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Table 3 variables with a clinically relevanta relationship to the four indicators of a bad death

From: How to define and quantify a bad death in palliative home care? Across-sectional and exploratory study using Canadian interRAI data

Variable

Experienced self-reported loneliness

(n = 2,029)

Experienced severe depressive symptoms

(n = 2,203)

Experienced pain that was horrible or excruciating

(n = 2,904)

Experienced uncontrolled pain (n = 1,465)

 

Odds ratio (95% confidence interval)b

Age (years)

18–64

Reference

65–74

0.92 (0.75, 1.13)

0.83 (0.69, 1.00)

0.65 (0.55, 0.76)

0.69 (0.57, 0.85)

75–84

0.83 (0.69, 0.99)

0.71 (0.60, 0.83)

0.49 (0.43, 0.56)

0.53 (0.44, 0.63)

85+

0.93 (0.78, 1.10)

0.53 (0.45, 0.61)

0.40 (0.35, 0.46)

0.42 (0.36, 0.50)

Sex

Male

Reference

Female

1.35 (1.23, 1.49)

1.26 (1.15, 1.38)

1.20 (1.10, 1.30)

1.17 (1.05, 1.30)

Disease diagnosis (reference = absence of the diagnosis)

Alzheimer’s dementia

0.42 (0.33, 0.54)

0.61 (0.50, 0.76)

0.42 (0.34, 0.51)

0.43 (0.32, 0.57)

Other type of dementia

0.80 (0.72, 0.90)

1.04 (0.93, 1.15)

0.53 (0.47, 0.58)

0.52 (0.45, 0.61)

Multiple sclerosis

1.43 (0.87, 2.34)

0.91 (0.52, 1.59)

1.31 (0.84, 2.05)

1.21 (0.66, 2.20)

Parkinson’s disease

0.76 (0.60, 0.96)

0.97 (0.78, 1.19)

0.71 (0.58, 0.88)

0.60 (0.44, 0.81)

Arthritis

1.61 (1.47, 1.77)

1.17 (1.07, 1.28)

1.54 (1.42, 1.67)

1.61 (1.45, 1.80)

Any psychiatric diagnosis

1.89 (1.69, 2.11)

n/a

1.32 (1.19, 1.46)

1.29 (1.12, 1.48)

Multi-morbidity

0–4

Reference

5+

1.45 (1.32, 1.59)

1.27 (1.16, 1.39)

1.21 (1.11, 1.31)

1.16 (1.04, 1.29)

Conflict with family or friends

No

Reference

Yes

1.72 (1.53, 1.93)

3.40 (3.06, 3.77)

1.21 (1.08, 1.35)

1.23 (1.07, 1.42)

Change in social activities

No decline

Reference

Decline, not distressed

0.80 (0.72, 0.90)

1.30 (1.16, 1.45)

1.11 (1.01, 1.21)

1.10 (0.97, 1.25)

Decline and distressed

2.41 (2.15, 2.71)

3.70 (3.29, 4.16)

2.06 (1.85, 2.29)

2.13 (1.86, 2.45)

Caregiver Risk Evaluation (CaRE)c

Low

Reference

Moderate

0.23 (0.19, 0.28)

n/a

0.64 (0.55, 0.74)

0.53 (0.44, 0.65)

High

0.77 (0.69, 0.87)

2.34 (2.02, 2.71)

1.36 (1.20, 1.53)

1.30 (1.11, 1.52)

Very high

0.38 (0.33, 0.45)

2.37 (2.03, 2.78)

1.13 (0.99, 1.30)

0.98 (0.81, 1.17)

Prognosis of less than 6 months to live

No

Reference

Yes

0.54 (0.47, 0.63)

1.22 (1.09, 1.36)

1.53 (1.39, 1.69)

1.44 (1.27, 1.64)

Self-reported loneliness

No

Reference

Yes

n/a

3.26 (2.92, 3.64)

1.70 (1.52, 1.90)

1.73 (1.51, 2.00)

Severe symptoms of depression

No

Reference

Yes

3.26 (2.92, 3.64)

n/a

2.49 (2.25, 2.75)

2.58 (2.27, 2.92)

Pain is horrible or excruciating

No

Reference

Yes

1.70 (1.52, 1.90)

2.49 (2.25, 2.75)

n/a

n/a

Medications adequately control pain

No pain/pain is controlled

Reference

Pain is not controlled

1.73 (1.51, 2.00)

2.58 (2.27, 2.92)

n/ad

n/a

  1. a Significant findings were defined as an odds ratio that was either > = 1.2 or < = 0.83. b All ORs were calculated with the absence of the indicator as the reference group. c Individuals scoring 5 + on the DRS cannot populate the moderate risk category of the CaRE algorithm. d The OR could not be calculated since one of the cells had a count of less than 10