Table 3 – Factors associated with UHAs
Parameters | Categories | n | Univariate analysis of the risk of UHA | Multivariate analysis of the risk of UHA(1) | ||
|---|---|---|---|---|---|---|
Crude cs-HR (95 %-CI) | p | Adjusted cs-HR (95 %-CI) | p | |||
At the time of initial hospital discharge | ||||||
Sex | Women Men | 88 54 | 1 1.28 (0.82–2.03) | 0.28 | - | |
Age (/10 years) | 142 | 0.98 (0.83–1.18) | 0.90 | - | ||
Karnofsky index | ≤ 30 % > 30 % | 79 63 | 1 0.97 (0.63–1.51) | 0.91 | - | |
Primary tumor site | Breast Head and neck Digestive Gynecological Lung Urological Sarcoma / other | 41 28 21 16 14 11 8 | 1 1.24 (0.60–2.34) 2.70 (1.33–5.49) 1.61 (0.78–3.33) 1.35 (0.55–3.35) 1.78 (0.71–4.45) 1.88 (0.71–4.98) | 0.20 | - | |
Home | Patient’s home Other | 122 16 | 1.25 (0.54–2.88) 1 | 0.61 | - | |
Marital status | Single Married/Living together | 41 93 | 1 0.91 (0.56–1.45) | 0.68 | - | |
Patient living alone | No Yes | 113 28 | 1 1.30 (0.78–2.19) | 0.32 | - | |
Caregiver at home | No Yes | 18 103 | 1 1.11 (0.58–2.13) | 0.75 | - | |
One or more children at home | No Yes | 115 25 | 1 0.93 (0.54–1.61) | 0.79 | - | |
Initial discharge from | Medical oncology dept. Palliative care unit | 88 54 | 1 1.35 (0.86–2.12) | 0.19 | 1 1.99 (1.21–3.27) | 0.006 |
Length of hospital stay before discharge | Per 10-day increment | 142 | 1.09 (0.93–1.27) | 0.30 | - | |
Psycho-oncology consultation | No Yes | 103 38 | 1 0.85 (0.53–1.37) | 0.51 | - | |
Written advance directives | No Yes | 135 7 | 1 0.93 (0.34–2.55) | 0.89 | - | |
Preemptive prescription of end-life sedation | No Yes | 118 24 | 1 0.82 (0.42–1.60) | 0.57 | - | |
After initial hospital discharge | ||||||
Palliative care consultation | No Yes | 124 15 | 1 0.46 (0.23–0.92) | 0.03 | 1 0.35 (0.16–0.75) | 0.007 |
Frequency of visits by a family physician | 1 per 10-day increment | 142 | 1.36 (1.23–1.50) | < 0.001 | 1.37 (1.24–1.52) | < 0.001 |