What factors are associated with advance care planning in community-dwelling older people? Data from TILDA.


Journal

European geriatric medicine
ISSN: 1878-7649
Titre abrégé: Eur Geriatr Med
Pays: Switzerland
ID NLM: 101533694

Informations de publication

Date de publication:
02 2022
Historique:
received: 24 09 2021
accepted: 16 11 2021
pubmed: 27 11 2021
medline: 1 4 2022
entrez: 26 11 2021
Statut: ppublish

Résumé

To assess advance care planning (ACP) in a large population-representative sample of older people. At Wave 4 of the Irish Longitudinal Study on Ageing, participants were asked: Have you made your wishes/preferences known about the kind of care that you would like to receive in the event of serious illness? One quarter (1153/4831) had discussed ACP. Of those, 90% had discussed with family/friends, 10% documented ACP in writing, while 2% had discussed with a healthcare professional. Age ≥ 80 years [OR 1.63 (1.31-2.02)], female sex [OR 1.58 (1.37-1.83)], higher educational attainment [OR 1.42 (1.18-1.71)], poorer self-rated health [OR 1.67 (1.06-2.62)] and lower levels of religiosity [OR 1.50 (1.02-2.19)] were independently associated with ACP. Only one in four older people had discussed ACP informally, while less than 3% have ACP documented in writing. Further work is required to educate the public and healthcare professionals regarding treatment choices at end-of-life.

Identifiants

pubmed: 34826110
doi: 10.1007/s41999-021-00593-2
pii: 10.1007/s41999-021-00593-2
doi:

Types de publication

Journal Article Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

285-289

Informations de copyright

© 2021. The Author(s), under exclusive licence to European Geriatric Medicine Society.

Références

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Auteurs

Laura Breslin (L)

Mercer's Institute for Successful Ageing, St James's Hospital, James's St, Dublin 8, Ireland.

Eimear Connolly (E)

Mercer's Institute for Successful Ageing, St James's Hospital, James's St, Dublin 8, Ireland.

Roisin Purcell (R)

Mercer's Institute for Successful Ageing, St James's Hospital, James's St, Dublin 8, Ireland.
Discipline of Medical Gerontology, Trinity College Dublin, Dublin 1, Ireland.

Amanda Lavan (A)

Mercer's Institute for Successful Ageing, St James's Hospital, James's St, Dublin 8, Ireland.
The Irish Longitudinal Study on Ageing, Trinity College Dublin, Dublin 1, Ireland.
Discipline of Medical Gerontology, Trinity College Dublin, Dublin 1, Ireland.

Rose Anne Kenny (RA)

Mercer's Institute for Successful Ageing, St James's Hospital, James's St, Dublin 8, Ireland.
The Irish Longitudinal Study on Ageing, Trinity College Dublin, Dublin 1, Ireland.
Discipline of Medical Gerontology, Trinity College Dublin, Dublin 1, Ireland.

Robert Briggs (R)

Mercer's Institute for Successful Ageing, St James's Hospital, James's St, Dublin 8, Ireland. briggsr@tcd.ie.
The Irish Longitudinal Study on Ageing, Trinity College Dublin, Dublin 1, Ireland. briggsr@tcd.ie.
Discipline of Medical Gerontology, Trinity College Dublin, Dublin 1, Ireland. briggsr@tcd.ie.

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