A retrospective review of place of death of palliative care patients in regional north Queensland
Howat, A., Veitch, C., and Cairns, W. (2007) A retrospective review of place of death of palliative care patients in regional north Queensland. Palliative Medicine, 21 (1). pp. 41-47.
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Background: Palliative care strives to offer patients and their families choice in the location of their management and final terminal care. The place of death has been shown to be related to various patient, carer and health service factors.
Aim: This study explores place of death of palliative care patients in regional north Queensland, and investigates which patient, disease, and other factors impact on place of death.
Methods: All patients under the care of the specialist Palliative Care Service (PCS) at The Townsville Hospital, who died in 2004, were identified. Medical charts for these patients were analysed for various demographic data, disease-related information and place of death.
Results: Some 270 patients were analysed. A total of 162 were male, median age was 72 years, and 146 (54%) were married. Home death rate was 19% (54 patients), with 64% (173) of patients dying in hospital. Factors significantly associated with home death included younger age, married, a diagnosis of colorectal carcinoma, and the involvement of community nurses. There was a trend towards male patients being more likely to die at home. Logistic regression analysis indicated that younger age and community nurse involvement were significantly associated with home death.
Discussion: The results of this study are in keeping with available, largely urban-based literature, with respect to predictive factors of home death. Further prospective study, with an emphasis on choice regarding place of care and GP involvement with palliative care patients, is warranted.
|Item Type:||Article (Refereed Research - C1)|
|Keywords:||cancer; death; home care; place of death (non-MESH); palliative care; (non-MESH); terminal care|
|FoR Codes:||11 MEDICAL AND HEALTH SCIENCES > 1117 Public Health and Health Services > 111708 Health and Community Services @ 50%|
11 MEDICAL AND HEALTH SCIENCES > 1117 Public Health and Health Services > 111718 Residential Client Care @ 25%
11 MEDICAL AND HEALTH SCIENCES > 1117 Public Health and Health Services > 111706 Epidemiology @ 25%
|SEO Codes:||92 HEALTH > 9202 Health and Support Services > 920211 Palliative Care @ 100%|
|Deposited On:||28 May 2009 11:53|
|Last Modified:||10 May 2013 00:24|
Last 12 Months: 0
|Citation Counts with External Providers:||Web of Science: 17|
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