Cookies on this website

We use cookies to ensure that we give you the best experience on our website. If you click 'Accept all cookies' we'll assume that you are happy to receive all cookies and you won't see this message again. If you click 'Reject all non-essential cookies' only necessary cookies providing core functionality such as security, network management, and accessibility will be enabled. Click 'Find out more' for information on how to change your cookie settings.

OBJECTIVES:To determine whether among people aged 65 and over those who died at advanced old age spent more of their last year of life in hospital than those who died younger, and whether the increase in longevity in the elderly between 1976 and 1985 was accompanied by increased time spent in hospital in the last year of life. DESIGN:Linkage of death records to abstracts of records of hospital inpatient care in the preceding year of patients' lives. SETTING:Six health districts in England covered by the Oxford record linkage study. RESULTS:People who died at advanced ages (85 and over) were less likely than people who died at younger ages (65-84) to have been admitted to hospital in the last year of life. Once admitted the very old tended to spend longer in hospital than others. The mean total time spent in hospital by the elderly in the year before death (based on all deaths including those among people not admitted at all) showed no appreciable change over time. The median time in hospital based on all deaths increased by about three days between 1976 and 1985. During that time there was a gain in life expectancy in the population of about one year from the age of 65. CONCLUSION:The gain in life expectancy in this population was not at the expense of any substantial increase in time spent in hospital in the final year of life.

Original publication




Journal article


BMJ (Clinical research ed.)

Publication Date





17 - 19


Unit of Clinical Epidemiology, University of Oxford.


Humans, Length of Stay, Patient Admission, Life Expectancy, Mortality, Age Factors, Aged, Aged, 80 and over, Hospitals, England