{"id":7981,"date":"2019-12-16T00:00:00","date_gmt":"2019-12-16T05:00:00","guid":{"rendered":"https:\/\/icesontario.wpengine.com\/news-releases\/unexpected-hospital-admission-could-be-an-early-warning-sign-of-death-for-seniors\/"},"modified":"2023-06-14T18:14:43","modified_gmt":"2023-06-14T22:14:43","slug":"unexpected-hospital-admission-could-be-an-early-warning-sign-of-death-for-seniors","status":"publish","type":"news_release","link":"https:\/\/www.ices.on.ca\/fr\/news-releases\/unexpected-hospital-admission-could-be-an-early-warning-sign-of-death-for-seniors\/","title":{"rendered":"Unexpected hospital admission could be an early warning sign of death for seniors"},"content":{"rendered":"<p>Unplanned hospitalization is associated with a higher risk of death in older adults, according to researchers at <strong>ICES<\/strong>, a non-profit research institute that uses population-based health information to produce knowledge on a broad range of healthcare issues.<\/p>\n<div>\n<div class=\"download-section alignwide infographic-download\" id=\"block_18679acdd078ba48ec4de7c30e3d30d5\" data-style=\"deep-blue\">\n\t<div class=\"download-section-content\">\n\t\t\t\t<h2>\n\t\t\tInfographic\t\t<\/h2>\n\t\t\n\t\t\t<\/div>\n\t<div class=\"download-section-buttons\">\n\t\t\t\t\t\t<a class=\"download-section-buttons-primary\" href=\"https:\/\/www.ices.on.ca\/wp-content\/uploads\/2023\/03\/QuinnUnplannedAdmission.jpg\" target=\"_blank\"\n\t\t\tdownload\t\t\taria-label=\"Download Infographic (opens in a new tab)\"\t\t>\n\t\t\tDownload Infographic\t\t\t<svg width=\"19\" height=\"19\" viewBox=\"0 0 19 19\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" role=\"presentation\">\n<path d=\"M2.78003 18.8301C2.14282 18.8301 1.59713 18.603 1.14297 18.1488C0.688813 17.6947 0.46212 17.1494 0.462893 16.5129V13.0372H2.78003V16.5129H16.6829V13.0372H19V16.5129C19 17.1502 18.7729 17.6958 18.3188 18.15C17.8646 18.6042 17.3193 18.8308 16.6829 18.8301H2.78003ZM9.73145 14.1958L3.9386 8.40295L5.5606 6.72303L8.57288 9.73531V0.292969H10.89V9.73531L13.9023 6.72303L15.5243 8.40295L9.73145 14.1958Z\" fill=\"#151D5D\"\/>\n<\/svg>\n\t\t<\/a>\n\t\t\n\t\t\t\t\t\t\t\t\t\t<button type=\"button\" class=\"download-section-buttons-secondary\" data-infographic-popup-open=\"block_18679acdd078ba48ec4de7c30e3d30d5-infographic-popup\" aria-haspopup=\"dialog\">\n\t\t\t\tClick to View\t\t\t<\/button>\n\t\t\t\t\t\t<\/div>\n\n\t\t<div class=\"infographic-popup\" id=\"block_18679acdd078ba48ec4de7c30e3d30d5-infographic-popup\" role=\"dialog\" aria-modal=\"true\" aria-label=\"Infographic\" hidden>\n\t\t<div class=\"infographic-popup-overlay\" data-infographic-popup-close><\/div>\n\t\t<div class=\"infographic-popup-container\">\n\t\t\t<button type=\"button\" class=\"infographic-popup-close\" data-infographic-popup-close aria-label=\"Close infographic\">&times;<\/button>\n\t\t\t<img decoding=\"async\" class=\"infographic-popup-image\" src=\"https:\/\/www.ices.on.ca\/wp-content\/uploads\/2023\/03\/QuinnUnplannedAdmission.jpg\" alt=\"Infographic\">\n\t\t<\/div>\n\t<\/div>\n\t<\/div>\n<\/div>\n<p>\nThe study, published today in the <em>CMAJ<\/em>, looked at more than 900, 000 Ontario adults aged 65 and older and the association between unplanned admission to hospital and risk of death over the 10-year study period (2007 to 2017). Researchers included only people who had not been hospitalized or visited an emergency department within five years. After their first unplanned hospital admission, nearly 40 per cent of people died within five years (59,234 people). Nearly 50 per cent of the deaths following first unplanned hospital admission were within the first year. This was a substantial difference compared to about 10 per cent of people who died within five years of their first planned hospital admission (10,775 people) or in those who visited an emergency department and were sent home (35,663 people). Among those who were neither hospitalized nor visited the emergency department, only three per cent died within five years (11,268 people).<\/p>\n<p>\n&#x201c;This study adds new findings by estimating the risk of death after a first acute care encounter in a population of previously healthy older adults cared for in a large healthcare system,&#x201d; says senior author <a href=\"\/ices-scientists\/chaim-bell\/\">Dr. Chaim Bell<\/a>, adjunct scientist at ICES, physician in chief at Sinai Health, and professor of medicine at the University of Toronto.