Table 4.
Adjusted Odds of Receiving High-Intensity Care for Subjects Enrolled in Hospice Compared With Those Not Enrolleda
| Type of High-Intensity Care | OR (95% CI)
|
|||
|---|---|---|---|---|
| Last 180 d | Last 90 d | Last 60 d | Last 30 d | |
| Any high-intensity care | 0.82 (0.74–0.91) | 0.52 (0.48–0.57) | 0.41 (0.38–0.45) | 0.31 (0.29–0.33) |
| ICU admission | 0.51 (0.46–0.56) | 0.40 (0.35–0.45) | 0.34 (0.29–0.38) | 0.23 (0.20–0.28) |
| Inpatient admission | 0.58 (0.53–0.63) | 0.44 (0.41–0.48) | 0.38 (0.35–0.41) | 0.31 (0.29–0.34) |
| >1 Emergency department visit | 0.89 (0.83–0.96) | 0.71 (0.66–0.78) | 0.59 (0.54–0.65) | 0.45 (0.40–0.51) |
| Stent or nephrostomy | 0.99 (0.87–1.10) | 0.84 (0.74–0.95) | 0.75 (0.66–0.86) | 0.54 (0.46–0.64) |
| Cystoscopy | 1.04 (0.94–1.15) | 0.87 (0.76–0.99) | 0.78 (0.67–0.91) | 0.59 (0.48–0.74) |
| Chemotherapy | 1.16 (1.08–1.26) | 0.94 (0.86–1.03) | 0.76 (0.69–0.84) | 0.54 (0.47–0.62) |
| Cardiopulmonary resuscitation | 0.35 (0.31–0.41) | 0.30 (0.26–0.35) | 0.27 (0.23–0.32) | 0.23 (0.19–0.27) |
Abbreviations: CI, confidence interval; ICU, intensive care unit; OR, odds ratio.
a
Controlling for age, ethnicity, comorbidity, treatment type, education, income, and partnership status (referent; total, N=13 804; no hospice, n=6875; hospice, n=6929). High-intensity care included an inpatient hospital stay, ICU admission, more than 1 emergency department visit, cystoscopy, placement of a ureteral stent or nephrostomy tube, cardiopulmonary resuscitation, or administration of chemotherapy.