Table 5:
Associations between Views on Aggressive EOL Care and Co-Variates
| Scenario 1: Is It Always Wrong to Withhold Treatments That Could Keep Me Alive? | Scenario 2: Is It Always Wrong to Withdraw Treatments That Could Keep Me Alive After They’ve Been Started? | Scenario 3: Is It Wrong to Withhold Nutrition and Fluids Given through Tubes, Even If I Am Terminally Ill or in a Permanent Coma? | ||||
|---|---|---|---|---|---|---|
| Bivariable | Multivariable | Bivariable | Multivariable | Bivariable | Multivariable | |
| Co-Variates | OR [95% CI] | OR [95% CI] | OR [95% CI] | OR [95% CI] | OR [95% CI] | OR [95% CI] |
| Age | ||||||
| 18–65 Years | Reference | Reference | Reference | Reference | Reference | Reference |
| >65 Years | 0.41 [0.16, 1.06] | 0.53 [0.13, 2.25] | 0.67 [0.28, 1.61] | 0.59 [0.14, 2.49] | 0.34 [0.15, 0.79]* | 0.26 [0.07, 0.93]* |
| Gender | ||||||
| Male | Reference | Reference | Reference | Reference | Reference | Reference |
| Female | 0.45 [0.17, 1.18] | 0.22 [0.05, 0.94]* | 0.37 [0.15, 0.92]* | 0.19 [0.05, 0.75]* | 0.74 [0.33, 1.67] | 0.46 [0.14, 1.57] |
| Education | ||||||
| Less Than High School | Reference | Reference | Reference | Reference | Reference | Reference |
| High School/Some College | 0.70 [0.13, 3.69] | 0.15 [0.01, 2.55] | 0.76 [0.14, 4.01] | 0.07 [0.01, 1.74] | 0.74 [0.17, 3.24] | 0.24 [0.02, 2.99] |
| College Graduate or Above | 1.79 [0.27, 11.86] | 2.03 [0.13, 31.08] | 0.54 [0.09, 3.12] | 0.38 [0.02, 6.89] | 1.11 [0.23, 5.47] | 1.68 [0.14, 20.71] |
| Yearly Household Income | ||||||
| <$20,000 | Reference | Reference | Reference | Reference | Reference | Reference |
| $20,000–39,999 | 2.27 [0.57, 8.96] | 3.21 [0.47, 21.86] | 1.20 [0.37, 3.93] | 1.38 [0.27, 7.09] | 0.82 [0.27, 2.47] | 1.09 [0.27, 4.38] |
| >$40,000 | 1.28 [0.39, 4.17] | 0.85 [0.14, 5.28] | 0.80 [0.27, 2.40] | 0.68 [0.11, 4.06] | 0.40 [0.14, 1.15] | 0.12 [0.02, 0.71]* |
| Number of Hospitalizations in the Last Year (Not ED Visits) | ||||||
| None | Reference | Reference | Reference | Reference | Reference | Reference |
| 1 | 0.66 [0.19, 2.29] | 0.52 [0.10, 2.79] | 0.99 [0.28, 3.51] | 1.49 [0.25, 8.77] | 0.79 [0.27, 2.28] | 0.62 [0.14, 2.75] |
| 2–3 | 1.05 [0.27, 4.09] | 0.28 [0.03, 2.32] | 0.59 [0.18, 1.94] | 0.05 [0.01, 0.50]* | 2.07 [0.62, 6.86] | 1.80 [0.28, 11.62] |
| >3 | 0.33 [0.09, 1.19] | 0.19 [0.03, 1.31] | 0.25 [0.07, 0.84]* | 0.10 [0.02, 0.73]* | 0.68 [0.21, 2.19] | 0.80 [0.16, 4.07] |
| Time on Hemodialysis | ||||||
| <1 Year | Reference | Reference | Reference | Reference | Reference | Reference |
| 1–5 Years | 1.20 [0.31, 4.61] | 2.16 [0.27, 17.30] | 1.19 [0.34, 4.21] | 2.55 [0.29, 22.34] | 2.14 [0.63, 7.29] | 2.10 [0.35, 12.52] |
| >5 Years | 1.47 [0.37, 5.79] | 3.85 [0.41, 35.99] | 1.78 [0.48, 6.55] | 7.27 [0.69, 76.88] | 1.63 [0.48, 5.50] | 2.23 [0.36, 13.68] |
| FACIT Sp Subcategories | ||||||
| Emotional Wellbeing | 1.05 [0.95, 1.15] | 1.04 [0.82, 1.32] | 1.04 [0.95, 1.14] | 1.22 [0.96, 1.55] | 1.01 [0.92, 1.10] | 1.10 [0.89, 1.36] |
| Social Wellbeing | 0.98 [0.90, 1.07] | 0.95 [0.81, 1.12] | 1.01 [0.94, 1.10] | 0.98 [0.85, 1.13] | 1.01 [0.93, 1.09] | 1.07 [0.93, 1.23] |
| Functional Wellbeing | 1.01 [0.95, 1.09] | 0.93 [0.81, 1.07] | 1.00 [0.94, 1.06] | 0.93 [0.82, 1.06] | 1.00 [0.94, 1.06] | 0.98 [0.87, 1.11] |
| Physical Wellbeing | 1.01 [0.93, 1.10] | 0.98 [0.84, 1.14] | 0.97 [0.90, 1.06] | 0.89 [0.76, 1.04] | 0.96 [0.89, 1.04] | 0.91 [0.78, 1.05] |
| Spiritual Wellbeing | 1.04 [0.98, 1.10] | 1.09 [0.95, 1.24] | 1.03 [0.98, 1.08] | 1.02 [0.89, 1.16] | 1.04 [0.98, 1.09] | 1.00 [0.89, 1.12] |
| Had at Least One EOL Care Discussion with Healthcare Team? | ||||||
| No | Reference | Reference | Reference | Reference | Reference | Reference |
| Yes | 0.68 [0.26, 1.78] | 0.42 [0.10, 1.74] | 0.42 [0.17, 1.03] | 0.11 [0.02, 0.55]* | 0.74 [0.31, 1.76] | 0.54 [0.16, 1.84] |
| Would Like to Have EOL Discussions (New/Additional) with Healthcare Team? | ||||||
| No | Reference | Reference | Reference | Reference | Reference | Reference |
| Yes | 0.73 [0.28, 1.89] | 0.18 [0.03, 0.99]* | 0.44 [0.18, 1.06] | 0.08 [0.01, 0.49]* | 0.83 [0.36, 1.91] | 0.50 [0.13, 1.96] |
| Have Had EOL Discussions with Family? | ||||||
| No | Reference | Reference | Reference | Reference | Reference | Reference |
| Yes | 0.50 [0.19, 1.31] | 0.20 [0.05, 0.86]* | 0.77 [0.32, 1.85] | 0.55 [0.14, 2.16] | 0.59 [0.26, 1.35] | 0.24 [0.07, 0.81]* |
*
P<0.05