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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