Where and How Centenarians Die? The Role of Hospice Care

Yang Ching Chen, Hsiao Yun Hu, Hsien Yu Fan, Wei Shih Kao, Hsiang Yin Chen, Sheng Jean Huang

Research output: Contribution to journalArticle

Abstract

The effect of hospice care on place of death among centenarians remained unexplored. Using data obtained from National Health Insurance Research Database (2002-2010), we compared the differences in place and cause of death between centenarians and noncentenarians. These data were stratified into centenarian (n = 2495) and noncentenarian (n = 820 563) death. Data in place and cause of death and hospice care interventions were retrieved. Poisson regression models were used to evaluate factors associated with the centenarians’ place of death. Time series models were used to predict the number of centenarian deaths until 2025. Most (63.8%) of the centenarians died at their own homes, followed by 30.5% who died in hospital. Hospice home care was involved in only 0.3% of the centenarian deaths but in 1.8% of the noncentenarian deaths. The leading causes of death among centenarians were respiratory diseases (16.6%), circulatory diseases (15.2%), and pneumonia (14.8%). Among the centenarians, those who died of circulatory disease, old age, and respiratory diseases were more likely to die at their own homes. We forecasted the number of annual centenarian deaths to reach 800 in 2025. Therefore, an increase in the provision of advanced care planning and earlier home hospice care intervention may enable centenarians to die at their own residence.

Original languageEnglish
Pages (from-to)1068-1075
Number of pages8
JournalAmerican Journal of Hospice and Palliative Medicine
Volume36
Issue number12
DOIs
Publication statusPublished - Dec 1 2019

Fingerprint

Hospice Care
Cause of Death
Home Care Services
National Health Programs
Pneumonia

Keywords

  • cause of death
  • centenarians
  • end-of-life care
  • hospice care
  • place of death

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Where and How Centenarians Die? The Role of Hospice Care. / Chen, Yang Ching; Hu, Hsiao Yun; Fan, Hsien Yu; Kao, Wei Shih; Chen, Hsiang Yin; Huang, Sheng Jean.

In: American Journal of Hospice and Palliative Medicine, Vol. 36, No. 12, 01.12.2019, p. 1068-1075.

Research output: Contribution to journalArticle

Chen, Yang Ching ; Hu, Hsiao Yun ; Fan, Hsien Yu ; Kao, Wei Shih ; Chen, Hsiang Yin ; Huang, Sheng Jean. / Where and How Centenarians Die? The Role of Hospice Care. In: American Journal of Hospice and Palliative Medicine. 2019 ; Vol. 36, No. 12. pp. 1068-1075.
@article{1f271772eaa1411789195962629ccc17,
title = "Where and How Centenarians Die? The Role of Hospice Care",
abstract = "The effect of hospice care on place of death among centenarians remained unexplored. Using data obtained from National Health Insurance Research Database (2002-2010), we compared the differences in place and cause of death between centenarians and noncentenarians. These data were stratified into centenarian (n = 2495) and noncentenarian (n = 820 563) death. Data in place and cause of death and hospice care interventions were retrieved. Poisson regression models were used to evaluate factors associated with the centenarians’ place of death. Time series models were used to predict the number of centenarian deaths until 2025. Most (63.8{\%}) of the centenarians died at their own homes, followed by 30.5{\%} who died in hospital. Hospice home care was involved in only 0.3{\%} of the centenarian deaths but in 1.8{\%} of the noncentenarian deaths. The leading causes of death among centenarians were respiratory diseases (16.6{\%}), circulatory diseases (15.2{\%}), and pneumonia (14.8{\%}). Among the centenarians, those who died of circulatory disease, old age, and respiratory diseases were more likely to die at their own homes. We forecasted the number of annual centenarian deaths to reach 800 in 2025. Therefore, an increase in the provision of advanced care planning and earlier home hospice care intervention may enable centenarians to die at their own residence.",
keywords = "cause of death, centenarians, end-of-life care, hospice care, place of death",
author = "Chen, {Yang Ching} and Hu, {Hsiao Yun} and Fan, {Hsien Yu} and Kao, {Wei Shih} and Chen, {Hsiang Yin} and Huang, {Sheng Jean}",
year = "2019",
month = "12",
day = "1",
doi = "10.1177/1049909119845884",
language = "English",
volume = "36",
pages = "1068--1075",
journal = "American Journal of Hospice and Palliative Medicine",
issn = "1049-9091",
publisher = "SAGE Publications Inc.",
number = "12",

}

TY - JOUR

T1 - Where and How Centenarians Die? The Role of Hospice Care

AU - Chen, Yang Ching

AU - Hu, Hsiao Yun

AU - Fan, Hsien Yu

AU - Kao, Wei Shih

AU - Chen, Hsiang Yin

AU - Huang, Sheng Jean

PY - 2019/12/1

Y1 - 2019/12/1

N2 - The effect of hospice care on place of death among centenarians remained unexplored. Using data obtained from National Health Insurance Research Database (2002-2010), we compared the differences in place and cause of death between centenarians and noncentenarians. These data were stratified into centenarian (n = 2495) and noncentenarian (n = 820 563) death. Data in place and cause of death and hospice care interventions were retrieved. Poisson regression models were used to evaluate factors associated with the centenarians’ place of death. Time series models were used to predict the number of centenarian deaths until 2025. Most (63.8%) of the centenarians died at their own homes, followed by 30.5% who died in hospital. Hospice home care was involved in only 0.3% of the centenarian deaths but in 1.8% of the noncentenarian deaths. The leading causes of death among centenarians were respiratory diseases (16.6%), circulatory diseases (15.2%), and pneumonia (14.8%). Among the centenarians, those who died of circulatory disease, old age, and respiratory diseases were more likely to die at their own homes. We forecasted the number of annual centenarian deaths to reach 800 in 2025. Therefore, an increase in the provision of advanced care planning and earlier home hospice care intervention may enable centenarians to die at their own residence.

AB - The effect of hospice care on place of death among centenarians remained unexplored. Using data obtained from National Health Insurance Research Database (2002-2010), we compared the differences in place and cause of death between centenarians and noncentenarians. These data were stratified into centenarian (n = 2495) and noncentenarian (n = 820 563) death. Data in place and cause of death and hospice care interventions were retrieved. Poisson regression models were used to evaluate factors associated with the centenarians’ place of death. Time series models were used to predict the number of centenarian deaths until 2025. Most (63.8%) of the centenarians died at their own homes, followed by 30.5% who died in hospital. Hospice home care was involved in only 0.3% of the centenarian deaths but in 1.8% of the noncentenarian deaths. The leading causes of death among centenarians were respiratory diseases (16.6%), circulatory diseases (15.2%), and pneumonia (14.8%). Among the centenarians, those who died of circulatory disease, old age, and respiratory diseases were more likely to die at their own homes. We forecasted the number of annual centenarian deaths to reach 800 in 2025. Therefore, an increase in the provision of advanced care planning and earlier home hospice care intervention may enable centenarians to die at their own residence.

KW - cause of death

KW - centenarians

KW - end-of-life care

KW - hospice care

KW - place of death

UR - http://www.scopus.com/inward/record.url?scp=85065249332&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85065249332&partnerID=8YFLogxK

U2 - 10.1177/1049909119845884

DO - 10.1177/1049909119845884

M3 - Article

C2 - 31035790

AN - SCOPUS:85065249332

VL - 36

SP - 1068

EP - 1075

JO - American Journal of Hospice and Palliative Medicine

JF - American Journal of Hospice and Palliative Medicine

SN - 1049-9091

IS - 12

ER -