Abstract:
BACKGROUND:Palliative care (PC) has been shown to improve outcomes for individuals at the end of life. Despite this, many Canadians do not receive PC prior to death. The present study examines the receipt of inpatient PC and its association with location of death, as well as with admission to intensive care units (ICUs) and use of alternate level of care (ALC) beds in hospital in the last 30 days of life. DATA AND METHODS:The study sample is a retrospective cohort of adult Canadians (aged 19 and older) who died between April 1, 2010, and December 31, 2014. Deaths were ascertained from the Canadian Vital Statistics Database and linked to hospitalizations records in the Discharge Abstract Database to identify the receipt of inpatient PC. RESULTS:More than half (57.7%) of Canadian adults died in hospital, with only 12.6% receiving any inpatient PC in the year prior to death, and 1.7% receiving a preterminal PC designation (i.e., PC initiated prior to the last 30 days of life). In the adjusted analyses, receipt of any inpatient PC was associated with a higher likelihood of death in hospital but lower odds of ICU admission. Pre-terminal PC was associated with lower odds of death in hospital, ICU admission and ALC bed use. DISCUSSION:This study offers new insights into the association between inpatient PC and outcomes at the end of life among Canadians. Future studies could expand on these observations to further understanding of the role of inpatient PC in the end-of-life experience for different populations in Canada.
journal_name
Health Repjournal_title
Health reportsauthors
Hsu AT,Garner REdoi
10.25318/82-003-x202001000001-engsubject
Has Abstractpub_date
2020-10-21 00:00:00pages
3-13issue
10eissn
0840-6529issn
1209-1367pii
82-003-X202001000001journal_volume
31pub_type
杂志文章相关文献
Health Reports文献大全abstract::This paper reports preliminary and selected results of an analysis of the frequencies of 36 common surgical procedures in hospitals across Canada during the period April 1985 to March 1987. Age-sex-specific and age-sex-standardized procedure rates were calculated for each procedure for each of 245 Census Divisions (CD...
journal_title:Health reports
pub_type: 杂志文章
doi:
更新日期:1991-01-01 00:00:00
abstract::A new tool for epidemiological, demographic, and genetic research--the Canadian Birth Data Base-is being developed at Statistics Canada. Over a million live birth and stillbirth records for the period 1987-89 received from all provincial and territorial offices of vital statistics are being processed in a form suitabl...
journal_title:Health reports
pub_type: 杂志文章
doi:
更新日期:1993-01-01 00:00:00
abstract::In 1986, out of a total of 711,725 Canadians of aboriginal ancestry, 86,505 reported having some level of disability. This article profiles disabled aboriginal persons living both on-and off-reserve, presenting data from Statistics Canada's 1986 Census of Population and the Health and Activity Limitation Survey (HALS)...
journal_title:Health reports
pub_type: 杂志文章
doi:
更新日期:1990-01-01 00:00:00
abstract::Hospital morbidity data are useful for administrative purposes, but because Canadian data are based on the number of hospital visits for a given diagnosis rather than the number of patients with the diagnosis, they have historically been ineffective in determining how many people have been hospitalized with a given co...
journal_title:Health reports
pub_type: 杂志文章
doi:
更新日期:1994-01-01 00:00:00
abstract:BACKGROUND:The increasing prevalence of overweight and obesity has necessitated the development of body mass index (BMI) projection models such as the POpulation HEalth Model (POHEM). This study describes the POHEM-BMI model, a microsimulation tool that can be used to support evidence-based health policy making for obe...
journal_title:Health reports
pub_type: 杂志文章
doi:
更新日期:2017-06-21 00:00:00
abstract::Previously, little information has been available about life expectancy and the probability of survival by socio-economic status or for Aboriginal groups. However, data from the 1991 to 2001 Canadian census mortality follow-up study made it possible to construct life tables for the non-institutional population aged 25...
journal_title:Health reports
pub_type: 杂志文章
doi:
更新日期:2011-12-01 00:00:00
abstract:OBJECTIVES:This analysis examines self-perceived health among Canadian adolescents aged 12 to 17, and factors associated with ratings of very good/excellent health. DATA SOURCE:The data are from cycle 1.1 of the 2000/01 Canadian Community Health Survey (CCHS), conducted by Statistics Canada. The sample consisted of 12...
