Place of death trends among patients with dementia in Japan: a population-based observational study.
Sci Rep
; 9(1): 20235, 2019 12 27.
Article
in En
| MEDLINE
| ID: mdl-31882673
ABSTRACT
Dementia is a major public health concern in ageing societies. Although the population of Japan is among the most aged worldwide, long-term trends in the place of death (PoD) among patients with dementia is unknown. In this Japanese nationwide observational study, we analysed trends in PoD using the data of patients with dementia who were aged ≥65 years and died during 1999-2016. Trends in the crude death rates and PoD frequencies were analysed using the Joinpoint regression model. Changes in these trends were assessed using the Joinpoint regression analysis in which significant change points, the annual percentage change (APC) and average APCs (AAPC) in hospitals, homes, or nursing homes were estimated. During 1999-2016, the number of deaths among patients with dementia increased from 3,235 to 23,757 (total 182,000). A trend analysis revealed increased mortality rates, with an AAPC of 8.2% among men and 9.3% among women. Most patients with dementia died in the hospital, although the prevalence of hospital deaths decreased (AAPC -1.0%). Moreover, the prevalence of nursing home deaths increased (AAPC 5.6%), whereas the prevalence of home deaths decreased (AAPC -5.8%). These findings support a reconsideration of the end-of-life care provided to patients with dementia.
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Cause of Death
/
Hospital Mortality
/
Death
/
Dementia
/
Nursing Homes
Type of study:
Diagnostic_studies
/
Observational_studies
/
Prevalence_studies
/
Prognostic_studies
/
Risk_factors_studies
Limits:
Adult
/
Aged
/
Aged80
/
Female
/
Humans
/
Male
/
Middle aged
Country/Region as subject:
Asia
Language:
En
Journal:
Sci Rep
Year:
2019
Document type:
Article
Affiliation country:
Japan