{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,25]],"date-time":"2026-03-25T23:10:51Z","timestamp":1774480251331,"version":"3.50.1"},"reference-count":11,"publisher":"Oxford University Press (OUP)","issue":"8","license":[{"start":{"date-parts":[[2025,7,12]],"date-time":"2025-07-12T00:00:00Z","timestamp":1752278400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025,7,24]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Background<\/jats:title>\n                  <jats:p>As the aging population grows, the care provided to patients with dementia at the end of life represents a critical area of geriatric and palliative care. This study aimed to describe the care provided to hospitalized patients with dementia who died during their hospital stay.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>A retrospective cohort study was conducted at a teaching hospital in Sydney, Australia. The study included patients with dementia who died during hospitalization. Data were collected on demographic characteristics, clinical management, and documentation of key care processes, including advance care planning, resuscitation orders, and discussions about oral nutrition and hydration.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>The study cohort comprised patients with a mean age of 87.2\u2009\u00b1\u20097.2 years (n\u2009=\u2009100), 63% of whom had lived in nursing homes. Geriatric medicine teams cared for a large proportion of patients (63%), and their patients were more likely to be older, from a nursing home, and to die from pneumonia compared to those admitted in palliative care teams. Recommended care processes were implemented in the majority of patients with advance care planning and resuscitation orders being the most frequently documented, and discussions about oral nutrition and hydration the least frequent.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusion<\/jats:title>\n                  <jats:p>This study highlights the integral role of geriatrics services in providing end-of-life care for hospitalized patients with dementia, and underscore opportunities to enhance the quality and consistency of care for this population.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/gerona\/glaf120","type":"journal-article","created":{"date-parts":[[2025,7,12]],"date-time":"2025-07-12T17:57:47Z","timestamp":1752343067000},"source":"Crossref","is-referenced-by-count":2,"title":["End-of-life care in hospitalized patients with dementia"],"prefix":"10.1093","volume":"80","author":[{"given":"Xin Wen","family":"Ong","sequence":"first","affiliation":[{"name":"Department of Geriatric Medicine and Centre for Education and Research on Ageing (CERA), Concord Hospital , Concord, New South Wales,","place":["Australia"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4227-5817","authenticated-orcid":false,"given":"David G","family":"Le Couteur","sequence":"additional","affiliation":[{"name":"Department of Geriatric Medicine and Centre for Education and Research on Ageing (CERA), Concord Hospital , Concord, New South Wales,","place":["Australia"]},{"name":"Concord Clinical School, Faculty of Medicine and Health, University of Sydney , Sydney, New South Wales,","place":["Australia"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9056-6996","authenticated-orcid":false,"given":"Louise M","family":"Waite","sequence":"additional","affiliation":[{"name":"Department of Geriatric Medicine and Centre for Education and Research on Ageing (CERA), Concord Hospital , Concord, New South Wales,","place":["Australia"]},{"name":"Concord Clinical School, Faculty of Medicine and Health, University of Sydney , Sydney, New South Wales,","place":["Australia"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5287-7483","authenticated-orcid":false,"given":"Janani","family":"Thillainadesan","sequence":"additional","affiliation":[{"name":"Department of Geriatric Medicine and Centre for Education and Research on Ageing (CERA), Concord Hospital , Concord, New South Wales,","place":["Australia"]},{"name":"Concord Clinical School, Faculty of Medicine and Health, University of Sydney , Sydney, New South Wales,","place":["Australia"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2025,7,12]]},"reference":[{"key":"2025082005464863600_glaf120-B1","doi-asserted-by":"publisher","first-page":"37","DOI":"10.3233\/JAD-2010-100744","article-title":"Dying with dementia: what we know after more than a decade of research?","volume":"22","author":"Van der Steen","year":"2010","journal-title":"J Alzheimers Dis"},{"key":"2025082005464863600_glaf120-B2","doi-asserted-by":"publisher","first-page":"1572","DOI":"10.1177\/1049909118776985","article-title":"Systematic review for the quality of end-of-life care for patients with dementia in the hospital setting","volume":"35","author":"Moon","year":"2018","journal-title":"Am J Hosp Palliat Care."