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2015 ; 112
(29-30
): 496-504
Nephropedia Template TP
gab.com Text
Twit Text FOAVip
Twit Text #
English Wikipedia
Place of Death: Trends Over the Course of a Decade: A Population-Based Study of
Death Certificates From the Years 2001 and 2011
#MMPMID26249252
Dasch B
; Blum K
; Gude P
; Bausewein C
Dtsch Arztebl Int
2015[Jul]; 112
(29-30
): 496-504
PMID26249252
show ga
BACKGROUND: In Germany, data on place of death is recorded from death
certificates, but not further analyzed. Consequently, hardly any information is
available at the population level regarding the distribution of place of death
(e.g. home, hospital, palliative care unit, nursing home, hospice). METHODS: We
carried out a descriptive statistical analysis of the registered places of death
in evaluated death certificates from selected areas of Westphalia-Lippe for the
years 2001 and 2011. Factors affecting the place of death were determined with
binary multivariate regression. RESULTS: We analyzed 24 009 death certificates
(11 585 for 2001 and 12 424 for 2011). The distribution of places of death for
the overall population was as follows (2001 vs. 2011): at home, 27.5% vs. 23.0%
(p<0.001); in the hospital, 57.6% vs. 51.2% (p<0.001); on a palliative care unit,
0.0% vs. 1.0%, in a care or nursing home, 12.2% vs. 19.0% (p<0.001); in a
hospice, 2.0% vs. 4.6% (p<0.001); elsewhere, 0.6% vs. 0.6% (p = 0.985); not
indicated, 0.1% vs. 0.6% (p<0.001). Independent factors affecting the place of
death were age, sex, place of residence, and the presence of cancer or of
dementia. CONCLUSION: Most people in Germany die in institutions; the most common
place of death is still the hospital, where more than half of all deaths take
place. Only one death in four occurs at home. There is a marked secular trend
away from dying at home or in the hospital, in favor of dying in a care or
nursing home; death in palliative care units and hospices is also becoming more
common.
|*Death Certificates
[MESH]
|Age Distribution
[MESH]
|Aged
[MESH]
|Aged, 80 and over
[MESH]
|Dementia/mortality
[MESH]
|Female
[MESH]
|Germany/epidemiology
[MESH]
|Hospices/*statistics & numerical data
[MESH]
|Hospitals/*statistics & numerical data
[MESH]
|Housing/*statistics & numerical data
[MESH]
|Humans
[MESH]
|Longitudinal Studies
[MESH]
|Male
[MESH]
|Mortality
[MESH]
|Neoplasms/*mortality
[MESH]
|Nursing Homes/*statistics & numerical data
[MESH]