2023-05-05 マックス・プランク研究所
◆この研究は、アメリカ公衆衛生雑誌に掲載され、70歳以上の人々の最後の1年間の生活に関する6つの異なる軌跡が同定された。また、データを分析した結果、スウェーデンの平均寿命である83歳以上の死亡者では、高度な医療や介護がより一般的であることがわかった。
◆このような軌跡は医療システムにとって比較的高価になる可能性があり、将来的には公的負担が増加する可能性がある。
<関連情報>
- https://www.mpg.de/20270779/0504-defo-high-care-needs-during-the-last-year-of-life-are-most-common-154642-x
- https://ajph.aphapublications.org/doi/abs/10.2105/AJPH.2023.307281
70歳以上の高齢者における終末期の軌跡の変動(スウェーデン、2018～2020年)。 Variation in End-of-Life Trajectories in Persons Aged 70 Years and Older, Sweden, 2018‒2020
Marcus Ebeling, Anna C. Meyer and Karin Modig
American Journal of Public Health Published: April 13, 2023
Abstract
Objectives. To analyze variation in end-of-life trajectories with regard to elder care and medical care and how they relate to age, gender, and causes of death.
Methods. We analyzed all deaths of persons at age 70 years and older between the years 2018 and 2020 in Sweden, using a linkage of population registers. We applied latent class analysis to identify distinct types of end-of-life trajectories.
Results. We identified 6 different types of end-of-life trajectories. The types differed substantially in the amount of utilized elder care and medical care before death. Deaths characterized by high levels of elder care and medical care utilization become more common with age. The trajectory types show distinct cause-of-death profiles.
Conclusions. Most deaths today do not comply with what is often referred to as a “good” death (e.g., retaining control or requiring low levels of elder care). The results suggest that longer lifespans partly result from a prolonged dying process.
Public Health Implications. The current modes of dying call for a discussion about how we want to die in an era of increasing lifespans and aging societies. (Am J Public Health. Published online ahead of print April 13, 2023:e1–e9. https://doi.org/10.2105/AJPH.2023.307281)
