Table 2 Patient, care and relative characteristics related to full consensus among all involved, according to relatives, univariable and multivariable analyses
Full Consensus N = 457 (57.8%) | No full consensus N = 333 (42.2%)) | Univariable OR (95% CI) | p-value | Multivariable OR (95% CI) | p-value | |
|---|---|---|---|---|---|---|
N (%) | N (%) | |||||
Country | ||||||
Finland (ref)^ | 59 (40.7) | 86 (59.3) | ||||
England | 17 (68.0) | 8 (32.0) | 3.18 (1.18–8.52) | .022 | 1.87 (0.54–6.52) | .328 |
Italy | 63 (64.3) | 35 (35.7) | 2.49 (1.18–5.27) | .017 | 2.05 (0.99–4.24) | .052 |
The Netherlands | 106 (57.9) | 77 (42.1) | 1.94 (1.21–3.11) | .006 | 1.06 (0.56–1.99) | .083 |
Poland | 84 (63.6) | 48 (36.4) | 2.46 (1.53–3.97) | <.001 | 2.07 (1.10–3.89) | .025 |
Belgium | 128 (61.8) | 79 (38.2) | 2.32 (1.53–3.52) | <.001 | 2.21 (1.27–3.84) | .005 |
Patient characteristics | ||||||
Resident’s health in last week of lifea | ||||||
≤ median (10) | 232 (59.3) | 159 (40.7) | ||||
> Median (10) | 202 (55.5) | 162 (44.5) | 0.87 (0.69–1.10) | .252 | ||
EOLD-CAD Resident’s comfort in the last week of lifeb | ||||||
≤ mean (30) | 203 (52.9) | 181 (47.1) | ||||
> mean (30) | 197 (61.8) | 122 (38.2) | 1.50 (1.11–2.02) | .008 | 1.66 (1.16–2.36) | .005 |
Dementia | ||||||
no | 211 (61.7) | 131 (38.3) | ||||
yes | 228 (53.8) | 196 (46.2) | 0.73 (0.55–0.98) | .037 | ||
Length of stay | ||||||
< 1 year | 168 (57.5) | 124 (42.5) | ||||
≥ 1 year | 265 (59.0) | 184 (41.0) | 1.05 (0.78–1.42) | .756 | ||
Resident talked with relative or someone else about preferred medical treatment | ||||||
no or don’t know | 331 (56.4) | 256 (43.6) | ||||
yes | 124 (62.0) | 76 (38.0) | 1.32 (0.94–1.86) | .110 | 1.69 (1.10–2.61) | .017 |
Care facility characteristics | ||||||
Organization of multidisciplinary meetings in facility | ||||||
no or don’t know | 61 (46.9) | 69 (53.1) | ||||
yes | 375 (60.9) | 241 (39.1) | 1.74 (1.15–2.62) | .009 | ||
No. care staff/10. occupied beds | ||||||
≤ 5 | 225 (62.7) | 134 (37.3) | ||||
> 5 | 204 (55.0) | 167 (45.0) | 0.75 (0.54–1.05) | .095 | ||
Relative characteristics | ||||||
Relationship to resident | ||||||
Spouse/partner (ref.) | 41 (46.1) | 48 (53.9) | ||||
Son/daughter | 290 (57.2) | 217 (42.8) | 1.54 (.98–2.42) | .063 | 1.36 (.71–2.61) | .358 |
Other (ref) | 123 (64.7) | 67 (35.3) | 2.07 (1.23–3.49) | .006 | 2.08 (1.02–4.24) | .044 |
Care provider explained what palliative care means | ||||||
no | 122 (40.5) | 179 (59.5) | ||||
yes | 328 (68.8) | 149 (31.2) | 3.13 (2.32–4.23) | <.001 | 1.98 (1.33–2.96) | .001 |
Relative did not really understand resident’s condition | ||||||
disagree | 366 (58.5) | 260 (41.5) | ||||
agree | 71 (55.0) | 58 (45.0) | 0.85 (0.56–1.29) | .435 | ||
Relative expected resident would die, one month before death | ||||||
no or don’t know | 257 (56.7) | 196 (43.3) | ||||
yes | 196 (59.2) | 135 (40.8) | 1.07 (0.80–1.44) | .644 | ||
Relative felt fully involved in all decision making | ||||||
disagree | 37 (30.6) | 84 (69.4) | ||||
agree | 404 (63.4) | 233 (36.6) | 3.81 (2.56–5.68) | <.001 | ||
Family Perception of Physician-Family Communication (FPPFC) | ||||||
< mean (2) | 116 (38.7) | 184 (61.3) | ||||
≥ mean (2) | 289 (73.5) | 104 (26.5) | 4.32 (3.22–5.80) | <.001 | 3.24 (2.28–4.60) | <.001 |