Table 2.
Subgroup analysis of burdensome end-of-life transition in people with dementia who received home healthcare stratified by the characteristics of home healthcare.
| Early Burdensome Transition (Multiple Transitions Last 90 Days of Life) |
Late Burdensome Transition (Any Transition Last 3 Days of Life) |
|||||||
|---|---|---|---|---|---|---|---|---|
| Cases (n) |
Controls (n) |
Adjusted OR | 95 % CI | Cases (n) |
Controls (n) |
Adjusted OR | 95 % CI | |
| RUG | ||||||||
| 1 | 105 | 229 | (Reference) | 147 | 258 | (Reference) | ||
| 2 | 1278 | 3223 | 0.85 | 0.67–1.08 | 1663 | 3543 | 0.94 | 0.81–1.10 |
| 3 | 486 | 1106 | 0.96 | 0.74–1.24 | 437 | 1136 | 0.91 | 0.80–1.03 |
| 4 | 29 | 88 | 0.71 | 0.44–1.15 | 25 | 77 | 0.91 | 0.79–1.06 |
| HHC by professionals | ||||||||
| HHC by nurse only | 410 | 783 | (Reference) | 410 | 748 | (Reference) | ||
| HHC by physician and nurse | 2034 | 3863 | 1.01 | 0.88–1.15 | 1862 | 4266 | 0.80 | 0.70–0.91 |
| Duration of HHC (days) | ||||||||
| ≤30 | 670 | 861 | (Reference) | 413 | 894 | (Reference) | ||
| >30 and ≤120 | 471 | 821 | 0.80 | 0.66–0.98 | 404 | 840 | 0.69 | 0.56–0.85 |
| >120 and ≤365 | 528 | 1157 | 0.58 | 0.48–0.71 | 504 | 1208 | 0.56 | 0.46–0.69 |
| >365 | 779 | 1812 | 0.50 | 0.42–0.60 | 956 | 2077 | 0.60 | 0.50–0.73 |
| Frequency of HHC (counts/year) | ||||||||
| ≤4 | 933 | 1263 | (Reference) | 636 | 1318 | (Reference) | ||
| 5–8 | 435 | 899 | 0.66 | 0.57–0.76 | 407 | 899 | 0.94 | 0.81–1.10 |
| 9–16 | 744 | 1598 | 0.64 | 0.56–0.72 | 789 | 1801 | 0.91 | 0.80–1.03 |
| >16 | 336 | 891 | 0.52 | 0.45–0.61 | 445 | 1001 | 0.91 | 0.79–1.06 |
| Time between the dementia diagnosis and receiving the first HHC (years) | ||||||||
| <1 | 1084 | 2079 | (Reference) | 895 | 1943 | (Reference) | ||
| 1–2 | 804 | 1478 | 1.03 | 0.92–1.15 | 697 | 1526 | 0.99 | 0.87–1.11 |
| 3–4 | 210 | 434 | 0.91 | 0.76–1.10 | 230 | 566 | 0.87 | 0.73–1.03 |
| >4 | 350 | 660 | 1.00 | 0.86–1.17 | 455 | 984 | 0.99 | 0.86–1.14 |
| Time between receiving the last HHC and death (days) | ||||||||
| >90 | 569 | 999 | (Reference) | 265 | 994 | (Reference) | ||
| 31–90 | 944 | 1303 | 1.28 | 1.12–1.46 | 334 | 1534 | 0.82 | 0.68–0.98 |
| 16–30 | 484 | 1245 | 0.69 | 0.59–0.80 | 692 | 1384 | 1.88 | 1.59–2.21 |
| 0–15 | 451 | 1104 | 0.73 | 0.62–0.84 | 986 | 1107 | 3.35 | 2.85–3.93 |
CI = confidence interval, HHC = home healthcare, RUG = resource utilisation groups, and OR = odds ratio. In the regression model, the early burdensome transition represents those with early transition only and those with both early and late transition; the late burdensome transition represents those with late transition only. All the analyses were adjusted for age, gender, socioeconomic status, age-adjusted Charlson Comorbidity Index, and comorbidities.