Variation in place of death for leading causes of death amenable to end of life care, England 2015
PHE ePoster Library. Verne J. Sep 12, 2017; 186504; 221
Julia Verne
Julia Verne
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Abstract IntroductionPlace of death is a proxy marker of patient choice and quality of care.Methods Leading underlying causes amenable to end of life care (44) were selected from 50 categories published by Office for National Statistics (ONS). Proportion of deaths was calculated as a percentage by cause and place of death for deaths registered in 2015.ResultsDeaths from all causes, occurred in hospital (47%), care homes (23%), home (23%), with less than a tenth in hospices (6%) and other places (2%), in England in 2015.Hospital was the most common place of death for most (34 out of 44) selected leading causes of death. The range in proportion of deaths was greatest for deaths in hospital (71%) and least for hospices (28%).The highest proportions of hospital deaths included septicaemia (91%), accidental falls (81%), meningitis (80%), musculoskeletal diseases (74%), liver disease (70%), flu/pneumonia (69%), pulmonary oedema (65%), and urinary disease (65%).The lowest proportions of hospital deaths included brain cancer (22%), dementia and Alzheimer's (25%), Parkinson's disease (31%), high blood pressure (36%), and systemic atrophies (central nervous system,37%).Care homes were most common for dementia and Alzheimer's (65%), Parkinson's disease (52%), acute respiratory diseases (excluding flu/pneumonia; 45%). Home was most common for high blood pressure (38%), pancreatic cancer (35%), brain cancer (34%) and bowel cancer (32%).ConclusionsPlanning for palliative and end of life care needs to take account of these wide variations and of good practice across a range of specialisms. External funding details Not applicable
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