干旱区生态环境知识资源中心(Arid): Symptom Burden and Activity of Daily Living (ADL) Dependency Among Home Health care Patients Discharged to Home Hospice

Arid

DOI	10.1177/10499091211063808
	Symptom Burden and Activity of Daily Living (ADL) Dependency Among Home Health care Patients Discharged to Home Hospice
	Osakwe, Zainab Toteh; Oni-Eseleh, Ohiro; Bianco, Gabriella; Saint Fleur-Calixte, Rose
通讯作者	Osakwe, ZT (corresponding author)，Adelphi Univ, Coll Nursing & Publ Hlth, 1 South Ave, Garden City, NY 11530 USA.
来源期刊	AMERICAN JOURNAL OF HOSPICE & PALLIATIVE MEDICINE
ISSN	1049-9091
EISSN	1938-2715
出版年	2022-01
英文摘要	Background: We sought to examine sociodemographic and clinical characteristics present on admission to HHC associated with discharge to hospice. Methods: We used a 5% random sample of 2017 national Outcome and Assessment Information Set (OASIS) data. A Cox proportional hazards regression model was estimated for the primary outcome (discharge to hospice) to examine the associations with sociodemographic and clinical characteristics of HHC patients. Results: Among 489, 230 HHC patients, 4268 were discharged to hospice. The median (interquartile range) length of HHC stay for patients discharged to hospice care was 33 (14-78) days. Compared to White patients, Black, Hispanic, and other race, (hazard ratio [HR] = .50 [95% confidence interval, CI = .44-.57]), (HR = .53 [95% CI = .46-.62]), and (HR = .49 [95% CI = .40-.61], respectively) was associated with shorter time to discharge to hospice care. Clinical characteristics including severe dependence in activities of daily (ADL) (HR = 1.68 [95% CI = 1.01-2.78]), cognitive impairment (HR = 1.10 [95% CI = 1.01-1.20]), disruptive behavior daily (HR = 1.11 [95% CI = 1.02-1.22]), and inability to feed oneself (HR = 4.78, 95% CI = 4.30, 5.31) was associated with shorter time to discharge to hospice. Symptoms of anxiety daily (HR = 1.55 [95% CI = 1.43-1.68]), and pain daily or all the time (HR = 1.54 [95% CI = 1.43-1.64]) were associated with shorter time to discharge to hospice. Conclusions: High symptom burden, ADL dependency, and cognitive impairment on admission to HHC services was associated with greater likelihood of discharge to hospice.
英文关键词	hospice home healthcare homebound transitions symptom burden
类型	Article ; Early Access
语种	英语
收录类别	SCI-E
WOS记录号	WOS:000748761700001
WOS关键词	END-OF-LIFE ; FAMILY PERSPECTIVES ; AFRICAN-AMERICANS ; LAST YEAR ; MORTALITY ; IMPACT ; HOSPITALIZATION ; BARRIERS ; MEDICARE ; VALIDITY
WOS类目	Health Care Sciences & Services
WOS研究方向	Health Care Sciences & Services
资源类型	期刊论文
条目标识符	http://119.78.100.177/qdio/handle/2XILL650/377131
作者单位	[Osakwe, Zainab Toteh; Bianco, Gabriella] Adelphi Univ, Coll Nursing & Publ Hlth, 1 South Ave, Garden City, NY 11530 USA; [Oni-Eseleh, Ohiro] Adelphi Univ, Sch Social Work, Hudson Valley Ctr, Poughkeepsie, NY USA; [Saint Fleur-Calixte, Rose] State Univ New York Downstate Hlth Sci Univ, Sch Publ Hlth, Epidemiol & Biostat, Brooklyn, NY USA
推荐引用方式 GB/T 7714	Osakwe, Zainab Toteh,Oni-Eseleh, Ohiro,Bianco, Gabriella,et al. Symptom Burden and Activity of Daily Living (ADL) Dependency Among Home Health care Patients Discharged to Home Hospice[J],2022.
APA	Osakwe, Zainab Toteh,Oni-Eseleh, Ohiro,Bianco, Gabriella,&Saint Fleur-Calixte, Rose.(2022).Symptom Burden and Activity of Daily Living (ADL) Dependency Among Home Health care Patients Discharged to Home Hospice.AMERICAN JOURNAL OF HOSPICE & PALLIATIVE MEDICINE.
MLA	Osakwe, Zainab Toteh,et al."Symptom Burden and Activity of Daily Living (ADL) Dependency Among Home Health care Patients Discharged to Home Hospice".AMERICAN JOURNAL OF HOSPICE & PALLIATIVE MEDICINE (2022).