Male nursing home residents with advanced dementia are more likely to receive burdensome intervention and antibiotic therapy than women.
Only a minority of residents received palliative care in the year before their death; those that did were less likely to experience transition of care or antibiotic therapy.
Why this matters
This study emphasizes the need for sex-specific analysis in dementia research to understand the gender differences observed in end-of-life medical intervention.
Expanding palliative care and managing the use of end-of-life antimicrobial therapy in nursing home residents with advanced dementia may lower the number of unmet needs of the resident and reduce the rates of multidrug-resistance, respectively.