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Table 3 Baseline characteristics

From: More older adults died at their preferred place after implementation of a transmural care pathway for older adults at the end of life: a before-after study

 

Total

N = 711

Pre-implementation

N = 212

During/short-term after implementation

N = 248

Long-term after implementation

N = 251

P-value

Male, N (%)

358 (50.4)

109 (51.4)

125 (50.4)

124 (49.4)

0.89a

Age, mean (SD)

71.6 (12.6)

70.5 (13.4)

72.0 (12.3)

72.0 (12.1)

0.67b

Diagnosis, N (%)

 Non-malignant diseases

204 (28.7)

44 (20.8)

81 (32.7)

79 (31.5)

0.008a

WHO/ECOG performance status, N (%)

N = 654

N = 199

N = 216

N = 240

0.05a

 2: Ambulatory and capable of self-care but unable to carry out any work

140 (21.4)

43 (21.6)

47 (21.8)

50 (21.0)

 

 3: Capable of only limited self-care: confined to bed/chair more than 50% of waking hours

261 (39.9)

79 (39.7)

76 (35.2)

106 (44.2)

 

 4: Completely disabled

172 (26.3)

44 (22.1)

62 (28.7)

66 (27.5)

 

Prognosis, N (%)

N = 693

N = 210

N = 236

N = 248

0.09a

 Days to weeks

181 (26.1)

47 (22.4)

66 (28)

68 (27.4)

 

 < 3 months

212 (30.5)

65 (31.0)

62 (26.3)

85 (34.3)

 

 < 6 months and < 1 year

158 (22.8)

50 (23.8)

64 (27.1)

44 (17.7)

 

 > 1 year

20 (2.9)

7 (3.3))

6 (2.5)

7 (2.8)

 

 Difficult to make an estimation

123 (17.7)

41 (19.5)

38 (16.1)

44 (17.7)

 

Admission department, N (%)

N = 583

N = 156

N = 212

N = 215

 < 0.001a

 Pulmonology/cardiology

215 (36.9)

47 (30.1)

78 (37.0)

90 (41.7)

 

 Internal medicine (both malignant and non-malignant internal diseases)

182 (31.2)

68 (43.6)

32 (15.2)

82 (38.0)

 

 Otherd

186 (31.9)

41 (26.3)

101 (47.9)

43 (20.0)

 

Reason for consultation

N = 684

N = 201

N = 234

N = 245

 < 0.001a

 Advance care planning and/or guidance in the upcoming process

331 (43.4)

103 (51.2)

100 (42.6)

128 (51.6)

 

 Advice on symptoms, medication

129 (18.9)

35 (17.4)

34 (14.5)

60 (24.2)

 

 Guidance in after care and support system

107 (15.6)

36 (17.9)

30 (12.8)

41 (16.5)

 

 Guidance/advice in the dying phase

117 (17.1)

27 (13.4)

71 (30.2)

19 (7.7)

 

Preferred place of death discussed, N (%)

321 (45.1)

115 (54.2)

60 (24.2)

146 (58.2)

0.02a

 Home

160 (49.8)

64 (55.7)

34 (56.7)

62 (42.5)

 

 Hospital

21 (6.5)

6 (5.2)

8 (13.3)

7 (4.8)

 

 Care facility (care home / hospice)

94 (29.3)

29 (25.2)

17 (28.3)

48 (32.9)

 

 No clear place mentioned

46 (14.3)

16 (13.9)

1 (1.7)

29 (19.9)

 

Time until death after consultation (days), Median [IQR] N = 557

18.46 [4.62 – 65.77]

26.5 [8.1 – 92.0]

12.3 [3.5 – 47.3]

18.5 [4.6 – 61.2]

0.004c

Place of death, N (%)

N = 484

N = 118

N = 161

N = 202

0.06a

 Home

135 (27.9)

30 (25.4)

44 (27.3)

60 (29.7)

 

 Hospital

250 (51.7)

65 (55.1)

93 (57.8)

90 (44.6)

 

 Care facility (care home / hospice)

99 (20.5)

7 (5.9)

4 (2.5)

8 (4.0)

 

Death at place of preference

N = 208

121 (58.2)

N = 61

25 (41,0)

N = 44

26 (59,1)

N = 103

70 (68.0)

0.003a

Hospital (re)admission within six months after consultation

N = 522

121 (23.2)

N = 171

41 (24.0)

N = 175

43 (24.6)

N = 175

37 (21.1)

0.46a

Consult with multidisciplinair team meeting, N (%)

547 (76.9)

163 (76.5)

181 (73.0)

203 (81.5)

0.12a

 At least one of the patients’ own primary care professional attended the multidisciplinair team meeting, N (%)

271 (49.5)

80 (49.1)

129 (71.3)

62 (30.5)

 < 0.001a

 Patient’s own GP attended the multidisciplinary team meeting, N (%)

151 (23.7)

63 (38.7)

56 (30.9)

32 (15.8)

 < 0.001a

 Warm handover to GP (by member of palliative care team or ward physician), N (%)

259 (36.5)

81 (34.6)

95 (38.9)

95 (34.7)

0.002a

Home visit, N (%)

15 (2.9)

1 (0.6)

7 (4.0)

7 (4.0)

0.14a

  1. aChi-squared test
  2. bOne-way ANOVA
  3. cKruskall-Wallis test
  4. dother admission wards were: gynaecology, nephrology, urology, surgery, intensive care unit, orthopaedics, geriatrics