<\/p>\n<p>\nCancer and heart disease were the most common causes of death in all age groups and more than 50 per cent of all deaths in the study were among those with their first unplanned hospital admission.<\/p>\n<p>\n&#x201c;Unplanned hospital admission likely indicates the presence of a health problem that is severe enough to warrant admission to hospital and project a window into a person&#x2019;s future health,&#x201d; says lead author Dr. Kieran Quinn, a general internist and palliative care physician and health services researcher at Sinai Health and an ICES PhD student. &#x201c;Recognition of this risk may trigger important discussions among patients, caregivers and healthcare providers about health preferences for future care.&#x201d;<\/p>\n<p>\nThe risk of death increased with age, with a 15 to 20 per cent increase per decade of life. In people aged 66 to 70 years, the death rate was about 20 per cent compared with more than 60 per cent in people aged 86 to 90 years and 90 per cent in people over age 96.<\/p>\n<p>\nOther studies have looked at short-term outcomes following hospital admission as well as five-year death rates for specific conditions, such as heart failure and lung cancer. This study builds on these prior studies by estimating the long-term risk of death for all conditions among older adults without prior hospital admission or emergency department visits.<\/p>\n<p>\nThese findings may be useful to patients, families and health systems in four ways:<\/p>\n<ul class=\"list-style\">\n<li>Estimating risk of death allows patients, families and their doctors to make informed decisions and advanced planning for their healthcare<\/li>\n<li>As a population-level risk to help physicians estimate an individual patient&#x2019;s risk<\/li>\n<li>To help health services researchers in adjusting risk in future studies<\/li>\n<li>To help healthcare system planning for healthcare delivery<\/li>\n<\/ul>\n<p>\n&#x201c;Our hope is that this simple information can inform complex healthcare decisions,&#x201d; adds Quinn.<\/p>\n<p>\nThe study &#x201c;The Risk of death within five years of first hospitalization in older adults,&#x201d; was published by the <em>CMAJ<\/em>.<\/p>\n<p><em><br \/>\nAuthor block: Kieran L. Quinn, Nathan M. Stall, Zhan Yao, Therese A. Stukel, Peter Cram, Allan S. Detsky and Chaim M. Bell.<\/em><\/p>\n<div><div class=\"about-ices-shortcode\"><p><strong>ICES<\/strong> is an independent, non-profit research institute that uses population-based health information to produce knowledge on a broad range of healthcare issues. Our unbiased evidence provides measures of health system performance, a clearer understanding of the shifting healthcare needs of Ontarians, and a stimulus for discussion of practical solutions to optimize scarce resources. ICES knowledge is highly regarded in Canada and abroad, and is widely used by government, hospitals, planners, and practitioners to make decisions about care delivery and to develop policy. In October 2018, the institute formerly known as the Institute for Clinical Evaluative Sciences formally adopted the initialism ICES as its official name. For the latest ICES news, follow us on Twitter: <a href=\"https:\/\/twitter.com\/ICESOntario\" target=\"_blank\" rel=\"noopener\">@ICESOntario<\/a><\/p>\n<\/div><\/div>\n<h2>\nFOR FURTHER INFORMATION PLEASE CONTACT:<\/h2>\n<p>\nDeborah Creatura<br \/>\nMedia Advisor, ICES<br \/>\n<a href=\"mailto:deborah.creatura@ices.on.ca\">deborah.creatura@ices.on.ca<\/a><br \/>\n(o) 416-480-4780 or (c) 647-406-5996<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Unplanned hospitalization is associated with a higher risk of death in older adults, according to researchers at ICES, a non-profit research institute that uses population-based health information to produce knowledge on a broad range of healthcare issues. The study, published today in the CMAJ, looked at more than 900, 000 Ontario adults aged 65 and [&hellip;]<\/p>\n","protected":false},"template":"","migration-helper-automated":[],"migration-manual":[],"topic":[24,17],"class_list":["post-7981","news_release","type-news_release","status-publish","hentry","topic-acute-and-emergency-services","topic-older-people"],"acf":{"infographic":[9544],"journal_article":[5484],"research_report":[],"atlas":[],"research_program":[6747],"site":[6733],"ices_scientist":[1172,17132],"announce_or_event":[],"video":[],"iitn_type":false,"iitn_title":"Risk