Physicians will be aware that workload seems to be inexplicably higher at sometimes
than others. Interestingly, almost half of a person's entire lifetime utilization
of acute inpatient care occurs in the last year of life, and more specifically in
the last six months [
[1]
,
[2]
]. Could it be that the trends in the absolute number of deaths is the explanatory
variable?Keywords
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References
- Changes in older people's care profiles during the last 2 years of life, 1996–1998 and 2011–2013: a retrospective nationwide study in Finland.BMJ Open. 2017; 7e015130
- Periods of unexplained higher deaths and medical admissions have occurred previously – but were apparently ignored, misinterpreted or not investigated.Eur J Intern Med. 2018; (in press)
- Deaths in 2017 reached a new (unexpected) high.Brit J Healthc Assist. 2018; 24 ([in press])
- Age-specific and year of birth changes in hospital admissions during a period of unexplained higher deaths in England.Eur J Intern Med. 2017; 45: 2-4https://doi.org/10.1016/j.ejim.2017.09.039
- Case-mix adjustment in non-randomised observational evaluations: the constant risk fallacy.J Epidemiol Community Health. 2007; 61: 1010-1013https://doi.org/10.1136/jech.2007.061747
- NHS five year forward view.in: Recap Briefing for the Health Select Committee on Technical Modelling and Scenarios. May 2016
- “Progressive dwindling”, frailty, and realistic expectations.BMJ. 2017; 358: j3954https://doi.org/10.1136/bmj.j3954
- Symptom trends in the last year of life from 1998 to 2010. A cohort study.Ann Intern Med. 2015; 162: 175-183
- A study of an unexplained and large increase in respiratory deaths in England and Wales: is the pattern of diagnoses consistent with the potential involvement of cytomegalovirus?.Brit. J. Med. Medical. 2014; 4: 5179-5192https://doi.org/10.9734/BJMMR/2014/11382
- The ageing society and emergency hospital admissions.Health Policy. 2017; 121: 923-928
Article info
Publication history
Published online: March 15, 2018
Accepted:
March 8,
2018
Received:
March 6,
2018
Footnotes
☆Wider research into these periods of unexplained higher deaths and admissions and their effects on health service costs, bed occupancy, the potential for immune involvement, and curious spatiotemporal patterns can be found at http://www.hcaf.biz/2010/Publications_Full.pdf
Identification
Copyright
© 2018 European Federation of Internal Medicine. Published by Elsevier B.V. All rights reserved.
