Table 4. Medical Care, Location of Death, Quality of Death and Survival by EOL Discussion among Deceased Propensity-Score Matched Patients (N=145) a.
Patient discussed EOL care preferences with physician | ||||||
---|---|---|---|---|---|---|
Yes | No | AOR b | (95%CI) | p-value | ||
No. of cases; N (%) | 75 (51.7) | 70 (48.3) | ||||
Medical care received in last week; N (%) | ||||||
ICU stay | 2 (2.7) | 10 (14.3) | 0.01 | (0.02-0.6) | 0.01* | |
Ventilator use | 1 (1.3) | 10 (14.3) | 0.03 | (0.002-0.3) | 0.005** | |
Resuscitation | 1 (1.4) | 6 (8.7) | 0.1 | (0.02-1.3) | 0.09§ | |
Chemotherapy | 4 (5.3) | 7 (10.0) | 0.5 | (0.1-1.8) | 0.30 | |
Inpatient hospice utilized | 8 (10.7) | 5 (7.1) | 1.8 | (0.5-6.5) | 0.34 | |
Inpatient hospice stay ≥ 1 week | 4 (5.4) | 2 (3.0) | 3.7 | (0.4-38.2) | 0.27 | |
Outpatient hospice utilized | 58 (77.3) | 40 (57.1) | 3.2 | (1.5-6.9) | 0.004** | |
Outpatient hospice stay ≥ 1 week | 52 (69.3) | 34 (50.8) | 2.5 | (1.2-5.0) | 0.01* | |
Place of Death; N (%) | ||||||
ICU | 2 (2.7) | 9 (12.9) | 0.1 | (0.03-0.7) | 0.02* | |
Hospital | 15 (20.0) | 18 (25.7) | 0.7 | (0.3-1.6) | 0.45 | |
Inpatient Hospice | 5 (6.7) | 3 (4.3) | 1.9 | (0.4-8.8) | 0.44 | |
Home | 47 (62.7) | 38 (54.3) | 1.3 | (0.6-2.6) | 0.49 | |
Quality of Life in the Last Week of Life; cmean (S.D.) | β | SE | p-value | |||
Psychological Distress | 3.7 (3.0) | 3.2 (3.3) | 0.5 | 0.6 | 0.37 | |
Physical Distress | 3.6 (3.2) | 4.5 (3.7) | -1.2 | 0.6 | 0.04* | |
Quality of Death | 6.3 (2.7) | 5.7 (3.3) | 0.5 | 0.5 | 0.39 | |
HR | (95%CI) | p-value | ||||
Survival; median (quartiles) | 88 [54-218] | 85 [30-253] | 0.8 | (0.6-1.1) | 0.22 |
Borderline significant 0.05≤p-value<0.10
p-value<0.05
p-value<0.01
p-value<0.001
Among the deceased propensity-matched patients, all variables shown in Table 2 did not differ by EOL discussions.
The OR here is conditional on quintiles of predicted propensity scores and adjusted for confounders of socio-demographic characteristics, health status measures, recruitment sites, terminal illness acknowledgement, treatment preferences and survival if they remain significant in the multivariate model.
Rated at postmortem. Higher score indicates more distress for psychological and physical scales whereas higher score indicates better quality of life.