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Table 2 Adjusted relative risk ratios (aRRR) for dying at home, skilled-nursing facility or other location compared to hospital and their associations with potentially planned home deaths, home nursing trajectories and skilled nursing facility trajectories

From: Associations between home deaths and end-of-life nursing care trajectories for community-dwelling people: a population-based registry study

 

Home versus Hospital

SNF versus Hospital

Othera versus Hospital

aRRR

CI

p

aRRR

CI

p

aRRR

CI

p

Potentially planned home death (ref. unplanned)

0.94

0.89–1.00

0.066

0.96

0.90–1.03

0.264

0.28

0.23–0.34

< 0.001

Home nursing trajectory (ref. no)

 Accelerating

0.93

0.85–1.03

0.168

1.23

1.11–1.36

< 0.001

0.30

0.21–0.43

< 0.001

 Decreasing

0.90

0.83–0.97

0.004

1.43

1.34–1.54

< 0.001

0.66

0.55–0.79

< 0.001

 High

1.29

1.21–1.38

< 0.001

1.58

1.47–1.70

< 0.001

0.51

0.43–0.61

< 0.001

SNF trajectory (ref. low)

 Increasing

0.40

0.34–0.47

< 0.001

17.93

16.43–19.56

< 0.001

0.19

0.12–0.30

< 0.001

 Intermediate

0.65

0.59–0.72

< 0.001

2.27

2.08–2.47

< 0.001

0.37

0.26–0.54

< 0.001

 Escalating

0.32

0.28–0.36

< 0.001

14.14

13.21–15.14

< 0.001

0.14

0.09–0.22

< 0.001

 Female (ref. male)

0.85

0.81–0.89

< 0.001

1.13

1.07–1.19

< 0.001

0.49

0.44–0.54

< 0.001

Age (years) (ref. 80–89)

 0–39

1.63

1.45–1.84

< 0.001

0.20

0.15–0.27

< 0.001

7.84

6.61–9.31

< 0.001

 40–49

1.80

1.59–2.03

< 0.001

0.57

0.46–0.69

< 0.001

6.22

5.15–7.51

< 0.001

 50–59

1.59

1.46–1.83

< 0.001

0.71

0.63–0.80

< 0.001

3.75

3.19–4.41

< 0.001

 60–69

1.30

1.22–1.39

< 0.001

0.82

0.75–0.89

< 0.001

2.38

2.04–2.76

< 0.001

 70–79

1.06

1.00–1.13

0.060

0.91

0.85–0.97

0.005

1.36

1.16–1.59

< 0.001

 90+

1.20

1.11–1.30

< 0.001

1.55

1.44–1.67

< 0.001

0.66

0.49–0.87

0.003

Municipality centralityb (ref. central)

 Least central

1.24

1.16–1.34

< 0.001

1.56

1.45–1.69

< 0.001

1.53

1.34–1.75

< 0.001

 Less central

1.06

0.97–1.16

0.205

1.12

1.02–1.24

0.023

1.28

1.09–1.51

0.003

 Somewhat central

1.13

1.06–1.20

< 0.001

1.21

1.13–1.29

< 0.001

0.99

0.88–1.12

0.868

  1. Note. Multinomial logistic regression with place of death as dependent variable. Number of observations 53,177
  2. Abbreviations: SNF skilled nursing facility
  3. aOther place of death includes abroad, under transportation to hospital, other specified
  4. bClassification based on geographical distance to center with higher functions