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Patients' preferred place of death: patients are willing to consider their preferences, but someone has to ask them
- Source :
- Age and Ageing, 50(6), 2004-2011. Oxford University Press, Age and Ageing, van Doorne, I, van Rijn, M, Dofferhoff, S M, Willems, D L & Buurman, B M 2021, ' Patients' preferred place of death : patients are willing to consider their preferences, but someone has to ask them ', Age and Ageing, vol. 50, no. 6, pp. 2004-2011 . https://doi.org/10.1093/ageing/afab176
- Publication Year :
- 2021
-
Abstract
- Background end-of-life care is not always in line with end-of-life preferences, so patients do not always die at their preferred place of death (PPD). This study aims to identify factors associated with patients’ PPD and changes in PPD. Methods we prospectively collected data on PPD at four time points within 6 months from 230 acutely hospitalised older patients who were part of the control group in a stepped-wedge randomised controlled trial. Associations between patient characteristics and preferences were calculated using multivariable (multinomial) logistic regression analysis. Results the mean age of participants was 80.7 years. 47.8% of the patients had no PPD at hospital admission. Patients previously admitted to hospital preferred to die at home (home versus no preference: odds ratio [OR] 2.38, 95% confidence interval [CI] 1.15–4.92; home versus healthcare facility: OR 3.25, 95% CI 1.15–9.16). Patients with more chronic diseases preferred the healthcare facility as their PPD (healthcare facility versus no preference: OR 1.33, 95% CI 1.09–1.61; healthcare facility versus home: OR 1.21, 95% CI 1.00–1.47). 32 of 65 patients changed their preference during follow-up, and most of these had no PPD at hospital admission (home versus no preference: OR 0.005, 95% CI ≤0.001–0.095) and poorer self-rated well-being (OR 1.82, 95% CI 1.07–3.08). Conclusions almost half of the patients had no PPD at baseline. Previous hospital admission, having more chronic diseases and living alone are associated with having a PPD. Introducing PPD could make older people aware of PPD and facilitate optimal palliative care.
- Subjects :
- Aging
medicine.medical_specialty
Palliative care
Randomization
Attitude to Death
Logistic regression
ageing/8
law.invention
older people
AcademicSubjects/MED00280
Randomized controlled trial
law
Internal medicine
Health care
Medicine
Humans
Aged
Aged, 80 and over
Terminal Care
palliative care
business.industry
Patient Preference
General Medicine
Odds ratio
Confidence interval
Death
Hospitalization
preferred place of death
Geriatrics and Gerontology
business
End-of-life care
Research Paper
Subjects
Details
- Language :
- English
- ISSN :
- 00020729
- Database :
- OpenAIRE
- Journal :
- Age and Ageing, 50(6), 2004-2011. Oxford University Press, Age and Ageing, van Doorne, I, van Rijn, M, Dofferhoff, S M, Willems, D L & Buurman, B M 2021, ' Patients' preferred place of death : patients are willing to consider their preferences, but someone has to ask them ', Age and Ageing, vol. 50, no. 6, pp. 2004-2011 . https://doi.org/10.1093/ageing/afab176
- Accession number :
- edsair.doi.dedup.....38074a2bfecd3f978efb33d1fea830c8