Table 2

Characteristics associated with recognising/not recognising death in the near future before the last week of life in patients who died non-suddenly at home/in a care home, n = 252a

Logistic regressionb odds ratio (95% CI)
Patient and care characteristicsTotal %Did not recognise death in the near future (n = 154), %Recognised death in the near future (n = 93), %Univariate analysesMultivariate analysesc
Age, years
 1–642018241
 65–854137470.93 (0.5 to 1.8)d
 ≥853945290.46 (0.2 to 0.9)d
Sex
 Male4544471
 Female5556530.88 (0.5 to 1.5)d
Education4853421
 Elementary
 Secondary3936431.50 (0.8 to 2.7)d
 Tertiary1311161.80 (0.8 to 4.1)d
Dutch nationality
 ≥1 parent9496901
 ≤1 parent64102.58 (0.9 to 7.5)d
Primary cause of death
 Cancer38255911
 Not cancer6275410.23 (0.1 to 0.4)0.29 (0.2 to 0.5)
Dementia diagnosed by a physician
 No8885931
 Yes121570.38 (0.2 to 1.0)
Admitted to hospital and/or ICU in the last 30 days of life
 No5555551
 Yes4545450.99 (0.6 to 1.7)d
Palliative care initialisation (before the last week of life)
 No7565851
 Yes2535150.32 (0.1 to 1.0)d
GP–patient communication prior to the last week of life
GP discussed the diagnosis
 No4855381
 Yes5245621.93 (1.1 to 3.3)d
GP discussed the prognosis
 No4453301
 Yes5647702.68 (1.5 to 4.7)d
GP discussed the incurability
 No4453301
 Yes5647702.68 (1.5 to 4.7)d
GP discussed palliative care options
 No55673511
 Yes4533653.73 (2.1 to 6.5)2.37 (1.3 to 4.4)
  • ICU = intensive care unit.

  • a Includes five missing values; percentages of missing observations variables ranged between 0.4% and 5.6%.

  • b Dependent variable: patients in whom GPs recognised death in the near future before the last week of life n = 93, reference group: patients in whom GPs did not recognise death in the near future before or in the last week of life n = 154

  • c Stepwise backwards logistic regression. Variables removed after three steps of the backward analyses. Significant values are in bold.

  • d Not entered/retained following multiple backwards logistic regression analyses.