journal_title:Health reports
pub_type: 杂志文章
doi:
更新日期:2003-01-01 00:00:00
abstract::A National Population Health Survey is being developed for implementation across Canada in 1994. A description is given of the objectives, plans and current status of the survey. The current assumptions concerning the survey methodology are also outlined along with an early indication of the content. ...
journal_title:Health reports
pub_type: 杂志文章
doi:
更新日期:1992-01-01 00:00:00
abstract::Stroke is the leading cause of death in Portugal, accounting for about 20% of total mortality, despite a 25% decline in death rates from cerebrovascular diseases between 1980 and 1989. Epidemiological observations demonstrating that the high rates of cerebrovascular disease are accompanied by high levels of blood pres...
journal_title:Health reports
pub_type: 杂志文章,评审
doi:
更新日期:1994-01-01 00:00:00
abstract:OBJECTIVES:This article examines socioeconomic differences in supplementary insurance for prescription drugs among Canadians aged 15 or older and how the availability of such insurance affects prescription drug use. DATA SOURCE:The data on prescription drug insurance coverage and drug use are from the cross-sectional ...
journal_title:Health reports
pub_type: 杂志文章
doi:
更新日期:1999-04-01 00:00:00
abstract:BACKGROUND:The impact of asthma on school performance particularly compared with that of other chronic conditions, is relatively unexplored, and the results of analyses that have been conducted are inconclusive. This article examines associations between asthma and school functioning. DATA AND METHODS:The data are fro...
journal_title:Health reports
pub_type: 杂志文章
doi:
更新日期:2010-12-01 00:00:00
abstract:OBJECTIVES:This article examines some of the health and socio-demographic factors associated with living in long-term health care facilities rather than in private households, for elderly people with various levels of disability. DATA SOURCE:The data are from the 1996/97 National Population Health Survey conducted by ...
journal_title:Health reports
pub_type: 杂志文章
doi:
更新日期:2000-04-01 00:00:00
abstract:BACKGROUND:The accurate measurement of time devoted to physical activity, sedentary pursuits and sleep is difficult and varies considerably between surveys. This has implications for population surveillance and understanding how these variables relate to health. METHODS:This sample of children (n = 878) was from the 2...
journal_title:Health reports
pub_type: 杂志文章
doi:
更新日期:2012-06-01 00:00:00
abstract::In 1991, the National Task Force on Health Information recommended that in order to assess the health of Canadians, the health information system should include an aggregate index of population health. This article presents such an index--Health-Adjusted Life Expectancy (HALE)--as one possibility in a range of indicat...
journal_title:Health reports
pub_type: 杂志文章
doi:
更新日期:1996-07-01 00:00:00
abstract:BACKGROUND:People with lower incomes tend to have less favourable health outcomes than do people with higher incomes. Because death registrations in Canada do not contain information about the income of the deceased, vital statistics cannot be used to examine mortality by income at the individual level. However, throug...
journal_title:Health reports
pub_type: 杂志文章
doi:
更新日期:2013-07-01 00:00:00
abstract:BACKGROUND:Formal home care services (those typically delivered by health care providers or volunteer organizations) are different from informal home care services (given by family, friends or neighbours), and thus represent a partial picture of all home care provided. Home care has been associated with decreased morta...
journal_title:Health reports
pub_type: 杂志文章
doi:
更新日期:2018-09-19 00:00:00
abstract:OBJECTIVES:This article examines the association between maternal education, smoking and other risk factors and small-for-gestational-age (SGA) births. DATA SOURCE:The data are from the 1994/95 National Longitudinal Survey of Children and Youth. The analysis was restricted to a subsample of 4,181 children younger than...
journal_title:Health reports
pub_type: 杂志文章
doi:
更新日期:1998-10-01 00:00:00
abstract:BACKGROUND:The demand for therapies to assist conception is growing in a number of countries including Canada. This study provides estimates of the number and characteristics of couples who sought medical help for conception and identifies the interventions and/or techniques they used. DATA AND METHODS:The data are fr...
journal_title:Health reports
pub_type: 杂志文章
doi:
更新日期:2012-12-01 00:00:00
abstract:BACKGROUND:Cadmium is a heavy metal found naturally in the environment that has been associated with negative health outcomes. The present study examines levels of blood cadmium (BCd), urinary cadmium (UCd), and the main sources of cadmium exposure among Canadians aged 20 to 79. DATA AND METHODS:The data are from cycl...
