a decreasing trendp <0.001
However, trends in certifying death as “old age” showed a decreasing trend over 10 years, notably in hospital (−0.87% annually, 95% CI −1.09 to −0.65%, p <0.001) with increasing use of dementia (0.34% annually, 95% CI 0.14%–0.54%, p = 0.004).