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Table 4 Hospital and community healthcare utilisation during the last four weeks of life

From: Patterns of paediatric end-of-life care: a chart review across different care settings in Switzerland

  Total
N = 149
(100%)
Cardiology
n = 19
(13%)
Neonatology
n = 57
(38%)
Neurology
n = 36
(24%)
Oncology
n = 37
(25%)
p-value
Hospital days, Mdn (range) 6 (0 - 28) 20 (0 - 28) 5 (1 - 26) 7 (0 - 28) 4 (0 - 28) 0.035a
Care setting before hospital admissionb, n (%) n = 88 n = 17 n = 23 n = 26 n = 22  
 Home 37 (42) 11 (64) 0 (0) 16 (62) 10 (45) NAc
 Other hospital 35 (40) 3 (18) 23 (100) 4 (15) 5 (23) NAc
 Emergency department 8 (9) 3 (18) 0 (0) 4 (15) 1 (5) NAc
 Outpatient clinic 7 (8) 0 (0) 0 (0) 1 (4) 6 (27) NAc
 Long-term institution 1 (1) 0 (0) 0 (0) 1 (4) 0 (0) NAc
Patients at home at least for one day, n (%) 72 (48) 11 (58) 3 (5) 27 (75) 31 (84) <  0.001a
Days spent at home, Mdn (range) 0 (0 - 28) 8 (0 - 28) 0 (0 - 16) 21 (0 - 28) 24 (0 - 28) 0.001a
Care days with community care serviced, n = 72 n = 11 n = 3 n = 27 n = 31  
Mdn (range) 1 (0 - 28) 0 (0 - 24) 1 (0 - 5) 5 (0 - 28) 0 (0 - 28) 0.001a
Hours of care by community care serviced n = 36 n = 5 n = 2 n = 15 n = 14  
Mdn (range) 34 (2 - 315) 12 (7 - 190) 6 (3 - 8) 38 (4 - 315) 23 (2 - 108) 0.111a
Type of community care service
 Family education/support, n (%) 35 (97) 5 (100) 2 (100) 14 (93) 14 (100) NAc
 Needs assessment, n (%) 31 (86) 4 (80) 1 (50) 13 (87) 13 (93) NAc
 Monitoring of vital signs/general condition, n (%) 29 (81) 5 (100) 2 (100) 13 (87) 9 (64) NAc
 Administration of medication, n (%) 25 (69) 5 (100) 0 (0) 10 (67) 10 (71) NAc
 Interventions related to enteral feeds, n (%) 22 (61) 5 (100) 1 (50) 13 (87) 3 (21) NAc
 Respiratory interventions, n (%) 18 (50) 2 (40) 0 (0) 11 (73) 5 (36) NAc
 Interventions related to excretion, n (%) 14 (39 1 (20) 0 (0) 6 (40) 7 (50) NAc
  1. NA Not applicable
  2. aAcross the four groups, based on likelihood ratio chi-square
  3. bRepresenting the cumulative hospital admissions in all patients
  4. cNo significance testing conducted due to small numbers
  5. dConsisting of nurses, most of them specialised in paediatric and/or community nursing