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

2 Citations (Scopus)

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

Keywords

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

ASJC Scopus subject areas

  • Medicine(all)

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