ArticleBMC health services research2019
Associations between home deaths and end-of-life nursing care trajectories for community-dwelling people: a population-based registry study.
Article in BMC health services research, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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Who cites it
10 citing papers in PubMed.
- Older patients' opportunity to die at home: a qualitative study on home care nurses' experiences.BMC nursing · 2026Article
- Telemedicine and Willingness to Die at Home in Rural and Remote Areas in Japan.Telemedicine reports · 2025Article
- Dying at "home" - a qualitative study of end-of-life care in rural Northern Norway from the perspective of health care professionals.BMC health services research · 2023Article
- Home care nurses facilitating planned home deaths. A focused ethnography.BMC palliative care · 2023Article
- The Correlation Between the Attended Deaths at Home and Medical Resources in Osaka City.Cureus · 2023Article
- Death place and palliative outcome indicators in patients under palliative home care service: an observational study.BMC palliative care · 2023Observational
- Cancer patients spend more time at home and more often die at home with advance care planning conversations in primary health care: a retrospective observational cohort study.BMC palliative care · 2022Observational
- General practitioners' provision of end-of-life care and associations with dying at home: a registry-based longitudinal study.Family practice · 2020Article
- Relationship of place of death with care capacity and accessibility: a multilevel population study of system effects on place of death in Norway.BMC health services research · 2020Article
- Reform influences location of death: Interrupted time-series analysis on older adults and persons with dementia.PloS one · 2020Article
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Authors and funding
6 authors.
Funding
Abstract
backgroundFew studies have estimated planned home deaths compared to actual place of death in a general population or the longitudinal course of home nursing services and associations with place of death. We aimed to investigate trajectories of nursing services, potentially planned home deaths regardless of place of death; and associations of place of death with potentially planned home deaths and nursing service trajectories, by analyzing data from the last 90 days of life.
methodsA retrospective longitudinal study with data from the Norwegian Cause of Death Registry and National registry for statistics on municipal healthcare services included all community-dwelling people who died in Norway 2012-2013 (n = 53,396). We used a group-based trajectory model to identify joint trajectories of home nursing (hours per week) and probability of a skilled nursing facility (SNF) stay, each of the 13 weeks leading up to death. An algorithm estimated potentially planned home deaths. We used a multinomial logistic regression model to estimate associations of place of death with potentially planned home deaths, trajectories of home nursing and short-term SNF.
resultsWe identified four home nursing service trajectories: no (46.5%), accelerating (7.6%), decreasing (22.1%), and high (23.5%) home nursing; and four trajectories of the probability of a SNF stay: low (69.0%), intermediate (6.7%), escalating (15.9%), and increasing (8.4%) SNF. An estimated 24.0% of all deaths were potentially planned home deaths, of which a third occurred at home. Only high home nursing was associated with increased likelihood of a home death (adjusted relative risk ratio (aRRR) 1.29; CI 1.21-1.38). Following any trajectory with elevated probability of a SNF stay reduced the likelihood of a home death.
conclusionsWe estimated few potentially planned home deaths. Trajectories of home nursing hours and probability of SNF stays indicated possible effective palliative home nursing for some, but also missed opportunities of staying at home longer at the end-of-life. Continuity of care seems to be an important factor in palliative home care and home death.
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