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Table 3 Before and after palliative care factors associated with mortality within 180 d of the provision of palliative care

From: Palliative care for nursing home patients with dementia: service evaluation and risk factors of mortality

Characteristics Mortality within 6 months after palliative care (N = 23) Survival at least 6 months after palliative care (N = 34)    
Before palliative care (baseline) N (%) N (%) Odds ratioa 95% CIa P valuea
 Age at receiving palliative care (y/o)
  ≤ 85 5 (18.5) 6 (17.6) Reference
  86–90 8 (29.6) 15 (44.1) 0.64 0.15–2.77 0.550
  > 90 10 (51.9) 13 (38.2) 0.92 0.22–3.92 0.914
 Number of departments visited per month before palliative care
  1 2 (8.7) 9 (26.5) Reference
  2 13 (56.5) 17 (50.0) 3.44 0.63–18.72 0.153
  > 2 8 (34.8) 8 (23.5) 4.50 0.73–27.74 0.105
 Number of medications used per month before palliative care
  0–5 2 (8.7) 10 (29.4) Reference
  > 5 21 (91.3) 24 (70.6) 4.38 0.86–22.27 0.075
 Number of admissions within 1 year before palliative care
  0 5 (21.7) 9 (26.5) Reference
  1 6 (26.1) 20 (58.8) 0.54 0.13–2.24 0.396
  > 1 12 (52.2) 5 (14.7) 4.32 0.95–19.58 0.058
 ICU admission within 1 year before palliative care
  Yes 4 (17.4) 1 (2.9) Reference
  No 19 (82.6) 33 (97.1) 0.14 0.02–1.38 0.093
 Number for ER visits within 1 year before palliative care
  0 18 (78.3) 25 (73.5) Reference
  1–6 5 (21.7) 9 (26.5) 0.77 0.22–2.69 0.684
At receiving palliative care
 Cognitive impairment
  Severe 23 (100) 31 (91.2) Reference
  Moderate 0 (0) 2 (5.9) 0 0 1.000
  Mild 0 (0) 1 (2.9) 0 0 0.999
 Mobility
  Bedridden 22 (95.7) 26 (76.5) Reference
  Wheelchair 1 (4.3) 8 (23.5) 0.15 0.02–1.28 0.082
 Intake
  NG tube feeding 20 (87.0) 28 (82.4) Reference
  Oral feeding 2 (8.6) 6 (17.6) 0.47 0.09–2.56 0.380
  Gastroenteric tube feeding 1 (4.3) 0 (0) 2.26 0 1.000
 Urination
  Diaper 13 (56.5) 20 (58.8) Reference
  urinary tube 9 (39.1) 11 (32.4) 1.26 0.41–3.87 0.688
  Bladder fistula/Intestinal fistula 1 (4.3) 3 (8.8) 051 0.48–5.48 0.581
 Respiratory function
 Spontaneous respiration 6 (26.1) 16 (47.1) Reference
  Tracheostomy 2 (8.7) 1 (2.9) 5.33 0.41–70.20 0.203
  Need oxygen 15 (39.1) 17 (47.1) 2.35 0.73–7.56 0.151
 Barthel Index, mean/SD 0 (0) 0 (0)
 MMSE, mean [23] 9.95 (0.31) 9.87 (0.52) 0.82 0.20–3.35 0.778
After palliative care
 Number of departments visited per month after palliative care
  0 21 (91.3) 32 (94.1) Reference
  ≥ 1 2 (8.7) 2 (5.9) 1.52 0.20–11.67 0.685
 Number of medications use per month after palliative care
  0–5 10 (43.5) 22 (64.7) Reference
  > 5 13 (56.5) 12 (35.3) 2.38 0.81–7.04 0.116
 Number of admissions after palliative care
  0 21 (91.3) 33 (97.1) Reference
  ≥ 1 2 (8.7) 1 (2.9) 3.14 0.27–36.86 0.362
 ICU admission after palliative care
  Nil 23 (100) 34 (100)    
 Number of ER visits after palliative care
  0 23 (100) 33 (97.1) Reference
  1 0 (0) 1 (2.9) 0.00 0 1.000
  1. MMSE Mini-Mental State Examination. aBased on univariate logistic regression analysis