},{"key":"2025082005464863600_glaf120-B3","doi-asserted-by":"publisher","first-page":"3650","DOI":"10.1111\/jgs.17387","article-title":"Quality indicators for dementia and older people nearing the end of life: A systematic review","volume":"69","author":"Yorganci","year":"2021","journal-title":"J Am Geriatr Soc."},{"key":"2025082005464863600_glaf120-B4","year":"2016"},{"key":"2025082005464863600_glaf120-B5","doi-asserted-by":"publisher","first-page":"1825","DOI":"10.1111\/jgs.16458","article-title":"Characteristics of people with dementia vs other conditions on admission to inpatient palliative care","volume":"68","author":"Ding","year":"2020","journal-title":"J Am Geriatr Soc."},{"key":"2025082005464863600_glaf120-B6","doi-asserted-by":"publisher","first-page":"932","DOI":"10.1177\/0269216317705099","article-title":"Developing indicators of appropriate and inappropriate end-of-life care in people with Alzheimer's disease, cancer or chronic obstructive pulmonary disease for population-level administrative databases: A RAND\/UCLA appropriateness study","volume":"31","author":"De Schreye","year":"2017","journal-title":"Palliat Med."},{"key":"2025082005464863600_glaf120-B7","doi-asserted-by":"publisher","first-page":"556","DOI":"10.1016\/j.jpainsymman.2012.09.013","article-title":"Quality indicators for palliative care: update of a systematic review","volume":"46","author":"De Roo","year":"2013","journal-title":"J Pain Symptom Manage."},{"key":"2025082005464863600_glaf120-B8","doi-asserted-by":"publisher","first-page":"e137","DOI":"10.1111\/jgs.14421","article-title":"Causes of death according to death certificates in individuals with dementia: a cohort from the Swedish dementia registry","volume":"64","author":"Garcia-Ptacek","year":"2016","journal-title":"J Am Geriatr Soc."},{"key":"2025082005464863600_glaf120-B9","doi-asserted-by":"publisher","first-page":"52","DOI":"10.1159\/000367783","article-title":"A systematic review and meta-analysis examining pneumonia-associated mortality in dementia","volume":"39","author":"Foley","year":"2015","journal-title":"Dement Geriatr Cogn Disord"},{"key":"2025082005464863600_glaf120-B10","doi-asserted-by":"publisher","first-page":"63","DOI":"10.1093\/qjmed\/hcr137","article-title":"Quality of resuscitation orders in general medical patients","volume":"105","author":"McNeill","year":"2012","journal-title":"QJM."},{"key":"2025082005464863600_glaf120-B11","author":"NSW Ministry of Health","year":"2013"}],"container-title":["The Journals of Gerontology, Series A: Biological Sciences and Medical Sciences"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/biomedgerontology\/advance-article-pdf\/doi\/10.1093\/gerona\/glaf120\/63735751\/glaf120.pdf","content-type":"application\/pdf","content-version":"am","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/biomedgerontology\/article-pdf\/80\/8\/glaf120\/63735751\/glaf120.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/biomedgerontology\/article-pdf\/80\/8\/glaf120\/63735751\/glaf120.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,20]],"date-time":"2025-08-20T09:46:53Z","timestamp":1755683213000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/biomedgerontology\/article\/doi\/10.1093\/gerona\/glaf120\/8198072"}},"subtitle":[],"editor":[{"given":"Lewis A","family":"Lipsitz","sequence":"additional","affiliation":[],"role":[{"role":"editor","vocabulary":"crossref"}]}],"short-title":[],"issued":{"date-parts":[[2025,7,12]]},"references-count":11,"journal-issue":{"issue":"8","published-print":{"date-parts":[[2025,7,24]]}},"URL":"https:\/\/doi.org\/10.1093\/gerona\/glaf120","relation":{},"ISSN":["1758-535X"],"issn-type":[{"value":"1758-535X","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2025,8]]},"published":{"date-parts":[[2025,7,12]]},"article-number":"glaf120"}}