Abstract
Aim: Associations between markedly low activities of daily living (ADL) at the start of home visit care and patient home death were analyzed using data from a home care support clinic Japan that has a low rate of home deaths. Methods: The study was a historical cohort study. It involved patients who began to receive home visit care from a home visit care support clinic between 1 April 2006 and 31 March 2011. Using home death as a dependent variable and presence/absence of markedly low ADL and other parameters (cancer, the patient's desire for home death, etc.) as independent variables, the adjusted hazard ratio and 95% confidence interval (CI) were calculated using the Cox proportional hazards model. Results: Markedly low ADL were associated with home death even after adjustment for factors that influence home death (adjusted hazard ratio 4.40; 95% CI 2.37-8.16). Cancer and the patient's desire for home death were statistically significant factors involved home death. a subgroup analysis according to the presence/absence of cancer, the association between markedly low ADL and home death was stronger the cancer-free group (adjusted hazard ratio 10.78; 95% CI 2.89-40.26) than the cancer group (adjusted hazard ratio 5.58; 95% CI2.39-13.05). Conclusion: Patients' desire for home death could be fulfilled if home care support clinics provide home visit services to not only terminal-stage cancer patients, but also bedridden cancer-free patients. We must establish systems for older adults to remaat home during the terminal period of their lives. Geriatr Gerontol Int 2012; 13: 874-880.
| Original language | English |
|---|---|
| Pages (from-to) | 874-880 |
| Number of pages | 7 |
| Journal | Geriatrics and Gerontology International |
| Volume | 13 |
| Issue number | 4 |
| DOIs | |
| Publication status | Published - Oct 2013 |
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Keywords
- Activities of daily living
- Cox proportional hazards model
- Home death
- Home visit
- Japan
ASJC Scopus subject areas
- Geriatrics and Gerontology
- Gerontology
- Health(social science)
Cite this
Study on the factors determining home death of patients during home care : A historical cohort study at a home care support clinic. / Kawagoe, Seiji; Tsuda, Toshihide; Doi, Hiroyuki.
In: Geriatrics and Gerontology International, Vol. 13, No. 4, 10.2013, p. 874-880.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Study on the factors determining home death of patients during home care
T2 - A historical cohort study at a home care support clinic
AU - Kawagoe, Seiji
AU - Tsuda, Toshihide
AU - Doi, Hiroyuki
PY - 2013/10
Y1 - 2013/10
N2 - Aim: Associations between markedly low activities of daily living (ADL) at the start of home visit care and patient home death were analyzed using data from a home care support clinic Japan that has a low rate of home deaths. Methods: The study was a historical cohort study. It involved patients who began to receive home visit care from a home visit care support clinic between 1 April 2006 and 31 March 2011. Using home death as a dependent variable and presence/absence of markedly low ADL and other parameters (cancer, the patient's desire for home death, etc.) as independent variables, the adjusted hazard ratio and 95% confidence interval (CI) were calculated using the Cox proportional hazards model. Results: Markedly low ADL were associated with home death even after adjustment for factors that influence home death (adjusted hazard ratio 4.40; 95% CI 2.37-8.16). Cancer and the patient's desire for home death were statistically significant factors involved home death. a subgroup analysis according to the presence/absence of cancer, the association between markedly low ADL and home death was stronger the cancer-free group (adjusted hazard ratio 10.78; 95% CI 2.89-40.26) than the cancer group (adjusted hazard ratio 5.58; 95% CI2.39-13.05). Conclusion: Patients' desire for home death could be fulfilled if home care support clinics provide home visit services to not only terminal-stage cancer patients, but also bedridden cancer-free patients. We must establish systems for older adults to remaat home during the terminal period of their lives. Geriatr Gerontol Int 2012; 13: 874-880.
AB - Aim: Associations between markedly low activities of daily living (ADL) at the start of home visit care and patient home death were analyzed using data from a home care support clinic Japan that has a low rate of home deaths. Methods: The study was a historical cohort study. It involved patients who began to receive home visit care from a home visit care support clinic between 1 April 2006 and 31 March 2011. Using home death as a dependent variable and presence/absence of markedly low ADL and other parameters (cancer, the patient's desire for home death, etc.) as independent variables, the adjusted hazard ratio and 95% confidence interval (CI) were calculated using the Cox proportional hazards model. Results: Markedly low ADL were associated with home death even after adjustment for factors that influence home death (adjusted hazard ratio 4.40; 95% CI 2.37-8.16). Cancer and the patient's desire for home death were statistically significant factors involved home death. a subgroup analysis according to the presence/absence of cancer, the association between markedly low ADL and home death was stronger the cancer-free group (adjusted hazard ratio 10.78; 95% CI 2.89-40.26) than the cancer group (adjusted hazard ratio 5.58; 95% CI2.39-13.05). Conclusion: Patients' desire for home death could be fulfilled if home care support clinics provide home visit services to not only terminal-stage cancer patients, but also bedridden cancer-free patients. We must establish systems for older adults to remaat home during the terminal period of their lives. Geriatr Gerontol Int 2012; 13: 874-880.
KW - Activities of daily living
KW - Cox proportional hazards model
KW - Home death
KW - Home visit
KW - Japan
UR - http://www.scopus.com/inward/record.url?scp=84885942958&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84885942958&partnerID=8YFLogxK
U2 - 10.1111/ggi.12018
DO - 10.1111/ggi.12018
M3 - Article
C2 - 23279052
AN - SCOPUS:84885942958
VL - 13
SP - 874
EP - 880
JO - Geriatrics and Gerontology International
JF - Geriatrics and Gerontology International
SN - 1447-0594
IS - 4
ER -