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首页> 外文期刊>BMC Neurology >Reversal of English trend towards hospital death in dementia: a population-based study of place of death and associated individual and regional factors, 2001–2010
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Reversal of English trend towards hospital death in dementia: a population-based study of place of death and associated individual and regional factors, 2001–2010

机译：痴呆患者英语死亡趋势的逆转：基于人群的死亡地点及相关个人和地区因素研究，2001–2010年

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Background England has one of the highest rates of hospital death in dementia in Europe. How this has changed over time is unknown. This study aimed to analyse temporal trends in place of death in dementia over a recent ten year period. Methods Population-based study linking Office for National Statistics mortality data with regional variables, in England 2001–2010. Participants were adults aged over 60 with a death certificate mention of dementia. Multivariable Poisson regression was used to determine the proportion ratio (PR) for death in care home (1) and home/hospice (1) compared to hospital (0). Explanatory variables included individual factors (age, gender, marital status, underlying cause of death), and regional variables derived at area level (deprivation, care home bed provision, urbanisation). Results 388,899 deaths were included. Most people died in care homes (55.3%) or hospitals (39.6%). A pattern of increasing hospital deaths reversed in 2006, with a subsequent decrease in hospital deaths (?0.93% per year, 95% CI ?1.08 to ?0.79 p?Conclusions Two in five people with dementia die in hospital. However, the trend towards increasing hospital deaths has reversed, and care home bed provision is key to sustain this. Home and hospice deaths are rare. Initiatives which aim to support the end of life preferences for people with dementia should be investigated.
机译：背景技术英国是欧洲痴呆症中住院率最高的国家之一。随着时间的流逝如何变化尚不得而知。这项研究旨在分析近十年来痴呆患者死亡的时间趋势。方法以人口为基础的研究将国家统计局的死亡率数据与区域变量联系起来，在英格兰2001–2010年。参加者为60岁以上的成年人，并有死亡证明提及痴呆症。与医院（0）相比，多变量Poisson回归用于确定护理院（1）和家庭/临终关怀（1）中死亡的比例（PR）。解释性变量包括个人因素（年龄，性别，婚姻状况，潜在的死亡原因），以及在地区一级得出的区域性变量（剥夺，提供护理床，城市化）。结果包括388,899人死亡。大多数人死于养老院（55.3％）或医院（39.6％）。在2006年，医院死亡人数增加的趋势发生了逆转，随后医院死亡人数下降（每年0.93％，95％CI从1.08降至0.79 p）。结论痴呆症患者中有五分之二死于医院。医院死亡人数的增加已经逆转了，提供护理床是维持这种状况的关键，家庭和临终关怀的死亡很少，应该研究旨在支持老年痴呆症患者终生偏好的倡议。

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