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Table 2 Physical, psychosocial and spiritual characteristics among palliative home care clients by prognosis

From: Prognosis does not change the landscape: palliative home care clients experience high rates of pain and nausea, regardless of prognosis

Variable

Overall study population

(N = 74,964)

Prognosis

≥6 months

(n = 26,945)

Prognosis < 6 months

(n = 48,019)

Standardized difference

 

Column % (n)

 

Disease Diagnosesa

 Cancer

83.2 (62,394)

82.9 (22,326)

83.4 (40,068)

−0.01

 Circulatory

46.2 (34,614)

45.8 (12,332)

46.4 (22,282)

−0.01

 Musculoskeletal

18.5 (13,861)

19.3 (5208)

18.0 (8653)

0.03

 Diabetes

18.3 (13,691)

18.1 (4874)

18.4 (8817)

− 0.01

 Respiratory

17.8 (13,344)

17.7 (4760)

17.9 (8584)

−0.01

 Nervous/mental disorders

17.6 (13,155)

18.6 (5005)

17.0 (8150)

0.04

 Metabolic/endocrine

13.9 (10,382)

14.3 (3865)

13.6 (6517)

0.02

 Digestive

12.2 (9237)

11.8 (3174)

12.6 (6063)

− 0.02

Number of co-morbid chronic conditions

 0-2

51.8 (38,803)

51.8 (13,955)

51.7 (24,848)

0.02

 3+

48.2 (36,161)

48.2 (12,990)

48.3 (23,171)

−0.02

Activities of Daily Living (ADL-H) Scale

 Independent/minor supervision (0-1)

51.7 (38,726)

68.0 (18,317)

42.5 (20,409)

0.53

 Moderate/severe impairment (2-6)

48.3 (36,238)

32.0 (8628)

57.5 (27,610)

−0.53

Pain Scale

 No pain/less than daily (0-1)

29.1 (21,801)

33.5 (9035)

26.6 (12,766)

0.15

 Daily/severe pain (2-3)

70.9 (53,163)

66.5 (17,910)

73.4 (35,253)

−0.15

Cognitive Performance Scale (CPS) Scale

 No/mild impairment (0-1)

73.8 (55,316)

80.4 (21,650)

70.1 (33,666)

0.24

 Moderate/severe impairment (2-6)

26.2 (19,648)

19.7 (5295)

29.9 (14,353)

−0.24

Depression Rating Scale (DRS)

 No signs/symptoms of depression (0-2)

87.7 (65,759)

89.3 (24,068)

86.8 (41,691)

0.08

 Signs/symptoms of depression (3-14)

12.3 (9205)

10.7 (2877)

13.2 (6328)

−0.08

Pressure Ulcer Risk Scale

 Low/mild risk (0-2)

67.6 (50,693)

79.7 (21,486)

60.8 (29,207)

0.42

 Moderate/high/very high risk (3-8)

32.4 (24,271)

20.3 (5459)

39.2 (18,812)

−0.42

Health-related outcomes

 Fell in last 90 days

25.8 (18,253)

22.0 (5865)

28.0 (12,388)

−0.13

 Experiences too much sleep

29.2 (21,899)

19.4 (5225)

34.7 (16,674)

−0.35

Shortness of breath

 Absent

33.0 (24,763)

39.0 (10,518)

29.7 (14,245)

0.20

 Absent at rest, present during moderate/day-to-day activities

48.0 (35,979)

47.5 (12,809)

48.3 (23,170)

−0.01

 Present at rest

19.0 (14,222)

13.4 (3618)

22.1 (10,604)

−0.23

 Moderate to severe fatigue

69.6 (52,184)

59.5 (16,044)

75.3 (36,140)

−0.34

 Nausea (present during last 3 days)

33.4 (25,052)

29.4 (7929)

35.7 (17,123)

−0.13

 Vomiting (present during last 3 days)

15.3 (11,468)

12.1 (3266)

17.1 (8202)

−0.14

 Fluctuating state of consciousness

7.8 (5816)

2.7 (738)

10.7 (5078)

−0.32

 Acute change in mental status from person’s usual functioning

10.5 (7815)

4.5 (1212)

13.9 (6603)

−0.33

 One or more hospital admissions in last 90 days

46.1 (34,521)

39.4 (10,617)

49.8 (23,904)

−0.19

 One or more emergency department visits in last 90 days

25.3 (18,987)

22.6 (6075)

26.9 (12,912)

−0.10

Psychosocial/Spiritual

 Has a sense of completion on transfer of financial, legal and other formal responsibilities

70.9 (52,665)

64.4 (17,341)

74.5 (35,324)

−0.22

 Individual is accepting of the situation

81.9 (60,849)

81.4 (21,903)

82.2 (38,946)

−0.02

 Finds guidance in religion or spirituality

42.8 (31,837)

43.1 (11,610)

42.7 (20,227)

0.01

 Expresses a wish to die now

4.5 (3407)

1.7 (469)

6.1 (2938)

−0.23

Other outcomes

Caregiver Risk Evaluation (CaRE)

 Low/moderate risk (1-2)

51.3 (35,994)

59.8 (15,842)

46.2 (20,152)

−0.28

 High/very high risk (3-4)

48.7 (34,141)

40.2 (10.627)

53.8 (23,514)

0.28

 Person believes performance in physical functioning can still improve

27.2 (19,297)

38.2 (10,193)

20.6 (9104)

0.39

 Care professional believes person is capable of improved physical functioning

12.3 (8719)

22.9 (6109)

5.9 (2610)

0.50

 Individual is aware of their prognosis

39.4 (27,950)

19.2 (5126)

51.6 (22,824)

−0.72

  1. aDisease diagnoses groups are not mutually exclusive