Table 2.
Adjusted Odds Ratios and 95% Confidence Intervals for Dementia and DNR on End-of-Life Hospital Care for 2,566 Persons 65 and Older Who Died in Hospital, 2015–2017.
Model fit | ||||||
---|---|---|---|---|---|---|
AOR | 95% CI | p value | Wald chi square | p value | ||
Outcome 1: ICU Admission | ||||||
Dementia diagnosis | 0.57 | 0.47 | 0.70 | <0.001 | 25.38 | <0.001 |
DNR | 1.43 | 1.15 | 1.79 | <0.001 | 10.22 | 0.0014 |
Outcome 2: Mechanical ventilation | ||||||
Dementia diagnosis | 0.76 | 0.63 | 0.92 | 0.01 | 7.59 | 0.006 |
DNR | 0.60 | 0.49 | 0.75 | <0.001 | 21.61 | <0.001 |
Outcome 3: Intubation | ||||||
Dementia diagnosis | 0.67 | 0.55 | 0.82 | <0.001 | 15.46 | 0.0001 |
DNR | 0.49 | 0.40 | 0.61 | <0.001 | 41.9 | <0.001 |
Outcome 4: Resuscitation | ||||||
Dementia diagnosis | 0.80 | 0.57 | 1.11 | 0.19 | 1.76 | 0.18 |
DNR | 0.13 | 0.10 | 0.18 | <0.001 | 172.63 | <0.001 |
Outcome 5: Feeding tube insertion | ||||||
Dementia diagnosis | 1.23 | 0.80 | 1.90 | 0.35 | 0.87 | 0.35 |
DNR | 0.58 | 0.36 | 0.92 | 0.02 | 5.43 | 0.02 |
Outcome 6: Any intensive care | ||||||
Dementia diagnosis | 0.72 | 0.60 | 0.87 | <0.001 | 11.4 | <0.001 |
DNR | 0.51 | 0.40 | 0.64 | <0.001 | 33.23 | <0.001 |
Notes: ICU = intensive care unit. DNR = do-not-resuscitate order. AOR = adjusted odds ratio. CI = confidence interval. Wald chi square tests compare the improvement in model fit when dementia or DNR are included in the model. Bolded values indicate p < 0.05. All models adjust for patient race/ethnicity, insurance status, sex, age at death, hospital of care, length of stay, Charlson Comorbidity Index, and year of death.