Place of Death for Individuals With Chronic Lung Disease: Trends and Associated Factors From 2003 to 2017 in the United States.
Place of Death for Individuals With Chronic Lung Disease: Trends and Associated Factors From 2003 to 2017 in the United States.
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DOI：
10.1016/j.chest.2020.02.062
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发表时间：
2020-08
期刊：
影响因子：
9.6
通讯作者：
Warraich HJ
中科院分区：
文献类型：
--
作者：
Cross SH;Ely EW;Kavalieratos D;Tulsky JA;Warraich HJ
慢性肺病是一种常见的死亡原因，但人们对慢性肺病患者的死亡地点知之甚少。在慢性肺病患者中，与死亡地点相关的趋势和因素是什么？我们使用2003年至2017年疾病控制和预防中心流行病学研究的广泛在线数据对自然死亡进行了横断面分析，其中慢性阻塞性肺病（COPD），间质性肺病（ILD）或囊性纤维化（CF）是根本原因。死亡地点分为医院、家庭、护理机构、临终关怀机构和其他。从2003年到2017年，超过2.2。200万人的死亡主要归因于慢性肺病（51.6%为女性，92.4%为白色人）。大多数归因于COPD（88.9%），其次是ILD（10.8%），CF（0.3%）。医院和护理机构死亡率从44.4%下降到44.4%。（n= 59，470）和22.6%（n= 30，285）至28.3%（n= 49，6555）和19.7%（n= 34，495），而家庭和临终关怀机构的死亡分别从23.3%（n= 31，296）和0.1%（n=192）增加到34.7%（n=60851）和9.0%（n= 15，861）。男性、已婚、受过一定程度的大学教育与家庭死亡的几率增加有关，而非白人和西班牙裔与医院死亡的几率增加有关。与COPD死亡者相比，ILD和CF患者的医院死亡几率增加，家庭、护理机构或临终关怀机构死亡几率降低。在慢性肺病死者中，家庭死亡人数正在增加，这增加了在这种情况下对高质量临终关怀的需求。进一步的研究应探索这些患者及其护理人员的临终需求和偏好，特别关注ILD和CF患者，这些患者的住院死亡率仍然很高。
Chronic lung disease is a common cause of mortality, yet little is known about where individuals with chronic lung disease die. What are the trends and factors associated with place of death among individuals with chronic lung disease? We conducted a cross-sectional analysis of natural deaths using the Centers for Disease Control and Prevention Wide-ranging OnLine Data for Epidemiologic Research from 2003 to 2017 for which chronic obstructive pulmonary disease (COPD), interstitial lung disease (ILD), or cystic fibrosis (CF) was the underlying cause. Place of death was categorized as hospital, home, nursing facility, hospice facility, and other. From 2003 to 2017, more than 2.2. million deaths were primarily attributed to chronic lung disease (51.6% female, 92.4% white). Most were attributed to COPD (88.9%), followed by ILD (10.8.%), and CF (0.3%). Hospital and nursing facility deaths declined from 44.4% (n= 59,470) and 22.6% (n= 30,285) to 28.3% (n= 49,6555) and 19.7% (n= 34,495) while home and hospice facility deaths increased from 23.3% (n=31,296) and 0.1% (n=192) to 34.7% (n=60851) and 9.0% (n=15,861) respectively. Male sex, being married, and having some college education were associated with increased odds of home death while non-white race and Hispanic ethnicity were associated with increased odds of hospital death. Compared to decedents with COPD, individuals with ILD and CF had increased odds of hospital death and reduced odds of home, nursing facility or hospice facility death. Home deaths are increasing among decedents from chronic lung disease increasing the need for quality end-of-life care in this setting. Further research should explore the end-of-life needs and preferences of these patients and their caregivers with particular attention paid to patients with ILD and CF who continue to have high rates of hospital death.
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影响因子：
3.1
作者：
Gomes B;Calanzani N;Gysels M;Hall S;Higginson IJ
通讯作者：
Higginson IJ
影响因子：
24
作者：
Cross SH;Kaufman BG;Mentz RJ;Kamal AH;Taylor DH Jr;Warraich HJ
通讯作者：
Warraich HJ
影响因子：
120.7
作者：
Dwyer-Lindgren, Laura;Bertozzi-Villa, Amelia;Murray, Christopher J. L.
通讯作者：
Murray, Christopher J. L.
DOI：
10.1046/j.1365-2389.2003.51310.x
发表时间：
2003-07-01
影响因子：
6.3
作者：
Greiner, KA;Perera, S;Ahluwalia, JS
通讯作者：
Ahluwalia, JS
影响因子：
6.2
作者：
Chino, Fumiko;Kamal, Arif H.;Chino, Junzo P.
通讯作者：
Chino, Junzo P.