What question did this study set out to answer?

To assess the cumulative incidence of home deaths and determine the factors associated with dying at home versus other locations among older adults receiving physician-led home care.

November 14, 2022Geriatrics and gerontology international/Geriatrics & gerontology internationalOpen Access

Death at home versus other locations in older people receiving physician‐led home visits: A multicenter prospective study in Japan

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Authors

TWTakamasa WatanabeNiigata University of Health and Welfare MMMasato MatsushimaJikei University School of Medicine MKMakoto KanekoWestern University

Discussion

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Overview

Cohort study reveals only one-third of deceased older adults die at home despite physician visits, suggesting caregiver support and illness severity drive end-of-life location.

Key Points

To assess the cumulative incidence of home deaths and determine the factors associated with dying at home versus other locations among older adults receiving physician-led home care.
Conducted a multicenter prospective cohort study enrolling 762 patients aged ≥65 years starting regular family physician visits across 13 facilities in Japan between February 2013 and January 2016, with follow-up through January 2017.
Estimated mortality rates, modeled cumulative incidence functions of home deaths over time, and performed multivariable multinomial logistic regression to identify predictors of death location.
Of 368 total deaths recorded, 133 occurred at home, corresponding to a home mortality rate of 137.6 per 1,000 person-years (95% CI: 116.1–163.1).
Analysis using the cumulative incidence function showed that a longer duration of home-based care was associated with a lower likelihood of dying at home.
Multivariable multinomial logistic models indicated that younger age and higher Barthel Index scores reduced the likelihood of home death, whereas oxygen therapy and a full-time caregiver significantly increased it.

Cite This Study

Watanabe et al. (2022) studied this question.

synapsesocial.com/papers/6aacc0d2a3e8d21ebcb0de3c https://doi.org/10.1111/ggi.14496

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November 14, 2022Geriatrics and gerontology international/Geriatrics & gerontology internationalOpen Access

Death at home versus other locations in older people receiving physician‐led home visits: A multicenter prospective study in Japan

View Full Paper

Ask AI

Bookmark

Authors

TWTakamasa WatanabeNiigata University of Health and Welfare MMMasato MatsushimaJikei University School of Medicine MKMakoto KanekoWestern University

Discussion

Member takes

Overview

Cohort study reveals only one-third of deceased older adults die at home despite physician visits, suggesting caregiver support and illness severity drive end-of-life location.

Key Points

To assess the cumulative incidence of home deaths and determine the factors associated with dying at home versus other locations among older adults receiving physician-led home care.
Conducted a multicenter prospective cohort study enrolling 762 patients aged ≥65 years starting regular family physician visits across 13 facilities in Japan between February 2013 and January 2016, with follow-up through January 2017.
Estimated mortality rates, modeled cumulative incidence functions of home deaths over time, and performed multivariable multinomial logistic regression to identify predictors of death location.
Of 368 total deaths recorded, 133 occurred at home, corresponding to a home mortality rate of 137.6 per 1,000 person-years (95% CI: 116.1–163.1).
Analysis using the cumulative incidence function showed that a longer duration of home-based care was associated with a lower likelihood of dying at home.
Multivariable multinomial logistic models indicated that younger age and higher Barthel Index scores reduced the likelihood of home death, whereas oxygen therapy and a full-time caregiver significantly increased it.

Cite This Study

Watanabe et al. (2022) studied this question.

synapsesocial.com/papers/6aacc0d2a3e8d21ebcb0de3c https://doi.org/10.1111/ggi.14496

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