for death five times higher after first unplanned hospital admission","iitn_short_title":"","iitn_source_link_url":"https:\/\/www.healio.com\/primary-care\/hospital-medicine\/news\/online\/%7B006b5eba-db4a-4a2f-b196-815b8a1f5aac%7D\/risk-for-death-five-times-higher-after-first-unplanned-hospital-admission","iitn_source_link_text":"Healio","sitecore_item_id":"E9F2A1A2-CE1B-45D3-9FE0-43C2C575145D","sitecore_item_name":"Unexpected-hospital-admission-could-be-an-early-warning-sign-of-death-for-seniors","sitecore_field_values":"{\n  \"Content\": \"<p>Unplanned hospitalization is associated with a higher risk of death in older adults, according to researchers at <strong>ICES<\/strong>, a non-profit research institute that uses population-based health information to produce knowledge on a broad range of healthcare issues.<\/p>n<p><a href=\"~\/media\/E3297896A8D048909D59FC4EC8B2BDA4.ashx\" onclick=\"_gaq.push(['_trackEvent','Download', 'QuinnUnplannedAdmissionInfographicDecember2019',this.href]);\"><img height=\"204\" alt=\"Unexpected first hospital admission could be an early warning sign of death for seniors\" width=\"350\" src=\"~\/media\/C3C351013E7F4C80B9C078500AE64F1E.ashx\" \/><\/a><span class=\"grey\" style=\"font-size: 12px; font-weight: bold; display: block; color: #5b5656;\">Click image to enlarge<\/span><\/p>n<p>nThe study, published today in the <em>CMAJ<\/em>, looked at more than 900, 000 Ontario adults aged 65 and older and the association between unplanned admission to hospital and risk of death over the 10-year study period (2007 to 2017). Researchers included only people who had not been hospitalized or visited an emergency department within five years. After their first unplanned hospital admission, nearly 40 per cent of people died within five years (59,234 people). Nearly 50 per cent of the deaths following first unplanned hospital admission were within the first year. This was a substantial difference compared to about 10 per cent of people who died within five years of their first planned hospital admission (10,775 people) or in those who visited an emergency department and were sent home (35,663 people). Among those who were neither hospitalized nor visited the emergency department, only three per cent died within five years (11,268 people).<\/p>n<p>n&ldquo;This study adds new findings by estimating the risk of death after a first acute care encounter in a population of previously healthy older adults cared for in a large healthcare system,&rdquo; says senior author <a href=\"~\/link.aspx?_id=9F60496B63FD4BE5A7EFC4969D7AACB3&amp;_z=z\">Dr. Chaim Bell<\/a>, adjunct scientist at ICES, physician in chief at Sinai Health, and professor of medicine at the University of Toronto.<\/p>n<p>nCancer and heart disease were the most common causes of death in all age groups and more than 50 per cent of all deaths in the study were among those with their first unplanned hospital admission.<\/p>n<p>n&ldquo;Unplanned hospital admission likely indicates the presence of a health problem that is severe enough to warrant admission to hospital and project a window into a person&rsquo;s future health,&rdquo; says lead author Dr. Kieran Quinn, a general internist and palliative care physician and health services researcher at Sinai Health and an ICES PhD student. &ldquo;Recognition of this risk may trigger important discussions among patients, caregivers and healthcare providers about health preferences for future care.&rdquo;<\/p>n<p>nThe risk of death increased with age, with a 15 to 20 per cent increase per decade of life. In people aged 66 to 70 years, the death rate was about 20 per cent compared with more than 60 per cent in people aged 86 to 90 years and 90 per cent in people over age 96.<\/p>n<p>nOther studies have looked at short-term outcomes following hospital admission as well as five-year death rates for specific conditions, such as heart failure and lung cancer. This study builds on these prior studies by estimating the long-term risk of death for all conditions among older adults without prior hospital admission or emergency department visits.