RT Journal Article
SR Electronic
T1 Correlates of a “do not hospitalize” designation
JF Canadian Family Physician
JO Can Fam Physician
FD The College of Family Physicians of Canada
SP 1158
OP 1164
VO 56
IS 11
A1 McGregor, Margaret
A1 Pare, Dan
A1 Wong, Areta
A1 Cox, Michelle B.
A1 Brasher, Penny
YR 2010
UL http://www.cfp.ca/content/56/11/1158.abstract
AB 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.