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Comfort and clinical events at the end of life of nursing home residents with and without dementia: The six-country epidemiological PACE study

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Comfort and clinical events at the end of life of nursing home residents with and without dementia: The six-country epidemiological PACE study . / Miranda, R.; van der Steen, J.T.; Smets, T. et al.
In: International Journal of Geriatric Psychiatry, 10.03.2020.

Research output: Contribution to Journal/MagazineJournal articlepeer-review

Harvard

Miranda, R, van der Steen, JT, Smets, T, Van den Noortgate, N, Deliens, L, Payne, S, Kylänen, M, Szczerbińska, K, Gambassi, G, Van den Block, L & PACE, OBO 2020, 'Comfort and clinical events at the end of life of nursing home residents with and without dementia: The six-country epidemiological PACE study ', International Journal of Geriatric Psychiatry. https://doi.org/10.1002/gps.5290

APA

Miranda, R., van der Steen, J. T., Smets, T., Van den Noortgate, N., Deliens, L., Payne, S., Kylänen, M., Szczerbińska, K., Gambassi, G., Van den Block, L., & PACE, O. B. O. (2020). Comfort and clinical events at the end of life of nursing home residents with and without dementia: The six-country epidemiological PACE study . International Journal of Geriatric Psychiatry. Advance online publication. https://doi.org/10.1002/gps.5290

Vancouver

Miranda R, van der Steen JT, Smets T, Van den Noortgate N, Deliens L, Payne S et al. Comfort and clinical events at the end of life of nursing home residents with and without dementia: The six-country epidemiological PACE study . International Journal of Geriatric Psychiatry. 2020 Mar 10. Epub 2020 Mar 10. doi: 10.1002/gps.5290

Author

Miranda, R. ; van der Steen, J.T. ; Smets, T. et al. / Comfort and clinical events at the end of life of nursing home residents with and without dementia : The six-country epidemiological PACE study . In: International Journal of Geriatric Psychiatry. 2020.

Bibtex

@article{6667774847e44070a64398c4daf731e4,
title = "Comfort and clinical events at the end of life of nursing home residents with and without dementia: The six-country epidemiological PACE study ",
abstract = "Objectives: We aimed to investigate the occurrence rates of clinical events and their associations with comfort in dying nursing home residents with and without dementia. Methods: Epidemiological after-death survey was performed in nationwide representative samples of 322 nursing homes in Belgium, Finland, Italy, the Netherlands, Poland, and England. Nursing staff reported clinical events and assessed comfort. The nursing staff or physician assessed the presence of dementia; severity was determined using two highly discriminatory staff-reported instruments. Results: The sample comprised 401 residents with advanced dementia, 377 with other stages of dementia, and 419 without dementia (N = 1197). Across the three groups, pneumonia occurred in 24 to 27% of residents. Febrile episodes (unrelated to pneumonia) occurred in 39% of residents with advanced dementia, 34% in residents with other stages of dementia and 28% in residents without dementia (P =.03). Intake problems occurred in 74% of residents with advanced dementia, 55% in residents with other stages of dementia, and 48% in residents without dementia (P ",
keywords = "dementia, hospice care, nursing homes, palliative care, terminal care",
author = "R. Miranda and {van der Steen}, J.T. and T. Smets and {Van den Noortgate}, N. and L. Deliens and S. Payne and M. Kyl{\"a}nen and K. Szczerbi{\'n}ska and G. Gambassi and {Van den Block}, L. and PACE, {on behalf of}",
year = "2020",
month = mar,
day = "10",
doi = "10.1002/gps.5290",
language = "English",
journal = "International Journal of Geriatric Psychiatry",
issn = "0885-6230",
publisher = "John Wiley and Sons Ltd",

}

RIS

TY - JOUR

T1 - Comfort and clinical events at the end of life of nursing home residents with and without dementia

T2 - The six-country epidemiological PACE study

AU - Miranda, R.

AU - van der Steen, J.T.

AU - Smets, T.

AU - Van den Noortgate, N.

AU - Deliens, L.

AU - Payne, S.

AU - Kylänen, M.

AU - Szczerbińska, K.

AU - Gambassi, G.

AU - Van den Block, L.

AU - PACE, on behalf of

PY - 2020/3/10

Y1 - 2020/3/10

N2 - Objectives: We aimed to investigate the occurrence rates of clinical events and their associations with comfort in dying nursing home residents with and without dementia. Methods: Epidemiological after-death survey was performed in nationwide representative samples of 322 nursing homes in Belgium, Finland, Italy, the Netherlands, Poland, and England. Nursing staff reported clinical events and assessed comfort. The nursing staff or physician assessed the presence of dementia; severity was determined using two highly discriminatory staff-reported instruments. Results: The sample comprised 401 residents with advanced dementia, 377 with other stages of dementia, and 419 without dementia (N = 1197). Across the three groups, pneumonia occurred in 24 to 27% of residents. Febrile episodes (unrelated to pneumonia) occurred in 39% of residents with advanced dementia, 34% in residents with other stages of dementia and 28% in residents without dementia (P =.03). Intake problems occurred in 74% of residents with advanced dementia, 55% in residents with other stages of dementia, and 48% in residents without dementia (P

AB - Objectives: We aimed to investigate the occurrence rates of clinical events and their associations with comfort in dying nursing home residents with and without dementia. Methods: Epidemiological after-death survey was performed in nationwide representative samples of 322 nursing homes in Belgium, Finland, Italy, the Netherlands, Poland, and England. Nursing staff reported clinical events and assessed comfort. The nursing staff or physician assessed the presence of dementia; severity was determined using two highly discriminatory staff-reported instruments. Results: The sample comprised 401 residents with advanced dementia, 377 with other stages of dementia, and 419 without dementia (N = 1197). Across the three groups, pneumonia occurred in 24 to 27% of residents. Febrile episodes (unrelated to pneumonia) occurred in 39% of residents with advanced dementia, 34% in residents with other stages of dementia and 28% in residents without dementia (P =.03). Intake problems occurred in 74% of residents with advanced dementia, 55% in residents with other stages of dementia, and 48% in residents without dementia (P

KW - dementia

KW - hospice care

KW - nursing homes

KW - palliative care

KW - terminal care

U2 - 10.1002/gps.5290

DO - 10.1002/gps.5290

M3 - Journal article

JO - International Journal of Geriatric Psychiatry

JF - International Journal of Geriatric Psychiatry

SN - 0885-6230

ER -