Age and sex differences in 12-month transitions of care and mortality outcomes

People living with dementia were older than people without dementia.

  • The median age of people living with dementia was 86, and over half of people living with dementia (56%) were aged 85 or older.
  • For people without dementia the median age was 76 and 22% were aged 85 or older (Table S1.2).

A higher proportion of people living with dementia were women (56%) compared with people without dementia (50%).

  • For both people living with dementia and people without dementia there was a slightly higher proportion of men than women in people aged 65–74, equal proportions of men and women in people aged 75–84 and a higher proportion of women than men in people aged 85 or older (Table S1.2)

Men and women aged 65–74, 75–84 and 85 or older and living with dementia were more likely to transition to residential aged care or to die in the 7-days, 3-months and 12-months after discharge from their hospitalisation compared with people without dementia. This indicates that differences in age and sex between people living with dementia and people without dementia do not explain the observed differences in outcomes.

For people living with dementia and people without dementia, transitions to residential aged care or mortality after discharge were different for men and women aged 65–74 compared with men and women aged 75 or older.

For people aged 65–74:

  • A similar proportion of men and women lived in the community before admission to hospital and after discharge
  • Men were more likely to die in the 12-months after discharge compared with women

For people aged 75–84 and 85 or older:

  • Men were more likely than women to live in the community before admission to hospital and after discharge
  • Men were more likely to die in the 12-months after discharge compared with women (Table S1.3)

Figure 3 Change in usual residence or mortality by age and sex 12-months after discharge for people living with dementia and people without dementia

The figure is a bar-chart and shows the proportion of people living with dementia or people without dementia, by sex and age, who were living in the community or living in residential aged care before their first hospitalisation, and the proportion who were living in the community, living in residential aged care or who had died in the 7-days, 3-months and 12-months after discharge. In all age and sex groups, people living with dementia were much more likely to transition to residential aged care or to die after discharge from hospital compared to people without dementia.

Source: AIHW NIHSI 2018–19, analysis of NIHSI