Table 3 shows the variables of the 1158 residents who
were discharged due to death and had died either within
the nursing home (47.3%) or in hospital (52.7%). Of those
who had died in hospital, their average length of stay
was 21.3 days (SD 23.4). The percentage dying in nursing
homes were somewhat higher than that from the facility
survey. Resident’s characteristics significantly related to
dying in nursing home were being female, older, not having
pneumonia as the cause of death, having severe dementia,
having severer eligibility levels, the resident’s and the family’s
preference of the nursing home as the site of death,
agreement among the family on the site of EOL care, and
not being hospitalized within 3 months prior to death. The
proportion of cancer as a cause of death was low because of
the residents’ old age and because most nursing homes do
not have the capacity to provide palliative care for cancer.
When the resident’s and family’s preferences were known,
the nursing home was preferred four times more than the
hospital. Among those who had died in the nursing home,
only 2.0% of the families had preferred dying in the hospital.
In contrast, among those who had died in hospitals, 26.1%
would have preferred dying in the nursing home. The proportions
of the family’s preferences not being known were
much higher among those who died in hospitals compared
with those who died in nursing homes (28.5% versus 9.7%).
Table 3 shows the variables of the 1158 residents who
were discharged due to death and had died either within
the nursing home (47.3%) or in hospital (52.7%). Of those
who had died in hospital, their average length of stay
was 21.3 days (SD 23.4). The percentage dying in nursing
homes were somewhat higher than that from the facility
survey. Resident’s characteristics significantly related to
dying in nursing home were being female, older, not having
pneumonia as the cause of death, having severe dementia,
having severer eligibility levels, the resident’s and the family’s
preference of the nursing home as the site of death,
agreement among the family on the site of EOL care, and
not being hospitalized within 3 months prior to death. The
proportion of cancer as a cause of death was low because of
the residents’ old age and because most nursing homes do
not have the capacity to provide palliative care for cancer.
When the resident’s and family’s preferences were known,
the nursing home was preferred four times more than the
hospital. Among those who had died in the nursing home,
only 2.0% of the families had preferred dying in the hospital.
In contrast, among those who had died in hospitals, 26.1%
would have preferred dying in the nursing home. The proportions
of the family’s preferences not being known were
much higher among those who died in hospitals compared
with those who died in nursing homes (28.5% versus 9.7%).
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