Table 5.
Logistic regression comparing factors associated with those who attended either GPOOH or A&E for unscheduled care in the last year of life with those who did not
| Factors | N | GPOOH users,n (%) | Univariate OR (95% CI) | Adjusted OR (95% CI) | A&E users,n (%) | Univariate OR (95% CI) | Adjusted OR (95% CI) |
|---|---|---|---|---|---|---|---|
| Age, per yeara | 2443 | 1700 (69.6) | 1.01 (1.00 to 1.02) | 1.01 (0.99 to 1.01) | 834 (34.1) | 1.00 (1.00 to 1.01) | 1.00 (1.00 to 1.01) |
|
| |||||||
| Sex | |||||||
| Female | 1165 | 837 (71.8) | 1 | 1 | 382 (32.8) | 1 | 1 |
| Male | 1278 | 864 (67.6) | 0.81 (0.67 to 0.99) | 0.81 (0.67 to 0.98) | 452 (35.4) | 1.09 (0.91 to 1.31) | 1.10 (0.91 to 1.31) |
|
| |||||||
| Remotenessb | |||||||
| Urban | 1588 | 1125c (70.8) | 1 | 1 | 572d (36.0) | 1 | 1 |
| Rural | 587 | 373c (63.5) | 0.69 (0.55 to 0.87) | 0.66 (0.53 to 0.83) | 179d (30.5) | 0.84 (0.67 to 1.06) | 0.83 (0.66 to 1.05) |
| Remote | 235 | 181c (77.0) | 1.31 (0.93 to 1.84) | 1.29 (0.92 to 1.80) | 75d (31.9) | 0.90 (0.66 to 1.22) | 0.88 (0.65 to 1.20) |
|
| |||||||
| Deprivationb | |||||||
| SIMD1 (deprived) | 422 | 287 (61.2) | 1 | 1 | 173 (36.8) | 1 | 1 |
| SIMD2 | 392 | 283 (53.6) | 1.25 (0.95 to 1.65) | 1.22 (0.90 to 1.65) | 141 (26.7) | 0.83 (0.64 to 1.08) | 0.82 (0.62 to 1.10) |
| SIMD3 | 444 | 303 (67.8) | 1.02 (0.76 to 1.39) | 1.10 (0.81 to 1.49) | 141 (31.8) | 0.76 (0.56 to 1.02) | 0.73 (0.54 to 0.98) |
| SIMD4 | 731 | 521 (71.3) | 1.35 (0.99 to 1.84) | 1.29 (0.96 to 1.73) | 242 (33.1) | 0.81 (0.61 to 1.08) | 0.82 (0.63 to 1.09) |
| SIMD5 (affluent) | 421 | 285 (67.7) | 1.00 (0.75 to 1.33) | 1.02 (0.76 to 1.38) | 129 (30.6) | 0.74 (0.56 to 0.98) | 0.69 (0.52 to 0.93) |
|
| |||||||
| Cancer type | |||||||
| Lung | 672 | 462 (68.8) | 1 | 1 | 263 (39.1) | 1 | 1 |
| Upper GI | 514 | 348 (67.7) | 0.95 (0.74 to 1.22) | 0.96 (0.75 to 1.24) | 154 (30.0) | 0.67 (0.52 to 0.86) | 0.66 (0.52 to 0.85) |
| Bowel | 303 | 227 (74.9) | 1.28 (0.94 to 1.77) | 1.31 (0.96 to 1.80) | 86 (28.4) | 0.65 (0.48 to 0.89) | 0.65 (0.48 to 0.87) |
| Breast and ovarian | 237 | 167 (70.5) | 0.91 (0.64 to 1.30) | 0.93 (0.66 to 1.32) | 67 (28.3) | 0.70 (0.49 to 0.99) | 0.70 (0.49 to 0.98) |
| Prostate | 99 | 71 (71.7) | 1.21 (0.74 to 1.98) | 1.21 (0.74 to 1.98) | 33 (33.3) | 0.82 (0.52 to 1.32) | 0.82 (0.51 to 1.30) |
| Haematological | 241 | 150 (62.2) | 0.73 (0.53 to 1.00) | 0.73 (0.54 to 1.00) | 88 (36.5) | 0.92 (0.67 to 1.25) | 0.92 (0.67 to 1.25) |
| Other | 377 | 276 (73.2) | 1.25 (0.94 to 1.67) | 1.27 (0.96 to 1.70) | 143 (37.9) | 0.97 (0.75 to 1.27) | 0.97 (0.74 to 1.26) |
|
| |||||||
| Diagnosed in the last year of life | |||||||
| Yes | 1709 | 1180 (69.0) | 1 | 1 | 607 (35.5) | 1 | 1 |
| No | 734 | 521 (71.0) | 1.10 (0.89 to 1.34) | 1.09 (0.89 to 1.34) | 227 (30.9) | 0.99 (0.79 to 1.20) | 0.84 (0.69 to 1.03) |
a
Age is used as a continuous variable, and the unit used was ‘per year’ with the odds ratio given being the change in odds per year of life.
b
Data for remoteness and deprivation missing for 33 patients.
c
Data for remoteness, GPOOH users, missing for 21 patients.
d
Data for remoteness, A&E users, missing for 8 patients. A&E = accident and emergency services. GI = gastrointestinal. GPOOH = GP out-of-hours service. OR = odds ratio. SIMD = Scottish Index of Multiple Deprivation.15