Residential aged care: The de facto hospice for New Zealand's older people
Australasian Journal on Ageing
Published online on March 11, 2013
Abstract
Aim
To describe short‐term mortality among residential aged care (RAC) residents in Auckland, New Zealand.
Method
Prospective follow‐up, 6828 residents (median age 86 years, 69.8% women) from census‐type survey (10/9/2008); 152 facilities. Mortality data from central sources.
Results
Eight hundred and sixty‐one (12.6%) died by 6 months. Survival related to RAC length of stay before the survey: those resident <1 month (subgroup, n = 380) having 80.0% survival, 1–6 months 83.2% and >6 months 87.4% (P < 0.0001). In those admitted to private hospital from acute hospital (n = 104 of the subgroup of 380), 6‐month mortality was 36.5% (P < 0.0001 vs other ‘short stayers’). Significant mortality predictors were: private hospital admission from acute hospital (hazard ratio (HR) = 2.02), unscheduled GP visit during the prior 2 weeks (HR= 1.90), personal care disability (HR= 1.90) and acute hospital admission number during previous 2 years (≥3; HR= 5.40).
Conclusions
RAC mortality (especially post admission) is high. Training and resource in the sector should reflect this.