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Premature and preventable deaths in frail, older people: a new perspective

Published online by Cambridge University Press:  19 May 2016

TATIANA HITCHEN ,
JOSEPH E. IBRAHIM ,
MARTA WOOLFORD ,
LYNDAL BUGEJA  and
DAVID RANSON
TATIANA HITCHEN
Affiliation:
Ballarat Health Services, Ballarat, Victoria, Australia.
JOSEPH E. IBRAHIM*
Affiliation:
Department of Forensic Medicine, Monash University, Southbank, Victoria, Australia.
MARTA WOOLFORD
Affiliation:
Department of Forensic Medicine, Monash University, Southbank, Victoria, Australia.
LYNDAL BUGEJA
Affiliation:
Department of Forensic Medicine, Monash University, Southbank, Victoria, Australia. Coroners Court of Victoria, Southbank, Victoria, Australia.
DAVID RANSON
Affiliation:
Department of Forensic Medicine, Monash University, Southbank, Victoria, Australia. Victorian Institute of Forensic Medicine, Southbank, Victoria, Australia.
*
Address for correspondence: Joseph E. Ibrahim, Department of Forensic Medicine, Monash University, 65 Kavanagh Street, Southbank, Victoria 3006, Australia E-mail: [email protected]
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Abstract

The concept and potential implications of a premature death of an older person are under-recognised and misunderstood by society. Clinical, forensic and public health practitioners need to redress this gap to prepare society better for a future where an increasing proportion of the population are vulnerable older people. Reliable and valid information is paramount for understanding how many older people have premature, preventable deaths, with implications for aged care services, health-care expenditure, quality and safety, and human rights. Our aim is to: (a) provide discourse on the limitations and challenges to the use of the concepts ‘premature’ and ‘preventable’ deaths, examining the situation for nursing home residents; and (b) propose the use of a novel classification system of ‘treated’, ‘un-treated’ and ‘untreatable’ causes of death that is more sophisticated and reflects the demographic reality of our ageing population. Accepting that preventable, premature deaths may happen to older people and adopting a new classification is a novel approach that has considerable benefits for health and life care of older persons. Improved assessment of the quality of care provided, including identification of health or life care practices that are unsafe or deleterious, can be identified and addressed.

Keywords

ageingpreventableprematuredeathnursing homes
Type
Forum Article
Information
Ageing & Society , Volume 37 , Issue 8 , September 2017 , pp. 1531 - 1542
Copyright
Copyright © Cambridge University Press 2016 

