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Causes of Death Determined in Medicolegal Investigations in Residents of Nursing Homes: A Systematic Review
Author(s) -
Kennedy Briohny,
Ibrahim Joseph E.,
Bugeja Lyndal,
Ranson David
Publication year - 2014
Publication title -
journal of the american geriatrics society
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.992
H-Index - 232
eISSN - 1532-5415
pISSN - 0002-8614
DOI - 10.1111/jgs.12929
Subject(s) - medicine , choking , systematic review , nursing homes , harm , injury prevention , population , poison control , occupational safety and health , medline , gerontology , family medicine , nursing , medical emergency , environmental health , pathology , political science , law , anatomy
Objectives To systematically review published research characterizing the nature and circumstances surrounding the death of older people in nursing homes specifically using information generated for medicolegal death investigations. Design Systematic review in accordance with the Preferred Reporting Items for Systematic Reviews and Meta‐Analyses Statement using the key words death, nursing homes, and medicolegal death investigation. Setting Cross‐sectional data from original, peer‐reviewed articles published in English between 2000 and 2013 describing deaths of nursing home residents. Measurements Information was extracted for analysis about study and population characteristics, number and type of deaths, study design, findings, and limitations. Results Thirteen studies were identified. The studies examined external causes of deaths from suicide, choking, restraint or bed‐related injuries, falls, and pressure injuries. Deaths were more frequent in women with existing comorbidities. Suicide was predominant in men. Identified risk factors and opportunities to reduce harm were identified at individual, organizational, and structural levels. Overall, the quality of the studies limited the aggregation and comparability of findings. Conclusion This systematic review informs researchers, clinicians and policy‐makers about how to reduce external causes of death in nursing homes.