Table 1.
Characteristics | <=7 Days Before Death | 8 to 30 Days Before Death | ||||
---|---|---|---|---|---|---|
Potential Matchesa (n=3273) |
PC Consult (n=101) |
p-value | Potential Matchesa (n=3374) |
PC Consult (n=162) |
p-value | |
Age at baseline (mean) | 85.7 | 83.5 | 0.01 | 86.2 | 85.5 | 0.33 |
Male | 34.8% | 46.5% | 0.02 | 32.1% | 38.9% | 0.07 |
Non-White b | 2.9% | 0% | 0.75 | 3.2% | 7.4% | 0.004 |
Married | 24.0% | 29.7% | 0.19 | 22.6% | 25.9% | 0.32 |
DNR Order | 74.6% | 68.3% | 0.16 | 73.7% | 74.1% | 0.93 |
DNH Order | 15.0% | 12.9% | 0.56 | 14.6% | 8.0% | 0.02 |
Major Diagnosis Group | ||||||
Cancer, No Dementia | 14.8% | 24.8% | <0.001 | 13.4% | 19.8% | 0.11 |
Cancer and Dementia | 10.4% | 6.9% | 10.3% | 11.7% | ||
Dementia, No Cancer | 46.7% | 26.7% | 51.1% | 45.1% | ||
Other, No Cancer or Dementia | 28.0% | 41.6% | 25.1% | 23.5% | ||
Cognitive Performance Score | ||||||
Intact (0–2) | 34.7% | 49.5% | 0.009 | 35.1% | 40.1% | 0.38 |
Moderate Impairment (3–4) | 42.6% | 33.7% | 42.6% | 40.7% | ||
Severe Impairment (5–6) | 22.7% | 16.8% | 22.3% | 19.1% | ||
Short NH Stay (<90 days) | 41.0% | 80.2% | <0.001 | 33.6% | 48.1% | <0.001 |
Cognitive/ADL changec | 71.8% | 82.2% | 0.02 | 69.6% | 76.5% | 0.06 |
Days between MDS and death (mean) | 32.6 | 17.5 | <0.001 | 44.1 | 40.53 | 0.12 |
Any hospitalizations in 90 days prior to baseline | 54.0% | 86.1% | <0.001 | 41.3% | 60.5% | <0.001 |
2+ hospitalizations in 90 days prior to baselineb | 23.3% | 42.3% | <0.001 | 17.2% | 27.2% | 0.001 |
Residents who died in the study nursing homes during the study years, and had the requisite Minimum Data Set assessment
These variables were not included in the ≤7 day propensity score models.
Cognitive/ADL change represents unstable, worsening, or declining status. ADL score ranges from 0–28 where 0=independent and 28=totally dependent.
ADL, activities of daily living; DNH, Do-Not-Hospitalize; DNR, Do-Not-Resuscitate; MDS, minimum data set; NH, nursing home.