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References

Aneshensel, C. A., Pearlin, L. I., Levy-Storms, L. and Schuler, R. H. 2000. The transition from home to nursing home mortality among people with dementia. Journals of Gerontology: Psychological Sciences and Social Sciences, 55B, 3, S152–62.CrossRefGoogle Scholar
Australian Bureau of Statistics 2006. Australian Social Trends, 2006; 4102.0: Older People in Cared Accommodation. Australian Bureau of Statistics, Canberra.Google Scholar
Australian Institute of Health and Welfare (AIHW) 2007. Older Australia at a Glance. AIHW, Canberra.Google Scholar
Australian Institute of Health and Welfare (AIHW) 2010. Premature Mortality from Chronic Disease. Bulletin 84, AIHW, Canberra.Google Scholar
Australian Institute of Health and Welfare 2015. Residential Aged Care and Aged Care Packages in the Community 2013–14. AIHW, Canberra.Google Scholar
Commission on Dignity in Care for Older People (CDCOP) 2012. Delivering Dignity: Securing Dignity in Care for Older People in Hospitals and Care Homes. NHS Confederation and Age UK, London.Google Scholar
Courtney, M., O'Reilly, M., Edwards, H. and Hassall, S. 2009. The relationship between clinical outcomes and quality of life for residents of aged care facilities. Australian Journal of Advanced Nursing, 26, 4, 49–57.Google Scholar
Daly, E., Mason, A. and Goldacre, M. J 2000. Using Mortality Rates as Health Outcome Indicators: Literature Review. Report to the Department of Health. National Centre for Health Outcomes Development, Oxford.Google Scholar
Dubois, R. W. and Brook, R. H. 1988. Preventable deaths: who, how often, and why? Annals of Internal Medicine, 109, 7, 582–9.CrossRefGoogle ScholarPubMed
Hogan, H., Healey, F., Neale, G., Thomson, R., Vincent, C. and Black, N. 2012. Preventable deaths due to problems in care in English acute hospitals: a retrospective case record review study. BMJ Quality and Safety, 21, 9, 737–45.Google Scholar
Ibrahim, J. E. and Davis, M. C. 2013. Impediments to applying the ‘dignity of risk’ principle in residential aged care services. Australasian Journal on Ageing, 32, 3, 188–93.Google Scholar
Ibrahim, J. E., Murphy, B. J., Bugeja, L. and Ranson, D. 2015. Nature and extent of external-cause deaths of nursing home residents in Victoria, Australia. Journal of American Geriatrics Society, 63, 5, 954–62.CrossRefGoogle ScholarPubMed
Kennedy, B., Ibrahim, J. E., Bugeja, L. and Ranson, D. 2014. Causes of death determined in medicolegal investigations in residents of nursing homes: a systematic review. Journal of American Geriatrics Society, 62, 8, 1513–26.CrossRefGoogle ScholarPubMed
Keon-Cohen, Z 2013. End of Life Care: Leadership and Quality in End of Life Care in Australia. Roundtable Recommendations. Australian Centre for Health Research, Melbourne.Google Scholar
McMillan, G. J. and Hubbard, R. E. 2012. Frailty in older inpatients: what physicians need to know. QJM: An International Journal of Medicine, 105, 11, 1059–65.CrossRefGoogle ScholarPubMed
Meadows, N. 2007. Death Certification: Guidance for Doctors Certifying Cause of Death. Manchester City Council, Manchester, UK.Google Scholar
Moriyama, I. M., Loy, R. M. and Robb-Smith, A. H. (eds) 2011. History of the Statistical Classification of Diseases and Causes of Death. Centers for Disease Control and Prevention, National Center for Health Statistics, Hyattsville, Maryland.Google Scholar
Norheim, O. F., Jha, P., Admasu, K., Godal, T., Hum, R. J., Kruk, M. E., Gómez-Dantés, O., Mathers, C. D., Pan, H., Sepulveda, J., Suraweera, W., Verguet, S., Woldemariam, A.T., Yamey, G., Jamison, D.J. and Peto, R. 2015. Avoiding 40% of the premature deaths in each country, 2010–30: review of national mortality trends to help quantify the UN Sustainable Development Goal for health. Lancet, 385, 9964, 239–52.Google Scholar
Oemichen, M. and Meissner, C. 2000. Natural death. Gerontology, 46, 2, 105–10.CrossRefGoogle Scholar
Organisation for Economic Cooperation and Development (OECD) 2011. Premature mortality. In Health at a Glance 2011: OECD Indicators. OECD Publishing, Paris, 1–204.Google Scholar
Organisation for Economic Cooperation and Development (OECD) and European Union 2013. A Good Life in Old Age?: Monitoring and Improving Quality in Long-term Care. OECD Health Policy Studies, OECD Publishing, Paris.Google Scholar
Parliamentary and Health Service Ombudsman (PHSO) 2011. Care and Compassion? Report of the Health Service Ombudsman on Ten Investigations into NHS Care of Older People. HMSO, London.Google Scholar
Productivity Commission (PC) 2011. Caring for Older Australians. PC, Canberra.Google Scholar
Roberts, I. S., Gorodkin, L. M. and Benbow, E. W. 2000. What is a natural cause of death? A survey of how coroners in England and Wales approach borderline cases. Journal of Clinical Pathology, 53, 5, 367–73.Google Scholar
Romeder, J. M. and McWhinnie, J. R. 1977. Potential years of life lost between ages 1 and 70: an indicator of premature mortality for health planning. International Journal of Epidemiology, 6, 2, 143–51.Google Scholar
Sari, A. B., Cracknell, A. and Sheldon, T. A. 2008. Incidence, preventability and consequences of adverse events in older people: results of a retrospective case-note review. Age & Ageing, 37, 3, 265–9.CrossRefGoogle ScholarPubMed
Sorinola, O., Weerasinghe, C. and Brown, R. 2012. Preventable hospital mortality: learning from retrospective case record review. JRSM Short Report, 3, 11, 77.CrossRefGoogle ScholarPubMed
Thomas, J. M., Cooney, L. M. and Fried, T. R. 2013. Systematic review: health-related characteristics of elderly hospitalized adults and nursing home residents associated with short-term mortality. Journal of American Geriatric Society, 61, 6, 902–11.Google Scholar
Tobias, M 2010 Avoidable Mortality in Old Age: WHO Technical Meeting on Ageing and Health. World Health Organization, Geneva.Google Scholar
United Nations (UN) 2001. World Population Ageing: 1950–2050 Report. UN, New York.Google Scholar
United Nations Department of Economic and Social Affairs 2013. World Population Ageing Report 2013. United Nations, New York.Google Scholar
United States House of Representatives ( USHR) 2001. Special Investigations Division Committee on Government Reform: Abuse of Residents is a Major Problem in U.S. Nursing Homes. House of Representatives, Washington DC.Google Scholar
van Dijk, P. T., Mehr, D. R., Ooms, M. E., Madsen, R., Petroski, G., Frijters, D. H., Pot, A. M. and Ribbe, M. W. 2005. Comorbidity and 1-year mortality risks in nursing home residents. Journal of American Geriatric Society, 53, 4, 660–5.Google Scholar
Weerasinghe, D. P., Yusuf, F. and Parr, N. J. 2009. Life lost due to premature deaths in New South Wales, Australia. International Journal of Environmental Research and Public Health, 6, 1, 108–20.Google Scholar
Wilson, R. M., Runciman, W. B., Gibberd, R. W., Harrison, B. T., Newby, L. and Hamilton, J. D. 1995. The Quality in Australian Health Care Study. Medical Journal of Australia, 163, 9, 458–71.CrossRefGoogle ScholarPubMed
World Health Organization (WHO) 2006. International Statistical Classification of Diseases and Related Health Problems. Tenth revision, WHO, Geneva.Google Scholar
World Health Organization (WHO) 2009. More Than Words: Conceptual Framework for the International Classification for Patient Safety. Version 1.1, WHO, Geneva.Google Scholar
World Health Organization (WHO) 2015. Classification: International Classification of Functioning, Disability and Health (ICF). WHO, Geneva.Google Scholar