Table 2.
Change in preference from non-aggressive to aggressive EOL care (N = 711) | Change in preference from aggressive to non-aggressive EOL care (N = 711) | |||
---|---|---|---|---|
Odds ratio | [95% CI] | Odds ratio | [95% CI] | |
Received ACPa | 0.85 | [0.52, 1.38] | 0.87 | [0.54, 1.39] |
Age | 1.01 | [0.99, 1.02] | 1.01 | [0.99, 1.03] |
Malesa | 0.83 | [0.49, 1.43] | 1 | [0.61, 1.67] |
Ethnicitya | ||||
Malay | 1.2 | [0.67, 2.15] | 1.45 | [0.84, 2.48] |
Indian/others | 1.62* | [0.92, 2.85] | 1.11 | [0.62, 1.99] |
Marrieda | 1.11 | [0.7, 1.77] | 1.1 | [0.7, 1.73] |
No. of children | 0.95 | [0.82, 1.09] | 0.98 | [0.86, 1.12] |
Secondary education or more a | 0.81 | [0.49, 1.32] | 0.87 | [0.54, 1.4] |
Household incomea | ||||
$500—$2999 | 0.83 | [0.45, 1.52] | 1.04 | [0.58, 1.87] |
$3000 and above | 1.12 | [0.53, 2.33] | 1.2 | [0.59, 2.45] |
Do not know/refuse to answer | 0.97 | [0.52, 1.83] | 0.69 | [0.36, 1.29] |
KCCQ quality-of-life score | 0.99 | [0.98, 1] | 1 | [0.98, 1.01] |
KCCQ clinical summary score | 1 | [0.99, 1.01] | 1 | [0.99, 1.02] |
Depressive symptoms score | 0.97 | [0.91, 1.04] | 0.97 | [0.91, 1.04] |
High financial constraints a | 0.92 | [0.55, 1.53] | 1.34 | [0.82, 2.17] |
Correct prognostic understandinga | 0.66* | [0.43, 1.03] | 0.92 | [0.61, 1.4] |
KCCQ self-efficacy score | 0.99 | [0.98, 1.01] | 0.99 | [0.98, 1] |
Decisional conflict score | 1 | [0.99, 1.01] | 1.01 | [1, 1.02] |
Discussed care preference with surrogate decision-makera | 1.27 | [0.74, 2.16] | 1.81** | [1.05, 3.14] |
CI, confidence interval; ACP, advance care planning; No., number; EOL, end-of-life, KCCQ: Kansas City Cardiomyopathy Questionnaire
aReference categories for variables are as follows: did not participate in ACP, females, Chinese, not married, primary education or less at baseline, household income less than $500, low/no financial constraints, incorrect understanding of prognosis or being unsure of prognosis, did not discuss treatment preference with surrogate decision-maker
* and ** indicate a statistical significance level at 10% and 5% respectively