journal_title:Health reports
pub_type: 杂志文章
doi:
更新日期:2016-02-01 00:00:00
abstract::Epidemiology is the study of the natural history of disease or injury. For a given disorder, this includes its definition, frequency, severity, course and risk factors. Only population-based rates provide data that can be compared among studies. These rates are the incidence or attack rate, the mortality or death rate...
journal_title:Health reports
pub_type: 杂志文章
doi:
更新日期:1994-01-01 00:00:00
abstract:BACKGROUND:This study quantifies differences in life expectancy between residents of Inuit Nunangat and people in the rest of Canada; estimates the contribution of specific causes of death to the differences; and examines these differences over time, by sex and by age group. DATA AND METHODS:A geographic approach was ...
journal_title:Health reports
pub_type: 杂志文章
doi:
更新日期:2013-12-01 00:00:00
abstract:BACKGROUND:In theory, expected survival probabilities used in the derivation of relative survival ratios (RSR) are determined from a control group free of the cancer under study. In practice, expected survival is typically estimated from general population life tables--which include people previously diagnosed with can...
journal_title:Health reports
pub_type: 杂志文章
doi:
更新日期:2014-11-01 00:00:00
abstract::From 1974 to 1994, the number of children Canadian women are likely to have during their lifetime decreased. This downturn in fertility meant that the annual number of live births rose only slightly during this period, even though it marked the prime childbearing years for the baby-boom generation. As they pursued hig...
journal_title:Health reports
pub_type: 杂志文章
doi:
更新日期:1996-01-01 00:00:00
abstract:BACKGROUND:Grip strength is a measure of overall muscular strength and has been associated with disability, morbidity and mortality. Normative data are used to interpret an individual's grip strength measurements, but Canadian reference values are not available for a wide age range. DATA AND METHODS:The data pertain t...
journal_title:Health reports
pub_type: 杂志文章
doi:
更新日期:2016-10-19 00:00:00
abstract::As a proportion of total abortions, those performed in the second trimester declined from 21% in 1974 to 10% in 1991. Second trimester (13 to 24 weeks) abortions were more frequent among women who were single, under age 20, and without prior deliveries or abortions. The stage of pregnancy at which an abortion was perf...
journal_title:Health reports
pub_type: 杂志文章
doi:
更新日期:1994-01-01 00:00:00
abstract:BACKGROUND:The 10-item Kessler Psychological Distress Scale (K10) is a short measure of non-specific psychological distress, which has been shown to be a sensitive screen for the Diagnostic and Statistical Manual of Mental Disorders criteria for anxiety and mood disorders. The scale has yet to be validated as a measure...
journal_title:Health reports
pub_type: 杂志文章
doi:
更新日期:2016-01-20 00:00:00
abstract:OBJECTIVES:This article focuses on differences in the health status and health care utilization patterns of mothers in two-parent families, women who recently became lone parents, and women who had been lone parents for a longer period. Changes in the health of these women and their health care use over time are also e...
journal_title:Health reports
pub_type: 杂志文章
doi:
更新日期:1999-10-01 00:00:00
abstract:BACKGROUND:Diabetes prevalence is associated with low socioeconomic status (SES), but less is known about the relationship between SES and diabetes incidence. DATA AND METHODS:Data from eight cycles of the National Population Health Survey (1994/1995 through 2008/2009) are used. A sample of 5,547 women and 6,786 men a...
journal_title:Health reports
pub_type: 杂志文章
doi:
更新日期:2010-09-01 00:00:00
abstract:BACKGROUND:National health surveys linked to vital statistics and health care information provide a growing source of individual-level population health data. Pooling linked surveys across jurisdictions would create comprehensive datasets that are larger than most existing cohort studies, and that have a unique interna...
journal_title:Health reports
pub_type: 杂志文章
doi:10.25318/82-003-x202000700002-eng
更新日期:2020-07-29 00:00:00
abstract::As health care costs continue to rise in Canada, there is a need to evaluate the resources required for diagnosing and treating the major diseases having an impact on Canadian. In 1993, breast cancer was the most predominant female cancer in Canada, both in terms of incidence and mortality. It would be useful to ident...
journal_title:Health reports
pub_type: 杂志文章
doi:
更新日期:1993-01-01 00:00:00