Transitions between care settings in the last 3 months of life and place of death of people in home settings and residential homes (n = 498)a
| Home setting (n= 400) | Residential home (n= 98) | OR (95% CI)b | |
|---|---|---|---|
| n (%) | n (%) | ||
| Transitions between care settings | |||
| Number of transitions in the last 3 months of lifec | |||
| None | 183 (46) | 68 (69) | 2.76 (1.35 to 5.63) |
| 1 | 134 (34) | 17 (17) | 0.29 (0.12 to 0.67) |
| 2 | 61 (15) | 11 (11) | 0.77 (0.32 to 1.81) |
| 3 or more | 22 (6) | 2 (2) | 0.36 (0.05 to 2.38) |
| Type of trajectory in the last 3 months of lifed | |||
| Residence → Hospital | 100 (25) | 10 (10) | 0.25 (0.11 to 0.58) |
| Residence → Hospital → Residence | 33 (8) | 7 (7) | 1.38 (0.51 to 3.74) |
| Residence → Hospital → Residence → Hospital | 8 (2) | 1 (1) | 0.63 (0.05 to 8.4) |
| Hospital → Residence | 8 (2) | – | – |
| Residence → Palliative care unit/hospice | 13 (3) | – | – |
| Residence → Hospital → Palliative care unit/hospice | 12 (3) | – | – |
| Transferred in last week of life | 87 (22) | 15 (15) | 0.61 (0.25 to 1.52) |
| Hospitalisations | |||
| Number of hospitalisations in last 3 months of lifec | |||
| None | 211 (53) | 71 (72) | 2.2 (1.04 to 4.67) |
| 1 | 169 (42) | 25 (26) | 0.46 (0.21 to 1.03) |
| 2 | 20 (5) | 2 (2) | 0.76 (0.32 to 1.803) |
| If hospitalised, number of days (mean, SD) | 12.2 (12.5) | 10.6 (10.7) | 0.97 (0.91 to 1.02) |
| Death in hospital | 119 (30) | 16 (16) | 0.78 (0.63 to 0.97) |
| Died at place of preference | 176 (79) | 41 (79) | 0.88 (0.38 to 2.02) |
↵a Missing data for: transitions n=4, place of death n= 4, number of days hospitalised n=11, died at place of preference n=265.
↵b Multivariate logistic regression controlling for age, cancer, dementia, and sex. Reference group is home setting.
↵c Reference categories as follows: none versus any; 1, 2, or 3 or more versus none.
↵d Only trajectories that applied to more than 1% of people in either group are shown.