICAL-c183a-a6eb5f2e574ee9d78ffdb9277be9d7bd64d7829c1b4a6bc24b958d07ff9ff103</originalsourceid><addsrcrecordid>eNpNkE1LAzEQhoMoWLQ_wFvAczTJfmRzlOIXVLz0HiabSU1JNzXZCv33blsPzmVmXt55Bx5C7gR_ELLj-hE26zWTXErWKM0SXJCZ6IRmolHt5b_5msxL2fCpWi55JWbEfKQ8QgzjgcLgKA45xS0OI80wYqFhmCTHkmcxeKQF80_okfqUaYoOMwW3j-PJl7EEN10GiLSHjPQrbbHckisPseD8r9-Q1cvzavHGlp-v74unJetFVwGDFm3jJTaqRtROdd47q6VS9rhZ19aTJnUvbA2t7WVtddM5rrzX3gte3ZD7c-wup-89ltFs0j4P00dTccV5JVtdTy5xdvU5lZLRm10OW8gHI7g5kTRHkuZI0kwkTYLqF0mqaYE</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>3070032694</pqid></control><display><type>article</type><title>Mortality and enrolment rates in end-of-life service for older adults in residential care homes</title><source>EZB-FREE-00999 freely available EZB journals</source><creator>Mo, Maria YT ; Wong, CK ; Po, Yvonne MY ; Chan, Ki ; Kng, Carolyn PL</creator><creatorcontrib>Mo, Maria YT ; Wong, CK ; Po, Yvonne MY ; Chan, Ki ; Kng, Carolyn PL</creatorcontrib><description>Background. Older adults in residential care homes in Hong Kong usually have multiple co-morbidities and need end-of-life (EOL) care. Repeated hospitalisations before death are common. The Hospital Admission Risk Reduction Program for the Elderly (HARRPE) score is correlated with mortality. We compared older adults identified by clinical referral with older adults identified by HARRPE score >0.4 in terms of EOL programme enrolment rate and mortality rates at 180 and 365 days. Methods. This retrospective cohort study included older adults aged >80 years residing in care homes from 1 July 2018 to 30 June 2019. We compared older adults identified by clinical referral with older adults identified by HARRPE score >0.4 in terms of EOL programme enrolment rate and mortality rates at 180 and 365 days. Results. Of 113 clinical referral patients and 735 patients with HARRPE score >0.4, 102 and 96, respectively fulfilled EOL programme criteria. Their mean age was 92 years, with female predominance (71%). Enrolment rates were similar (57% and 51%, respectively). Survival probability was higher among enrolled patients than among non-enrolled patients (p<0.001).The two groups were comparable in terms of the 180-day mortality rate and 365-day mortality rate. In both groups, survival probabilities were higher in patients who enrolled in the EOL programme, compared with patients who did not enrol (p<0.001).The median survival was longer in the HARRPE group (191 vs 155 days). Conclusions. Older adults in residential care homes requiring EOL care according to HARRPE score >0.4 have similar enrolment and mortality rates, compared with clinical referral. The HARRPE score is a feasible tool to supplement clinical referral for timely EOL care.</description><identifier>ISSN: 1819-1576</identifier><identifier>EISSN: 1819-1576</identifier><identifier>DOI: 10.12809/ajgg-2022-579-oa</identifier><language>eng</language><publisher>Hong Kong: Hong Kong Academy of Medicine</publisher><subject>Advance directives ; Cohort analysis ; Dementia ; Enteral nutrition ; Frailty ; Geriatrics ; Hospitals ; Mortality ; Nurses ; Nursing homes ; Older people ; Oncology ; Palliative care ; Pressure ulcers</subject><ispartof>Asian Journal of Gerontology and Geriatrics, 2023-12, Vol.18 (2), p.72-78</ispartof><rights>2023. This work is published under https://creativecommons.org/licenses/by-nc-nd/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids></links><search><creatorcontrib>Mo, Maria YT</creatorcontrib><creatorcontrib>Wong, CK</creatorcontrib><creatorcontrib>Po, Yvonne MY</creatorcontrib><creatorcontrib>Chan, Ki</creatorcontrib><creatorcontrib>Kng, Carolyn PL</creatorcontrib><title>Mortality and enrolment rates in end-of-life service for older adults in residential care homes</title><title>Asian Journal of Gerontology and Geriatrics</title><description>Background. Older adults in residential care homes in Hong Kong usually have multiple co-morbidities and need end-of-life (EOL) care. Repeated