{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,4]],"date-time":"2026-06-04T11:09:21Z","timestamp":1780571361063,"version":"3.54.1"},"reference-count":53,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2025,10,23]],"date-time":"2025-10-23T00:00:00Z","timestamp":1761177600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Australas J Ageing"],"published-print":{"date-parts":[[2025,12]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>The World Health Organization (WHO) launched the third Global Patient Safety Challenge: Medication without Harm in 2017, aiming to reduce avoidable medication\u2010related harm. Recognising that medication\u2010related harm (MRH) accounts for the highest proportion of preventable harm, this initiative remains active and evolving. This study investigates the demographic and clinical factors associated with medication\u2010related hospital admissions among a cohort of decedents.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A retrospective cohort study was conducted using routinely collected non\u2010identifiable linked data from an Australian Local Health District (LHD). The study population comprised residents aged 65\u2009years and over who died in one of the LHD hospitals between 2017 and 2019. Logistic regression models were used to estimate unadjusted and fully adjusted odds ratios for medication\u2010related hospital admissions.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Among the 4353 decedents, 31%\u201340% experienced at least one hospital admission due to MRH in the last 5\u2009years of life, accounting for 5% of total admissions. Higher rates of medication\u2010related admissions were observed among individuals aged below 70\u2009years, those residing in metropolitan areas and residential aged care facility residents. Comorbidities such as renal failure, heart failure, transient ischaemic attack, hypertension, diabetes and chronic obstructive pulmonary disease (COPD) were significant predictors of medication\u2010related admissions.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>In our cohort of decedents, one\u2010third had at least one hospitalisation due to MRH in their final 5\u2009years. Higher risk was associated with being under 70\u2009years of age, living in metropolitan or aged care settings and having multiple or specific chronic conditions. These results highlight the need for targeted interventions for high\u2010risk individuals nearing the end of life.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/ajag.70104","type":"journal-article","created":{"date-parts":[[2025,10,23]],"date-time":"2025-10-23T12:28:03Z","timestamp":1761222483000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Hospital Admissions due to Medication\u2010Related Harm in the Last 5\u2009Years of Life: A Cohort Study"],"prefix":"10.1111","volume":"44","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3772-7986","authenticated-orcid":false,"given":"Judy R.","family":"Mullan","sequence":"first","affiliation":[{"name":"Graduate School of Medicine University of Wollongong  Wollongong New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5718-239X","authenticated-orcid":false,"given":"Stephen","family":"Moules","sequence":"additional","affiliation":[{"name":"Australasian Health Outcomes Centre University of Wollongong  Wollongong New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrew","family":"Bonney","sequence":"additional","affiliation":[{"name":"Graduate School of Medicine University of Wollongong  Wollongong New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,10,23]]},"reference":[{"key":"e_1_2_11_2_1","unstructured":"WHO \u201cThird WHO Global Patient Safety Challenge: Medication Without Harm \u201d(2017) https:\/\/www.who.int\/initiatives\/medication\u2010without\u2010harm."},{"key":"e_1_2_11_3_1","unstructured":"WHO \u201cMedication Safety. 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