Dying at home or in the hospital? An observational study in German general practice

The European Journal of General Practice
Ildikó GágyorJean-François Chenot

Abstract

Although determinants of place of death have been investigated in several studies, there is a lack of knowledge on factors associated with dying at home from the general practice perspective. To identify factors associated with dying at home for patients in German general practice. In a retrospective study, general practitioners of 30 general practices were asked to provide data for all patients aged 18 years or older who died within the last 12 months, using a self-developed questionnaire. 'Dying in hospital' was defined as dying in hospital or hospice and 'dying at home' as dying at one's usual residence including the nursing home. Multiple logistic regression analyses were used to determine factors associated with 'dying at home'; odds ratios (ORs) and their 95% confidence intervals (CI) were calculated as measures of effect size. Of 439 deceased patients, 52.2% died at home, and 47.8% died in hospital or hospice. Determinants for dying at home were patients' care in the last 48 hours of life by family members (OR: 7.8, 95% CI: 3.4-18.0), by general practitioners (GPs) (OR: 7.3, 4.2-12.9) and living in a nursing home (OR: 3.8, 1.7-8.3). In the adjusted model, low comorbidity was positively associated (OR: 3.2, 1.4-7.0), and ...Continue Reading

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Citations

Mar 1, 2017·International Journal of Palliative Nursing·John Costello
Aug 22, 2018·Journal of Palliative Medicine·Jinfeng DingAngus Cook
Feb 16, 2018·BMJ Supportive & Palliative Care·Jackie BuckStephen Barclay
Dec 6, 2018·Journal of the American Geriatrics Society·Thomas HigelJean-Pascal Fournier
Oct 30, 2020·BMJ Supportive & Palliative Care·Claudia VirdunJane Phillips

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