Format

Send to

Choose Destination
Can Fam Physician. 2010 Nov;56(11):1158-64.

Correlates of a "do not hospitalize" designation: in a sample of frail nursing home residents in Vancouver.

Author information

1
Centre for Clinical Epidemiology & Evaluation, Department of Family Practice, Room 713, 828 West 10th, Vancouver, BC V5Z 1L8. mrgret@interchange.ubc.ca

Abstract

OBJECTIVE:

To explore what nursing home resident demographic, clinical, functional, and health services utilization characteristics influence a "do not hospitalize" designation.

DESIGN:

Historical cohort study.

SETTING:

Vancouver, BC.

PARTICIPANTS:

Extended care residents in 2 hospital-based and 4 free-standing nursing homes who died between 2001 and 2007.

MAIN OUTCOME MEASURES:

The designation of "do not hospitalize" on a resident's chart.

RESULTS:

Continuity of family physician care from admission to death (adjusted hazard ratio [AHR] 2.16, 95% confidence interval [CI] 1.33 to 3.49), a sudden and unexpected death (AHR 0.43, 95% CI 0.25 to 0.73), and age (AHR 1.02, 95% CI 1.01 to 1.02) were independently associated with a "do not hospitalize" designation.

CONCLUSION:

The greater than 2-fold positive association of continuity of family physician care with a "do not hospitalize" designation is an interesting addition to the literature on how continuity of physician care matters.

PMID:
21075999
PMCID:
PMC2980437
[Indexed for MEDLINE]
Free PMC Article

Supplemental Content

Full text links

Icon for HighWire Icon for PubMed Central
Loading ...
Support Center