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Table 2 Factors associated with paediatric home deaths from complex chronic conditions in Portugal (1987–2011)

From: Trends in cause and place of death for children in Portugal (a European country with no Paediatric palliative care) during 1987–2011: a population-based study

Variable

Category

Home death

Unadjusted odds ratios for home death

Adjusted odds ratios for home deatha

 

%

N

OR

95% CI

AOR

95% CI

Year of death

1987

35.6

767

1

 

1

 

Successive years

NA

NA

0.92

0.91–0.93

0.89

0.89–0.90

Age

0–27 days

3.3

3039

1

 

1

 

28–364 days

18.2

2259

6.48

5.17–8.11

8.67

6.81–11.04

1–5 years

27.2

1818

10.70

8.56–13.38

14.26

11.11–18.31

6–10 years

34.8

1236

15.17

12.05–19.09

21.46

16.42–28.04

11–14 years

30.4

1032

12.55

9.86–15.92

16.23

12.34–21.34

15–17 years

27.9

1056

11.18

8.80–14.20

14.99

11.35–19.79

Cause of death

Cancer

29.0

2739

1

 

1

 

Neuromuscular

29.3

2116

1.05

0.93–1.19

1.59

1.37–1.84

Cardiovascular

12.9

2569

0.37

0.32–0.43

0.67

0.56–0.81

Respiratory

5.0

418

0.13

0.09–0.21

0.29

0.18–0.47

Renal

12.3

195

0.36

0.23–0.55

1.15

0.68–1.94

Gastro-intestinal

9.7

237

0.27

0.17–0.41

0.40

0.24–0.64

Haematology & Immunodeficiency

11.7

18

0.33

0.21–0.53

0.59

0.36–0.98

Metabolic

19.4

283

0.61

0.45–0.83

0.88

0.62–1.24

Other congenital & genetic

9.3

1703

0.26

0.22–0.31

0.87

0.69–1.09

Semester of death

Spring-summer

18.1

4977

1

 

1

 

Autumn-winter

21.0

5463

1.19

1.08–1.31

1.18

1.05–1.32

Sub-region

Greater Lisbon

8.7

1916

1

 

1

 

Minho-Lima

27.5

240

4.00

2.89–5.53

4.46

3.10–6.41

Cávado

22.4

478

3.04

2.33–3.97

3.66

2.73–4.91

Ave

22.0

563

2.98

2.31–3.84

3.31

2.50–4.37

Greater Porto

19.1

1221

2.49

2.01–3.08

2.91

2.31–3.67

Tâmega

27.8

709

4.06

3.23–5.10

5.34

4.14–6.87

Entre Douro e Vouga

25.4

276

3.58

2.62–4.91

4.43

3.13–6.26

Douro

38.9

262

6.72

5.00–9.03

7.60

5.44–10.62

Alto Trás os Montes

36.1

241

5.96

4.38–8.10

6.85

4.81–9.77

Baixo Vouga

27.0

370

3.91

2.95–5.16

4.13

3.04–5.62

Baixo Mondego

30.5

272

4.63

3.42–6.27

5.08

3.62–7.14

Pinhal Litoral

31.2

215

4.77

3.43–6.64

5.45

3.76–7.88

Pinhal Interior Norte

40.8

120

7.28

4.89–10.83

8.72

5.51–13.79

Dão-Lafões

31.6

304

4.87

3.64–6.50

5.76

4.16–7.97

Pinhal Interior Sul

28.6

35

4.22

1.99–8.93

4.05

1.76–9.30

Serra da Estrela

58.5

53

14.86

8.41–26.24

24.00

11.80–48.80

Beira Interior Norte

35.2

105

5.74

3.73–8.83

6.43

3.93–10.50

Beira Interior Sul

25.8

62

3.67

2.03–6.62

4.25

2.14–8.45

Cova da Beira

30.8

78

4.69

2.82–7.78

4.85

2.71–8.67

Oeste

15.7

281

1.96

1.37–2.80

1.98

1.34–2.91

Médio Tejo

24.3

251

3.39

2.44–4.71

3.25

2.26–4.67

Península de Setúbal

10.0

607

1.18

0.87–1.60

1.08

0.78–1.50

Lezíria do Tejo

13.4

164

1.63

1.01–2.63

1.49

0.89–2.48

Alentejo Litoral

5.1

78

0.57

0.21–1.58

0.57

0.20–1.64

Alto Alentejo

13.3

113

1.61

0.92–2.84

1.50

0.81–2.75

Alentejo Central

19.4

134

2.54

1.61–4.01

2.79

1.68–4.63

Baixo Alentejo

18.0

128

2.31

1.43–3.73

2.05

1.23–3.43

Algarve

6.2

372

0.70

0.44–1.09

0.77

0.48–1.23

Azores

14.8

413

1.83

1.33–2.50

1.90

1.35–2.67

Madeira

10.8

379

1.28

0.89–1.84

1.27

0.87–1.87

  1. N = 10,440. NA – not applicable; OR – odds ratio. Categories with an OR/AOR of “1” are reference categories. p-values <0.001 for all variables except semester (p = 0.004)
  2. aModel λ2 2482.058, 44df, p < 0.001; Nagelkerke R2 0.337; correct classification of place of death 83.5% (home 34.2%, elsewhere 95.5%)