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It is feasible to flag 'near end-of-life' status in older patients from routine general practice data.
Cardona, Magnolia; Williamson, Margaret; Jones, Mark; Ní Chróinín, Danielle; Gullotta, John; Hillman, Ken; Lewis, Ebony T; Morgan, Mark.
Affiliation
  • Cardona M; PhD, MPH, MBBS, Associate Professor of Health Systems Research and Translation, Institute for Evidence-Based Healthcare, Bond University, Qld; Associate Professor, Evidence-Based Practice Unit, Gold Coast University Hospital, Qld.
  • Williamson M; BPharm, MPH, GradDipApplEpid, Principal Epidemiologist, Health Research & Evaluation Services, NSW.
  • Jones M; PhD, BSc (Stat), Associate Professor & Biostatistician, Institute for Evidence-Based Healthcare, Bond University, Qld.
  • Ní Chróinín D; MB, BCh, BAO, BMedSc, MD, MRCPI, FRACP, Staff Specialist in Geriatrics, Department of Geriatric Medicine, Liverpool Hospital, NSW.
  • Gullotta J; AM, BMed (Hons), BPharm, OSSI, FRACGP, FAMA, General Practitioner, Matraville Medical Centre, NSW.
  • Hillman K; AO, MD, FFICM, MBBS, Clinical Academic, Intensive Care Unit, Liverpool Hospital, NSW.
  • Lewis ET; MIPH, RN, Associate Lecturer, School of Population Health, The University of New South Wales, NSW.
  • Morgan M; PhD, GradCert Clin Ed, MA (MedSc), MBBS, Professor of General Practice, Faculty of Health Sciences and Medicine, Bond University, Qld.
Aust J Gen Pract ; 49(11): 752-758, 2020 11.
Article in En | MEDLINE | ID: mdl-33123717
ABSTRACT

METHOD:

A retrospective chart review was used to assess the feasibility of identifying these indicators in the data (160,897 patients from 464 practices across Australia). Conditional logistic regression was used to assess the independent contribution of nEOL indicators in patients aged 75-84 and ≥85 years using a case-control design matching by practice.

RESULTS:

The strongest indicators for nEOL status were advanced malignancy, residential aged care, nutritional vulnerability, anaemia, cognitive impairment and heart failure. Other indicators included hospital attendance, pneumonia, decubitus ulcer, chronic obstructive pulmonary disease, antipsychotic prescription, male sex and stroke.

DISCUSSION:

Consideration of routinely collected patient data may suggest nEOL status and trigger advance care planning discussions.
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Full text: 1 Collection: 01-internacional Database: MEDLINE Main subject: Terminal Care / Unnecessary Procedures Type of study: Observational_studies / Prognostic_studies Limits: Aged / Aged80 / Female / Humans / Male Country/Region as subject: Oceania Language: En Journal: Aust J Gen Pract Year: 2020 Document type: Article
Fulltext
Add to My VHL
Print
XML
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Full text: 1 Collection: 01-internacional Database: MEDLINE Main subject: Terminal Care / Unnecessary Procedures Type of study: Observational_studies / Prognostic_studies Limits: Aged / Aged80 / Female / Humans / Male Country/Region as subject: Oceania Language: En Journal: Aust J Gen Pract Year: 2020 Document type: Article