<\/p>n<p>nThese findings may be useful to patients, families and health systems in four ways:<\/p>n<ul class=\"list-style\">n    <li>Estimating risk of death allows patients, families and their doctors to make informed decisions and advanced planning for their healthcare<\/li>n    <li>As a population-level risk to help physicians estimate an individual patient&rsquo;s risk<\/li>n    <li>To help health services researchers in adjusting risk in future studies<\/li>n    <li>To help healthcare system planning for healthcare delivery<\/li>n<\/ul>n<p>n&ldquo;Our hope is that this simple information can inform complex healthcare decisions,&rdquo; adds Quinn.<\/p>n<p>nThe study &ldquo;The Risk of death within five years of first hospitalization in older adults,&rdquo; was published by the <em>CMAJ<\/em>.<\/p>n<p><em>nAuthor block: Kieran L. Quinn, Nathan M. Stall, Zhan Yao, Therese A. Stukel, Peter Cram, Allan S. Detsky and Chaim M. Bell.<\/em><\/p>n<p><em><span style=\"color: #002060;\">ICES is an independent, non-profit research institute that uses population-based health information to produce knowledge on a broad range of healthcare issues. Our unbiased evidence provides measures of health system performance, a clearer understanding of the shifting healthcare needs of Ontarians, and a stimulus for discussion of practical solutions to optimize scarce resources. ICES knowledge is highly regarded in Canada and abroad, and is widely used by government, hospitals, planners, and practitioners to make decisions about care delivery and to develop policy. In October 2018, the institute formerly known as the Institute for Clinical Evaluative Sciences formally adopted the initialism ICES as its official name. For the latest ICES news, follow us on Twitter: <a href=\"http:\/\/www.twitter.com\/ICESOntario\">@ICESOntario<\/a><\/span><\/em><\/p>n<h2>nFOR FURTHER INFORMATION PLEASE CONTACT:<\/h2>n<p>nDeborah Creatura<br \/>nMedia Advisor, ICES<br \/>n<a href=\"mailto:deborah.creatura@ices.on.ca\">deborah.creatura@ices.on.ca<\/a><br \/>n(o) 416-480-4780 or (c) 647-406-5996<\/p>\",\n  \"Title\": \"Unexpected hospital admission could be an early warning sign of death for seniors\",\n  \"Short title\": \"Unexpected hospital admission could be\",\n  \"Teaser image\": \"<image mediaid=\"{A322F4BD-074D-4BD9-A21A-A9A358DE2CFF}\" alt=\"&quot;&quot;\" height=\"\" width=\"\" hspace=\"\" vspace=\"\" \/>\",\n  \"Summary\": \"Unplanned hospitalization is associated with a higher risk of death in older adults, according to researchers at ICES.\",\n  \"Location\": \"Toronto\",\n  \"In The News\": \"{8FE94338-A54A-4287-89CD-0BD0EFB0343B}\",\n  \"ICES Scientists\": \"{9F60496B-63FD-4BE5-A7EF-C4969D7AACB3}\",\n  \"ICES Locations\": \"{4FCAABBA-14A5-42E6-8F33-BC6C2F1D9908}\",\n  \"Research Programs\": \"{01CEA7E5-3297-4E7A-AFE4-FB1F9AD394CE}\",\n  \"Posted Date\": \"20191216T000000\",\n  \"Publication Link\": \"<link id=\"{AE0AE3B4-32AE-4190-AC1D-0DEE6D22FF3A}\" querystring=\"\" text=\"Abstract\" url=\"\/ICES\/Home\/Publications\/Journal-Articles\/2019\/December\/The-risk-of-death-within-5-years-of-first-hospital-admission-in-older-adults\" title=\"opens related abstract\" linktype=\"internal\" target=\"\" \/>\",\n  \"Related Link\": \"<link text=\"Infographic\" linktype=\"external\" url=\"~\/Publications\/Infographics?year=2019&amp;page=1#QuinnUnplannedAdmission\" anchor=\"\" title=\"opens related infographic\" target=\"\" \/>\",\n  \"Related Link2\": \"<link text=\"ICES in the News | Healio\" linktype=\"external\" url=\"https:\/\/www.healio.com\/primary-care\/hospital-medicine\/news\/online\/%7B006b5eba-db4a-4a2f-b196-815b8a1f5aac%7D\/risk-for-death-five-times-higher-after-first-unplanned-hospital-admission\" anchor=\"\" title=\"opens external link\" target=\"\" \/>\"\n}","previous_url":"https:\/\/www.ices.on.ca\/Newsroom\/News-Releases\/2019\/Unexpected-hospital-admission-could-be-an-early-warning-sign-of-death-for-seniors"},"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.5 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>ICES | Unexpected hospital admission could be an early warning sign of death for seniors<\/title>\n<meta name=\"description\" content=\"Unplanned hospitalization is associated with a higher risk of death in older adults, according to researchers at ICES, a non-profit research institute\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" 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