hospitalisations before death are common. The Hospital Admission Risk Reduction Program for the Elderly (HARRPE) score is correlated with mortality. We compared older adults identified by clinical referral with older adults identified by HARRPE score >0.4 in terms of EOL programme enrolment rate and mortality rates at 180 and 365 days. Methods. This retrospective cohort study included older adults aged >80 years residing in care homes from 1 July 2018 to 30 June 2019. We compared older adults identified by clinical referral with older adults identified by HARRPE score >0.4 in terms of EOL programme enrolment rate and mortality rates at 180 and 365 days. Results. Of 113 clinical referral patients and 735 patients with HARRPE score >0.4, 102 and 96, respectively fulfilled EOL programme criteria. Their mean age was 92 years, with female predominance (71%). Enrolment rates were similar (57% and 51%, respectively). Survival probability was higher among enrolled patients than among non-enrolled patients (p<0.001).The two groups were comparable in terms of the 180-day mortality rate and 365-day mortality rate. In both groups, survival probabilities were higher in patients who enrolled in the EOL programme, compared with patients who did not enrol (p<0.001).The median survival was longer in the HARRPE group (191 vs 155 days). Conclusions. Older adults in residential care homes requiring EOL care according to HARRPE score >0.4 have similar enrolment and mortality rates, compared with clinical referral. The HARRPE score is a feasible tool to supplement clinical referral for timely EOL care.</description><subject>Advance directives</subject><subject>Cohort analysis</subject><subject>Dementia</subject><subject>Enteral nutrition</subject><subject>Frailty</subject><subject>Geriatrics</subject><subject>Hospitals</subject><subject>Mortality</subject><subject>Nurses</subject><subject>Nursing homes</subject><subject>Older people</subject><subject>Oncology</subject><subject>Palliative care</subject><subject>Pressure ulcers</subject><issn>1819-1576</issn><issn>1819-1576</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><recordid>eNpNkE1LAzEQhoMoWLQ_wFvAczTJfmRzlOIXVLz0HiabSU1JNzXZCv33blsPzmVmXt55Bx5C7gR_ELLj-hE26zWTXErWKM0SXJCZ6IRmolHt5b_5msxL2fCpWi55JWbEfKQ8QgzjgcLgKA45xS0OI80wYqFhmCTHkmcxeKQF80_okfqUaYoOMwW3j-PJl7EEN10GiLSHjPQrbbHckisPseD8r9-Q1cvzavHGlp-v74unJetFVwGDFm3jJTaqRtROdd47q6VS9rhZ19aTJnUvbA2t7WVtddM5rrzX3gte3ZD7c-wup-89ltFs0j4P00dTccV5JVtdTy5xdvU5lZLRm10OW8gHI7g5kTRHkuZI0kwkTYLqF0mqaYE</recordid><startdate>20231201</startdate><enddate>20231201</enddate><creator>Mo, Maria YT</creator><creator>Wong, CK</creator><creator>Po, Yvonne MY</creator><creator>Chan, Ki</creator><creator>Kng, Carolyn PL</creator><general>Hong Kong Academy of Medicine</general><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7XB</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>KB0</scope><scope>NAPCQ</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope></search><sort><creationdate>20231201</creationdate><title>Mortality and enrolment rates in end-of-life service for older adults in residential care homes</title><author>Mo, Maria YT ; Wong, CK ; Po, Yvonne MY ; Chan, Ki ; Kng, Carolyn PL</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c183a-a6eb5f2e574ee9d78ffdb9277be9d7bd64d7829c1b4a6bc24b958d07ff9ff103</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Advance directives</topic><topic>Cohort analysis</topic><topic>Dementia</topic><topic>Enteral nutrition</topic><topic>Frailty</topic><topic>Geriatrics</topic><topic>Hospitals</topic><topic>Mortality</topic><topic>Nurses</topic><topic>Nursing homes</topic><topic>Older people</topic><topic>Oncology</topic><topic>Palliative care</topic><topic>Pressure ulcers</topic><toplevel>online_resources</toplevel><creatorcontrib>Mo, Maria YT</creatorcontrib><creatorcontrib>Wong, CK</creatorcontrib><creatorcontrib>Po, Yvonne MY</creatorcontrib><creatorcontrib>Chan, Ki</creatorcontrib><creatorcontrib>Kng, Carolyn