Potentially burdensome end-of-life transitions among nursing home residents with poor-prognosis cancer.

ABSTRACT:

Background

This study examined factors associated with potentially burdensome end-of-life (EOL) transitions between care settings among older adults with advanced cancer in nursing homes (NHs).

Methods

A retrospective analysis of deceased older NH residents with poor-prognosis solid tumors was conducted with Medicare claims and the Minimum Data Set. A potentially burdensome transition was defined as 2 or more hospitalizations or an intensive care unit admission in the last 90 days of life.

Results

Among 34,670 subjects, many had moderate to severe cognitive impairment (53.8%), full dependence in activities of daily living (ADLs; 66.5%), and comorbidities such as congestive heart failure (CHF; 29.3%) and chronic obstructive pulmonary disease (34.1%). Only 56.3% of the

SUBMITTER: Lage DE 

PROVIDER: S-EPMC7306135 | biostudies-literature | 2020 Mar

REPOSITORIES: biostudies-literature