Authors
Gill Garden, Adeela Usman, Donna Readman, Lesley Storey, Lindsey Wilkinson, Graham Wilson, Tom Dening, Adam L Gordon, John RF Gladman
Publication date
2022/3
Journal
Age and ageing
Volume
51
Issue
3
Pages
afac069
Publisher
Oxford University Press
Description
Introduction
advance care planning (ACP) in care homes has high acceptance, increases the proportion of residents dying in place and reduces hospital admissions in research. We investigated whether ACP had similar outcomes when introduced during real-world service implementation.
Methods
a service undertaking ACP in Lincoln, UK care homes was evaluated using routine data. Outcomes were proportion of care homes and residents participating in ACP; characteristics of residents choosing/declining ACP and place of death for those with/without ACP. Hospital admissions were analysed using mixed-effects Poisson regression for number of admissions, and a mixed-effects negative binomial model for number of occupied hospital bed days.
Results
About 15/24 (63%) eligible homes supported the service, in which 404/508 (79.5%) participants …
Total citations
Scholar articles
G Garden, A Usman, D Readman, L Storey… - Age and ageing, 2022