Where Do Chronic Obstructive Pulmonary Disease Patients Die? 8-Year Trend, with Special Focus on Sex-Related Differences.
death
hospital
pulmonary disease, chronic obstructive
Journal
International journal of chronic obstructive pulmonary disease
ISSN: 1178-2005
Titre abrégé: Int J Chron Obstruct Pulmon Dis
Pays: New Zealand
ID NLM: 101273481
Informations de publication
Date de publication:
2022
2022
Historique:
received:
12
01
2022
accepted:
03
04
2022
entrez:
16
5
2022
pubmed:
17
5
2022
medline:
20
5
2022
Statut:
epublish
Résumé
To plan end-of-life care it is essential to ascertain where patients die. There is very little information on the place of death of chronic obstructive pulmonary disease (COPD) patients. Accordingly, this study set out to describe the place of death of all COPD-related deaths in a Spanish region across the period 2009-2017, taking into account the sex and age of the deceased. We analyzed COPD deaths, codes J41-44 of the International Classification of Diseases-10th revision, in the Galician Autonomous Region from 2009 to 2017. Using death certificate data furnished by the Galician Mortality Registry, information was extracted on place of death, categorized as "hospital", "nursing home", "patient's home", "other" or "not shown". There were 10,274 deaths, with a male:female ratio of 2.52; 39.0% of deaths occurred in hospital and 41.4% at home, with these data varying according to sex and age. Across the study period, no reduction was observed in the number of deaths that occurred in hospital. For all the period analyzed, deaths among women occurred mostly at home, with an increase being seen in the number of deaths in nursing homes over the course of the study. Patients aged under 70 years tended to die more frequently in hospital, and those over this age died more frequently at home or in nursing homes. A very high percentage of COPD patients still die in hospital, a trend that has shown no decline in recent years. Even so, there are important variations by sex and age on the place of death of these patients.
Sections du résumé
Background
To plan end-of-life care it is essential to ascertain where patients die. There is very little information on the place of death of chronic obstructive pulmonary disease (COPD) patients. Accordingly, this study set out to describe the place of death of all COPD-related deaths in a Spanish region across the period 2009-2017, taking into account the sex and age of the deceased.
Methods
We analyzed COPD deaths, codes J41-44 of the International Classification of Diseases-10th revision, in the Galician Autonomous Region from 2009 to 2017. Using death certificate data furnished by the Galician Mortality Registry, information was extracted on place of death, categorized as "hospital", "nursing home", "patient's home", "other" or "not shown".
Results
There were 10,274 deaths, with a male:female ratio of 2.52; 39.0% of deaths occurred in hospital and 41.4% at home, with these data varying according to sex and age. Across the study period, no reduction was observed in the number of deaths that occurred in hospital. For all the period analyzed, deaths among women occurred mostly at home, with an increase being seen in the number of deaths in nursing homes over the course of the study. Patients aged under 70 years tended to die more frequently in hospital, and those over this age died more frequently at home or in nursing homes.
Conclusion
A very high percentage of COPD patients still die in hospital, a trend that has shown no decline in recent years. Even so, there are important variations by sex and age on the place of death of these patients.
Identifiants
pubmed: 35573656
doi: 10.2147/COPD.S351259
pii: 351259
pmc: PMC9091687
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
1081-1087Informations de copyright
© 2022 Fernández-García et al.
Déclaration de conflit d'intérêts
The authors report no conflicts of interest for this work.
Références
Dtsch Arztebl Int. 2015 Jul 20;112(29-30):496-504
pubmed: 26249252
JAMA. 2013 Feb 6;309(5):470-7
pubmed: 23385273
Rev Clin Esp. 2011 Mar;211(3):127-32
pubmed: 21392741
BMC Infect Dis. 2018 Jan 25;18(1):55
pubmed: 29370765
Arch Bronconeumol (Engl Ed). 2020 May;56(5):291-297
pubmed: 31740082
BMC Public Health. 2011 Apr 13;11:228
pubmed: 21489273
PLoS One. 2016 Aug 23;11(8):e0161399
pubmed: 27551922
Lancet Respir Med. 2014 Jan;2(1):54-62
pubmed: 24461902
Chest. 2020 Aug;158(2):670-680
pubmed: 32229227
PLoS One. 2020 Nov 4;15(11):e0241132
pubmed: 33147248
J Clin Med. 2021 Mar 07;10(5):
pubmed: 33800097
BMC Palliat Care. 2013 Feb 15;12:7
pubmed: 23414145
Arch Bronconeumol. 2014 Aug;50(8):311-2
pubmed: 24703817
Age Ageing. 2014 Jan;43(1):13-9
pubmed: 24128594
Int J Chron Obstruct Pulmon Dis. 2019 Jul 31;14:1691-1701
pubmed: 31534323
Arch Bronconeumol (Engl Ed). 2021 Jan;57(1):61-69
pubmed: 32950310
Acta Oncol. 2017 Mar;56(3):455-461
pubmed: 27835053
J Palliat Med. 2019 Mar;22(3):290-296
pubmed: 30388050
NPJ Prim Care Respir Med. 2017 Dec;27(1):14
pubmed: 28258277
An Sist Sanit Navar. 2020 Apr 20;43(1):69-80
pubmed: 32176217
Eur Respir J. 2019 Dec 19;54(6):
pubmed: 31744832
Lancet. 1997 May 24;349(9064):1498-504
pubmed: 9167458