This indicator details the number and characteristics of hospital admissions in the last year of life for people aged 75 years and older who died in England in the reporting year, using data from the Office for National Statistics (ONS) annual mortality extract and Hospital Episode Statistics (HES). Reported as the proportion of all hospital admissions and days spent in hospital in 2017 that were amongst people aged 75 years and older in the last year of life. These admissions will include planned, emergency and day cases. The cohort is defined by taking all the hospital admissions in the reporting year (not including those categorised as regular attendances) and using mortality records to identify those who were in the last year of life. For each admission, the days in hospital was calculated as the difference between the date of discharge and the date of admission. In general each day case admission counts as zero days. Conceptually, the number of days in hospital can be thought of as the number of nights spent in hospital. Information of number and length of hospital admissions is summarised by age, sex and cause of death.

Hospital admissions in the reporting year (not including those categorised as regular attendances) for people aged 75 years and older who were in the last year of life.

People aged 75 years and older who were in the last year of life (identified using mortality records).

Excludes hospital admissions categorised as regular attendances.

Age, sex, cause of death. Age groups classified as 75-79, 80-84, 85-89, 90+. The specific International Classification of Diseases categories used to classify the following cause of death are: cancer (74,112): C00-C97; acute heart disease (AHD) (43,358): I20-I25, I39, I40-I41, I46-I49, I51; stroke (23,742): I60-I69; pneumonia (21,213): J12-J18; chronic heart disease (CHD) (13,989): I05-I11, I13, I31, I34-I36, I38, I42, I50, I70, I95; liver disease (3,685): B15-B19, K70-K77, C22; accidental falls (4,192): W00 – W19; dementia (87,199): F00-F04, G30-G31; chronic obstructive pulmonary disease (COPD) (36,501): J40-J44. These categories include the most common causes of death in England in adults. Deaths were counted in the dementia and COPD categories were counted if these conditions were recorded as underlying or contributory causes of death. Deaths were counted in the pneumonia, cancer, chronic heart disease, acute heart disease, stroke and liver disease categories if these conditions were recorded as underlying cause of death. For this reason, some deaths may fall into multiple categories (for example, if a person's underlying cause of death was cancer, but dementia was also a contributory cause of death). Liver cancer (ICD code C22) is counted in both the liver disease and the cancer categories. Deaths from 'other' causes are deaths which did not fall into any other category.

Produced by Public Health England and based on the following data sources: Office for National Statistics (ONS) annual mortality extract; Hospital Episode Statistics (HES).

Public reporting.

www.gov.uk/government/publications/older-peoples-hospital-admissions-in-the-last-year-of-life www.gov.uk/government/publications/older-peoples-hospital-admissions-in-the-last-year-of-life/older-peoples-hospital-admissions-in-the-last-year-of-life fingertips.phe.org.uk/profile/end-of-life

Unable to locate full specifications. Some details available here: www.gov.uk/government/publications/older-peoples-hospital-admissions-in-the-last-year-of-life/older-peoples-hospital-admissions-in-the-last-year-of-life#hospital-admissions-for-people-aged-75-years-and-older-in-the-last-year-of-life