Table 4.
Use of Life-Sustaining Interventions in the Last 6 Months of Life by Racial/Ethnic Group
White | Black | Hispanic | Other | All | |
---|---|---|---|---|---|
| |||||
Percentage of column with any such utilization at the end of life | |||||
| |||||
ICU | 27.0 | 32.5 | 39.6 | 30.6 | 27.5 |
Resuscitation & cardiac conversion | 2.7 | 4.4 | 4.0 | 3.6 | 2.8 |
Ventilation | 11.6 | 18.0 | 21.0 | 16.6 | 12.1 |
Gastrostomy | 4.1 | 10.5 | 9.1 | 6.6 | 4.5 |
Vascular transfusion | 10.4 | 16.6 | 18.0 | 13.7 | 10.9 |
Dialysis | 1.2 | 2.7 | 3.4 | 2.9 | 1.3 |
Chemotherapy | 7.9 | 7.6 | 7.4 | 6.8 | 7.9 |
Cardiac Catheterization | 3.4 | 2.6 | 4.6 | 3.0 | 3.4 |
Heart assist/balloon | 0.6 | 0.3 | 0.8 | 0.6* | 0.5 |
PAP & wedge | 1.3 | 1.1 | 1.7 | 1.5* | 1.3 |
Antibiotic | 0.9 | 1.2 | 1.6 | 1.9 | 1.0 |
Hospice enrollment, last 6 months | 25.9 | 20.1 | 22.9 | 20.3 | 25.5 |
Notes:
1. All White / non-White differences in utilization rates, except those starred (*), are statistically significant (p < 0.05).
2. ‘All’ column denotes rates for all Medicare decedents (in 2001), obtained by adjusting for stratified sampling.