[Place of death of people with conditions needing palliative care in the different regions of Spain]
| Autor: | Manuel Fernández-Alcántara, Julio Cabrero-García, Andreu Nolasco, María José Cabañero-Martínez, I. Melchor |
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| Rok vydání: | 2020 |
| Předmět: |
Adult
Male Palliative care Adolescent Population Context (language use) Target population 03 medical and health sciences Young Adult 0302 clinical medicine Sex Factors Residence Characteristics Cause of Death Odds Ratio Medicine Humans 030212 general & internal medicine Hospital Mortality Mortality education Aged Demography Aged 80 and over education.field_of_study Marital Status business.industry Palliative Care Female sex Patient Preference General Medicine Odds ratio Place of birth Middle Aged Nursing Homes Cross-Sectional Studies Logistic Models Spain Educational Status Female Nursing homes business |
| Zdroj: | Anales del sistema sanitario de Navarra. 43(1) |
| ISSN: | 2340-3527 |
| Popis: | Background. Dying at home is the most frequent preference, with the institutionalized context being the most common place of death. To determine the place of death in conditions requiring palliative care of residents in Spain aged 15 or over by Autonomous Community (AC) and to examine the relationship with oncological vs . non-oncological causes of death. Methods. Population-based cross-sectional study analysing medical death certificates. Adjusted effects of socio-demographic variables, AC and causes on the place of death were estimated calculating odds of death in hospital vs . at home (O H/H ) and in a nursing home vs . at home (O N/H ), and odds ratio (OR H/H and OR N/H ) by multinomial logistic regression models. Results. During 2012-2015, 1,611,767 deaths were recorded, 64.8% corresponding to the target population. Death in hospital was 77% more frequent than death at home, while death in a nursing home was 53% lower. Male sex, lower age, lower academic level, place of birth other than Spain, bigger city size and civil status other than married displayed a relationship with death in hospital, while the same variables except female sex and higher age did so in a nursing home. Adjusted O H/H > 1 and O N/H < 1 were observed in all AC, except Catalonia. Oncological causes made O H/H < 1 in almost 50% of AC, while O N/H continue to be < 1. Conclusions . Most deaths were in hospital and fewer at nursing homes, despite oncological causes increasing deaths at home (adjusted effect). |
| Databáze: | OpenAIRE |
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