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Table 2 Patients with < 50% of predicted forced expiratory volume in 1 s (FEV1), in both the Swedish National Airway Register (SNAR) and the Swedish Register of Palliative Care (SRPC) (n = 598), categorized by place of death, i.e., specialized palliative care (SPC) versus hospital. Independent samples t-test was used for continuous variables and Fisher’s exact test for categorical variables

From: Benefits, for patients with late stage chronic obstructive pulmonary disease, of being cared for in specialized palliative care compared to hospital. A nationwide register study

 

Patients in:

 
 

Specialized palliative care (n = 159)

Hospital

(n = 439)

P-value, difference between SPC and hospital

 

Mean (SD)

Mean (SD)

 

Time between last registered visita and death, days

682.2 (540.1)

612.2 (488.4)

0.133

Number of days in the care setting

Median (min, max)

44.8 (82.6)

12 (min 1, max 493)

8.37 (9.9)

5 (min 1, max 102)

 < 0.001

Demographic variables

 Age, years

73.5 (7.7)

75.3 (7.3)

0.008

 

n (%)

n (%)

 

 Sex:

  Men

  Women

87 (54.7%)

72 (45.3%)

195 (44.4%)

244 (55.6%)

0.027

 Living situation:

  Living alone

  Cohabiting

26 (34.2%)

50 (65.8%)

91 (47.6%)

100 (52.4%)

0.056

Clinical variables

Mean (SD)

Mean (SD)

 

Number of exacerbations in the last 12 months

1.7 (2.4)

1.3 (1.9)

0.071

Number of hospitalizations in the last 12 months

0.7 (1.4)

0.7 (1.5)

0.71

FEV1% predicted

32.5 (9.3)

33.0 (9.6)

0.59

Exercise capacity (days/week)

2.0 (2.6)

2.1 (2.6)

0.84

Patient-reported variables

n (%)

n (%)

 

Smoking:

 Non-smokers

 Ex-smokers

 Still smoking

6 (3.8%)

101 (64.3%)

50 (31.8%)

18 (4.2%)

308 (71.3%)

106 (24.5%)

0.20

 

Mean (SD)

Mean (SD)

 

Dyspnea (mMRC)

2.99 (1.1)

2.89 (1.1)

0.40

HRQoL (CCQ)

2.59 (1.2) (n = 84)

2.55 (1.1) (n = 182)

0.80

HRQoL (CAT)

20.4 (7.4) (n = 30)

19.95 (7.8) (n = 124)

0.77

Comorbidity

n (%)

n (%)

 

Heart failure

16 (12.6%)

93 (28.4%)

 < 0.001

Ischemic heart disease

29 (22.5%)

101 (31.1%)

0.08

Stroke

9 (8.7%)

21 (8.3%)

1.00

Hypertension

59 (43.7%)

190 (55.6%)

0.025

Diabetes

21 (15.2%)

46 (13.3%)

0.56

Osteoporosis

22 (18.2%)

70 (24.8%)

0.16

Depression/anxiety

32 (23.7%)

64 (19.4%)

0.31

Lung cancer

8 (7.4%)

7 (2.4%)

0.033

Alpha-1 antitrypsin deficiency

2 (2.0%)

4 (1.5%)

0.66

  1. CAT COPD (chronic obstructive pulmonary disease) Assessment Test, CCQ Clinical COPD Questionnaire, mMRC modified Medical Research Council dyspnea scale, SD standard deviation
  2. a The last registered visit concerns the latest registrations that were made in the SNAR before the patients’ death