It is feasible to flag 'near end-of-life' status in older patients from routine general practice data.

Cardona, M; Williamson, M; Jones, M; Ní Chróinín, D; Gullotta, J; Hillman, K; Lewis, ET; Morgan, M

It is feasible to flag 'near end-of-life' status in older patients from routine general practice data.

Cardona, M Williamson, M Jones, M Ní Chróinín, D Gullotta, J Hillman, K Lewis, ET Morgan, M

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Publisher:: The Royal Australian College of General Practitioners https://www1.racgp.org.au/ajgp/home
Publication Type:: Journal Article
Citation:: Australian journal of general practice, 2020, 49, (11), pp. 752-758
Issue Date:: 2020-11

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Field	Value	Language
dc.contributor.author	Cardona, M
dc.contributor.author	Williamson, M
dc.contributor.author	Jones, M
dc.contributor.author	Ní Chróinín, D
dc.contributor.author	Gullotta, J
dc.contributor.author	Hillman, K
dc.contributor.author	Lewis, ET
dc.contributor.author	Morgan, M
dc.date.accessioned	2020-12-14T00:03:52Z
dc.date.available	2020-12-14T00:03:52Z
dc.date.issued	2020-11
dc.identifier.citation	Australian journal of general practice, 2020, 49, (11), pp. 752-758
dc.identifier.issn	2208-794X
dc.identifier.issn	2208-7958
dc.identifier.uri	http://hdl.handle.net/10453/144661
dc.description.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.
dc.format	Print
dc.language	eng
dc.publisher	The Royal Australian College of General Practitioners https://www1.racgp.org.au/ajgp/home
dc.relation.ispartof	Australian journal of general practice
dc.relation.isbasedon	10.31128/ajgp-08-19-5033
dc.rights	info:eu-repo/semantics/openAccess
dc.title	It is feasible to flag 'near end-of-life' status in older patients from routine general practice data.
dc.type	Journal Article
utslib.citation.volume	49
utslib.location.activity	Australia
pubs.organisational-group	/University of Technology Sydney/Faculty of Health
pubs.organisational-group	/University of Technology Sydney/Faculty of Health/Graduate School of Health/GSH.Pharmacy
pubs.organisational-group	/University of Technology Sydney
pubs.organisational-group	/University of Technology Sydney/Faculty of Health/Graduate School of Health
utslib.copyright.status	open_access	*
pubs.consider-herdc	false
dc.date.updated	2020-12-14T00:03:43Z
pubs.issue	11
pubs.publication-status	Published
pubs.volume	49
utslib.citation.issue	11

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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http://hdl.handle.net/10453/144661