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Table 3 – Factors associated with UHAs

From: Home hospitalization for palliative cancer care: factors associated with unplanned hospital admissions and death in hospital

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
  1. Cs-HR cause-specific Hazard Ratio, estimated in Cox models, where death without UHA is classified as a censoring event
  2. 95 %-CI: 95 % confidence interval
  3. Multivariate model includes the three factors: Initial discharge from medical oncology department versus palliative care unit, Palliative care consultation, and Frequency of visits by a family physician after initial hospital discharge