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Table 2 Mean duration and results of the negative binomial regression analysis of last nursing home stay

From: Social determinants of duration of last nursing home stay at the end of life in Switzerland: a retrospective cohort study

 

Men

Women

Length of stay (days)

Length of stay (days)

Mean

SD

IRR

95 % CI

Mean

SD

IRR

95 % CI

Age (at time of admission) (p < 0.001)

  

0.96

0.96–0.97

  

0.96

0.95–0.96

Nationality (p < 0.001)

        

 Swiss (reference)

794.6

1079.0

1.00

 

1252.9

1345.6

1.00

 

 Foreigner

692.0

893.8

0.77

0.69–0.85

1165.2

1284.3

0.83

0.76–0.89

Cause of death (p < 0.001)

        

 Cancer condition (ref.)

423.1

807.5

1.00

 

646.4

1079.4

1.00

 

 Coronary heart disease

835.7

1081.7

1.75

1.62–1.88

1299.2

1383.3

1.89

1.79–1.99

 Stroke

926.0

1179.6

2.02

1.85–2.21

1256.4

1268.2

1.79

1.68–1.90

 COPD

857.1

1084.1

1.63

1.46–1.82

1137.6

1279.0

1.58

1.44–1.75

 Dementia

848.8

971.9

1.93

1.79–2.09

1424.7

1250.0

1.96

1.86–2.06

 Other

888.4

1150.9

1.91

1.80–2.04

1326.2

1405.2

1.91

1.83–2.00

Care Level (p < 0.001)

        

 Low (ref.)

1022.4

1192.7

1.00

 

1306.9

1347.6

1.00

 

 Medium

820.0

1035.2

0.71

0.67–0.75

1189.9

1228.9

0.86

0.83–0.89

 High

673.3

1011.3

0.55

0.52–0.58

1309.5

1424.4

0.81

0.78–0.84

 Unknown/not specified

297.6

667.7

0.30

0.27–0.33

555.0

1019.3

0.44

0.41–0.48

Multimorbidity (Men: p < 0.001, women: p < 0.05)

        

 No (ref.)

713.9

1053.0

1.00

 

1161.6

1334.8

1.00

 

 Yes

748.3

863.4

1.07

1.02–1.13

1082.4

1055.2

0.98

0.95–1.01

 Unknown (no hospital stay)

1145.1

1490.4

0.96

0.89–1.03

1669.4

1636.1

1.03

0.99–1.07

Hospitalisation in the 365 days preceding death (p < 0.001)

        

 No (ref.)

1131.4

1192.7

1.00

 

1548.9

1388.5

1.00

 

 Yes

412.3

757.4

0.36

0.35-0.38

624.1

985.5

0.42

0.41–0.43

Educational level (p < 0.001)

        

 Low

947.6

1256.8

1.17

1.10–1.23

1308.4

1395.0

1.09

1.06–1.13

 Medium (ref.)

700.2

981.5

1.00

 

1159.8

1269.4

1.00

 

 High

638.6

836.7

0.98

0.91–1.05

1055.4

1160.6

0.96

0.88–1.05

 Unknown

815.3

1023.5

1.10

1.03–1.17

1237.1

1311.3

0.98

0.94–1.02

House or flat owner (p < 0.001)

        

 Tenant (ref.)

966.7

1263.4

1.00

 

1439.2

1485.6

1.00

 

 Owner-occupier

535.3

627.0

0.67

0.64–0.71

823.0

797.2

0.65

0.63–0.67

Marital status (p < 0.001)

        

 Married (ref.)

648.5

882.1

1.00

 

1190.7

1435.5

1.00

 

 Never married

1386.6

1673.6

1.36

1.24–1.48

1531.6

1649.7

1.17

1.10–1.24

 Widowed

807.5

1000.5

1.23

1.17–1.29

1219.6

1255.7

1.17

1.13–1.22

 Divorced

906.7

1209.4

1.14

1.03–1.25

1175.2

1269.2

0.95

0.89–1.01

Children (p < 0.001)

        

 Yes (ref.)

680.8

898.2

1.00

 

1152.6

1236.1

1.00

 

 No

1133.3

1484.4

1.16

1.08–1.24

1448.4

1552.2

1.10

1.05–1.14

 Unknown

1007.4

1211.3

1.16

1.06–1.27

1542.7

1527.8

1.22

1.16–1.28

Language region (Men: p < 0.05; women: p < 0.001)

        

 German (ref.)

790.9

1090.3

1.00

 

1264.8

1375.6

1.00

 

 French

792.4

1016.4

0.95

0.89–1.01

1167.7

1206.5

0.99

0.96–1.03

 Italian

763.1

975.0

1.16

1.04–1.31

1405.0

1423.0

1.24

1.16–1.32

 Nursing home bed densitya (n.s.)

  

1.00

0.98–1.01

  

1.01

1.00–1.01

  1. Data source: Swiss Federal Statistical Office, MedStat, SOMED, SNC
  2. IRR = incidence rate ratios, conf interval = 95 % conf. interval, p-values from likelihood ratio tests
  3. aaverage number of nursing home beds per 100 habitants above 65 years (per 106 regions)