Maria C Inacio1,2, Catherine E Lang1, Jyoti Khadka1,3, Amber M Watt4, Maria Crotty5, Steve Wesselingh6, Craig Whitehead7. 1. Registry of Senior Australians (ROSA), South Australian Health and Medical Research Institute (SAHMRI), Adelaide, South Australia, Australia. 2. University of South Australia, Adelaide, South Australia, Australia. 3. School of Business/Commerce, University of South Australia, Adelaide, South Australia, Australia. 4. Research and Evaluation, ECH Inc., Parkside, South Australia, Australia. 5. Rehabilitation Medicine, Flinders Medical Centre, Adelaide, South Australia, Australia. 6. South Australian Health and Medical Research Institute (SAHMRI), Adelaide, South Australia, Australia. 7. Rehabilitation, Aged and Palliative Care, Southern Adelaide Local Health Network, Flinders University, Adelaide, South Australia, Australia.
Abstract
OBJECTIVE: To examine the one-year mortality of Australians entering aged care services compared with the general population. METHODS: A population-based analysis evaluating one-year mortality among people who received first ever aged care services in 2013 compared with the general population was conducted. RESULTS: In 2013, 3.3 million Australians were ≥ 65 years and 34 919 (1%) entered permanent residential care, 23 288 (0.7%) respite care, 20 265 (0.6%) commenced home care packages, and 15 387 (0.5%) transition care. Individuals receiving aged care services had higher mortality than the general population, with those entering permanent residential care (age and sex direct standardised mortality rate ratio = 10.1, 95% CI: 9.8-10.5) having the greatest difference, followed by people accessing respite (7.2, 95% CI: 6.9-7.6), transition (4.6, 95% CI: 4.4-4.9) and home care (4.1, 95% CI: 3.9-4.4). Significant variation by sex and age was observed. CONCLUSION: Our study has identified significant variations in mortality rates that highlight which cohorts entering aged care are the most vulnerable.
OBJECTIVE: To examine the one-year mortality of Australians entering aged care services compared with the general population. METHODS: A population-based analysis evaluating one-year mortality among people who received first ever aged care services in 2013 compared with the general population was conducted. RESULTS: In 2013, 3.3 million Australians were ≥ 65 years and 34 919 (1%) entered permanent residential care, 23 288 (0.7%) respite care, 20 265 (0.6%) commenced home care packages, and 15 387 (0.5%) transition care. Individuals receiving aged care services had higher mortality than the general population, with those entering permanent residential care (age and sex direct standardised mortality rate ratio = 10.1, 95% CI: 9.8-10.5) having the greatest difference, followed by people accessing respite (7.2, 95% CI: 6.9-7.6), transition (4.6, 95% CI: 4.4-4.9) and home care (4.1, 95% CI: 3.9-4.4). Significant variation by sex and age was observed. CONCLUSION: Our study has identified significant variations in mortality rates that highlight which cohorts entering aged care are the most vulnerable.
Authors: Maria C Inacio; Max Moldovan; Craig Whitehead; Janet K Sluggett; Maria Crotty; Megan Corlis; Renuka Visvanathan; Steve Wesselingh; Gillian E Caughey Journal: BMC Geriatr Date: 2021-12-07 Impact factor: 3.921