PL</creatorcontrib><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Nursing & Allied Health Premium</collection><collection>Publicly Available Content Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><jtitle>Asian Journal of Gerontology and Geriatrics</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Mo, Maria YT</au><au>Wong, CK</au><au>Po, Yvonne MY</au><au>Chan, Ki</au><au>Kng, Carolyn PL</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Mortality and enrolment rates in end-of-life service for older adults in residential care homes</atitle><jtitle>Asian Journal of Gerontology and Geriatrics</jtitle><date>2023-12-01</date><risdate>2023</risdate><volume>18</volume><issue>2</issue><spage>72</spage><epage>78</epage><pages>72-78</pages><issn>1819-1576</issn><eissn>1819-1576</eissn><abstract>Background. Older adults in residential care homes in Hong Kong usually have multiple co-morbidities and need end-of-life (EOL) care. Repeated hospitalisations before death are common. The Hospital Admission Risk Reduction Program for the Elderly (HARRPE) score is correlated with mortality. We compared older adults identified by clinical referral with older adults identified by HARRPE score >0.4 in terms of EOL programme enrolment rate and mortality rates at 180 and 365 days. Methods. This retrospective cohort study included older adults aged >80 years residing in care homes from 1 July 2018 to 30 June 2019. We compared older adults identified by clinical referral with older adults identified by HARRPE score >0.4 in terms of EOL programme enrolment rate and mortality rates at 180 and 365 days. Results. Of 113 clinical referral patients and 735 patients with HARRPE score >0.4, 102 and 96, respectively fulfilled EOL programme criteria. Their mean age was 92 years, with female predominance (71%). Enrolment rates were similar (57% and 51%, respectively). Survival probability was higher among enrolled patients than among non-enrolled patients (p<0.001).The two groups were comparable in terms of the 180-day mortality rate and 365-day mortality rate. In both groups, survival probabilities were higher in patients who enrolled in the EOL programme, compared with patients who did not enrol (p<0.001).The median survival was longer in the HARRPE group (191 vs 155 days). Conclusions. Older adults in residential care homes requiring EOL care according to HARRPE score >0.4 have similar enrolment and mortality rates, compared with clinical referral. The HARRPE score is a feasible tool to supplement clinical referral for timely EOL care.</abstract><cop>Hong Kong</cop><pub>Hong Kong Academy of Medicine</pub><doi>10.12809/ajgg-2022-579-oa</doi><tpages>7</tpages><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 1819-1576 |
| ispartof | Asian Journal of Gerontology and Geriatrics, 2023-12, Vol.18 (2), p.72-78 |
| issn | 1819-1576 1819-1576 |
| language | eng |
| recordid | cdi_proquest_journals_3070032694 |
| source | EZB-FREE-00999 freely available EZB journals |
| subjects | Advance directives Cohort analysis Dementia Enteral nutrition Frailty Geriatrics Hospitals Mortality Nurses Nursing homes Older people Oncology Palliative care Pressure ulcers |
| title | Mortality and enrolment rates in end-of-life service for older adults in residential care homes |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2024-12-25T17%3A14%3A26IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Mortality%20and%20enrolment%20rates%20in%20end-of-life%20service%20for%20older%20adults%20in%20residential%20care%20homes&rft.jtitle=Asian%20Journal%20of%20Gerontology%20and%20Geriatrics&rft.au=Mo,%20Maria%20YT&rft.date=2023-12-01&rft.volume=18&rft.issue=2&rft.spage=72&rft.epage=78&rft.pages=72-78&rft.issn=1819-1576&rft.eissn=1819-1576&rft_id=info:doi/10.12809/ajgg-2022-579-oa&rft_dat=%3Cproquest_cross%3E3070032694%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=3070032694&rft_id=info:pmid/&rfr_iscdi=true |