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Fleming, Jane, Zhao, Jun, Farquhar, Morag 
ORCID: https://orcid.org/0000-0001-7991-7679, Brayne, Carol and Barclay, Stephen
(2010)
Place of death for the ‘oldest old’: ≥85-year-olds in the CC75C population-based cohort.
British Journal of General Practice, 60 (573).
e171-e179.
ISSN 0960-1643
Abstract
Background: Deaths are rising fastest among the oldest old but data on their transitions in place of care at the end of life are scarce. Aim: To examine the place of residence or care of ≥85 year-olds less than a year before death, and their place of death, and to map individual changes between the two. Design of study: Population-based cohort study. Setting Cambridge City over-75s Cohort (CC75C) study, UK. Method: Retrospective analysis of prospective data from males and females aged ≥85 years at death who died within a year of taking part in any CC75C survey (n = 320); death certificate linkage. Results: Only 7% changed their address in their last year of life, yet 52% died somewhere other than their usual address at the time of death. Over two-thirds were living in the community when interviewed <1 year before death, but less than one-third who had lived at home died there (less than one-fifth in sheltered housing). Care homes were the usual address of most people dying there (77% in residential homes, 87% in nursing homes) but 15% of deaths in acute hospital came from care homes. Conclusion: More than half the study sample of individuals of advanced old age had a change in their place of residence or care in their last year of life. These findings add weight to calls for improved end-of-life care in all settings, regardless of age, to avoid unnecessary transfers. The study data provide a baseline that can help plan and monitor initiatives to promote choice in location of care at the end of life for the very old.
| Item Type: | Article |
|---|---|
| Additional Information: | Date of Acceptance: 24/09/2009 |
| Uncontrolled Keywords: | aged,aged 80 or over,aging in place,frail elderly,terminal care,sdg 11 - sustainable cities and communities ,/dk/atira/pure/sustainabledevelopmentgoals/sustainable_cities_and_communities |
| Faculty \ School: | Faculty of Medicine and Health Sciences > School of Health Sciences |
| UEA Research Groups: | Faculty of Medicine and Health Sciences > Research Groups > Health Promotion Faculty of Medicine and Health Sciences > Research Centres > Lifespan Health |
| Depositing User: | Pure Connector |
| Date Deposited: | 21 Oct 2016 16:00 |
| Last Modified: | 19 Oct 2023 01:49 |
| URI: | https://ueaeprints.uea.ac.uk/id/eprint/61042 |
| DOI: | 10.3399/bjgp10X483959 |
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