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Updated: Dec 3, 2025

Assessment of Dependence in Activities of Daily Living Among Older Patients in an Acute Care Unit
Published on: September 30, 2020
It is feasible to flag 'near end-of-life' status in older patients from routine general practice data
Magnolia Cardona1, Margaret Williamson2, Mark Jones3
1PhD, MPH, MBBS, Associate Professor of Health Systems Research and Translation, Institute for Evidence-Based Healthcare, Bond University, Qld; Associate Professor, Evidence-Based Practice Unit, Gold Coast University Hospital, Qld.
Method:
A retrospective chart review was used to assess the feasibility of identifying these indicators in the data (160,897 patients from 464 practices across Australia). Conditional logistic regression was used to assess the independent contribution of nEOL indicators in patients aged 75-84 and ≥85 years using a case-control design matching by practice.
Results:
The strongest indicators for nEOL status were advanced malignancy, residential aged care, nutritional vulnerability, anaemia, cognitive impairment and heart failure. Other indicators included hospital attendance, pneumonia, decubitus ulcer, chronic obstructive pulmonary disease, antipsychotic prescription, male sex and stroke.
Discussion:
Consideration of routinely collected patient data may suggest nEOL status and trigger advance care planning discussions.
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