Objectives To study the demography, clinical characteristics, service utilisation, mortality, and predictors of mortality in older residential care home residents with advanced cognitive impairment.Design Cohort longitudinal study. Setting ConclusionResidents of residential care homes for the elderly with advanced cognitive impairment were frail, exhibited multiple comorbidities and high mortality. They were frequent users of outpatient, emergency, and in-patient services. The development of end-of-life care services in residential care homes for the elderly is an important need for this group of elderly.

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