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In-hospital mortality in older individuals: 2017 data for England

Public Health England recently published statistics on the number of older individuals (aged ≥75 years) who died in hospital in England in 2017, with respect to differences by age, sex, deprivation, cause of death and length of admission.

Key findings from the report are as follows:

  • In 2017, 45.6 per cent of individuals aged ≥75 years died in hospital.
  • Despite a higher number of deaths in hospital with increasing age, the proportion of all deaths occurring in hospital reduced with increasing age.
  • The mortality during an admission lasting ≥8 days was higher in men than women, across all age groups.
  • The in-hospital mortality rate of individuals from the most and least deprived areas was 50.3 per cent and 43.9 per cent, respectively.
  • In 2017, the primary underlying cause of in-hospital mortality for individuals aged ≥75 years was cancer, followed by heart disease and pneumonia.
  • However, pneumonia and infections were the primary reason for admission in a significant proportion of hospital admissions that ended in death (18.2% and 12.9%, respectively).
  • Among individuals aged ≥75 years, 51.5 per cent of deaths occurred in those who were admitted for ≥8 days.

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