Understanding end-of-life care for older people presenting to the ED

Grant ID: EMLE-129R31-2019-ALSABA

Lay Summary

The overarching aim of this study is to estimate the magnitude of the need for care at the end of life care in the emergency department, and to describe care delivery practices, processes and outcomes for older people who present to the emergency department requiring end of life care.
Australians aged 65 years and over account for 22% of emergency department presentations. Currently, this group makes up 15% of the population, but this predicted to rise to 20% by 2037.

There are two trajectories of end of life in the emergency department: ‘unexpected’ and ‘expected’ deaths. Unexpected deaths stem from acute illness or sudden, traumatic events. Expected deaths stem from deterioration of chronic illnesses.
When expected deaths occur in the emergency department, staff dissatisfaction and distress as well as frustration for patients and their families can result. In Singapore, around 50% of deaths in people aged ≥ 65 who died in one emergency department were considered ‘expected’. This highlights the need to understand if the situation is the same here in Australia and to what extent quality end of life care is provided for both trajectories of dying (i.e. expected and unexpected). Our study will identify the ‘unexpected’ and the ‘expected’ deaths among people aged ≥ 65 who die within 48 hours of emergency department presentation.


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Amount Awarded
$88,357


Program


Grant Scheme


Status
Active


Principal Investigator:
Dr Nemat Alsaba


Co Investigators:
Dr William 'Bill' Lukin
Prof Julia Crilly
Dr Katya May
A/Prof Laurie Grealish
Dr Andrew Broadbent
Dr Kerina Denny
Dr Kristen Ranse
Dr Jamie Ranse


Associate Investigators:
Dr Ya-Ling (Rebecca) Huang
Ms Amy Sweeny


Institution


Collaborating Institutions


CONTACT US +61 7 3720 5700 info@emfoundation.org.au Suite 1B, Terraces, 19 Lang Parade, Milton Qld 4064