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This study aims to investigate end of life health care utilization, characterized by emergency room (ER) visits, receipt of specialized palliative care (SPC), and acute hospital deaths in a\u00a0Swedish population-based PD cohort.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      We conducted a retrospective cohort study on deceased patients (\u2265\u200918\u00a0years) with a PD diagnosis during their last year of life (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u2009922), based on health care-provider data from Region Stockholm\u00b4s data warehouse, for the study period 2015\u20132021. Univariable and multivariable logistic regression analyses tested associations and adjusted Odds ratios (aORs) were calculated.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      During the last month of life, approx. half of the cohort had emergency room (ER) visits and risk of frailty (measured by Hospital Frailty Risk Score) significantly predicted these visits (aOR, 3.90 (2.75\u20135.55)). In total, 120 people (13%) received SPC during their last three months of life, which positively associated with risk for frailty, (aOR, 2.65 (1.43\u20134.94,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.002). In total, 284 people (31%) died in acute hospital settings. Among community-dwellers, male gender and frailty were strongly associated with acute hospital deaths (aOR, 1.90 (1.15\u20133.13,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.01) and 3.70 (1.96\u20136.98,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.0001)).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Rates of ER visits at end of life and hospital deaths were relatively high in this population-based cohort. Considering a high disease burden, referral to SPC at end of life was relatively low. Sex-specific disparities in health care utilization are apparent. Identifying people with high risk for frailty could assist the planning of optimal end-of-life care for people with PD.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1186\/s12904-024-01581-6","type":"journal-article","created":{"date-parts":[[2024,10,28]],"date-time":"2024-10-28T23:02:26Z","timestamp":1730156546000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Health care utilization at the end of life in Parkinson\u2019s disease: a population-based register study"],"prefix":"10.1186","volume":"23","author":[{"given":"Breiffni","family":"Leavy","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Elisabet","family":"\u00c5kesson","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Johan","family":"L\u00f6kk","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Torbj\u00f6rn","family":"Schultz","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Peter","family":"Strang","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Erika","family":"Franz\u00e9n","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2024,10,29]]},"reference":[{"key":"1581_CR1","doi-asserted-by":"publisher","first-page":"91","DOI":"10.1016\/j.parkreldis.2020.05.016","volume":"75","author":"A Schrag","year":"2020","unstructured":"Schrag A, Hommel A, Lorenzl S, Meissner WG, Odin P, Coelho M, Bloem BR, Dodel R. consortium CL: The late stage of Parkinson\u2019s -results of a large multinational study on motor and non-motor complications. 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