Table 2.
Multivariable Associations With Occurrence of Restricting Symptomsa
Characteristicb | Odds Ratio (95% CI) | P Valuec |
---|---|---|
Age <85 y | 1.30 (1.07–1.57) | .009 |
Female sex | 1.16 (0.96–1.39) | .12 |
Nonwhite raced | 1.28 (0.97–1.70) | .08 |
Education <12 y | 1.05 (0.86–1.28) | .64 |
Multimorbidity | 1.38 (1.09–1.75) | .008 |
Month in last year of life | 1.14 (1.11–1.16) | <.001 |
Cognitive impairmente | 1.06 (0.76–1.47) | .74 |
Conditions leading to deathf | ||
Cancer | 1.80 (1.03–3.14) | .04 |
Dementia | 1.34 (0.74–2.41) | .34 |
Frailty | 1.51 (0.87–2.61) | .14 |
Organ failure | 1.70 (0.98–2.95) | .06 |
Other | 1.37 (0.78–2.41) | .27 |
All variables shown in this table have been dichotomized, except for month in last year of life, which was considered as a continuous variable, with increasing proximity to time of death associated with increased risk of occurrence of restricting symptoms, which were defined as 1 or more of the following 15 symptoms: fatigue; dizziness or unsteadiness; memory or thinking problem; swelling in feet or ankles; cold or influenza symptoms; musculoskeletal pain; shortness of breath; depression; anxiety; poor eyesight; arm or leg weakness; nausea, vomiting, or diarrhea; urinary problems; difficulty sleeping; and chest pain or tightness.
Characteristics were determined during the most proximate comprehensive assessment prior to death.
All P values are from logistic regression with generalized estimating equations in SAS Proc Genmod.
Race was self-reported; nonwhite category included Hispanics.
Cognitive impairment was defined as a Folstein Mini–Mental State examination score of less than 20.
Participants dying of sudden death were considered the referent category.