Are all deaths recorded equally? The impact of hospice care on risk-adjusted mortality
Notice bibliographique
Résumé
BACKGROUND: Hospice care provides dignity and comfort at the end of life. While patients transferred to hospice die, they are often not recorded as in-hospital deaths in trauma registries or in some administrative discharge data. Mortality rates for the purpose of database research, performance improvement, or public reporting may therefore be artificially low. The current study sought to determine the impact of discharges to hospice on risk-adjusted mortality for trauma deaths reported to the Trauma Quality Improvement Program. METHODS: Performance from Trauma Quality Improvement Program centers in 2011 was evaluated using risk-adjusted mortality with observed-to-expected mortality ratios derived from a logistic regression model. The impact of discharge to hospice on performance was measured by determining changes in performance if hospice cases were treated as survivors rather than deaths. Differences between groups were compared by nonparametric Wilcoxon rank-sum test. RESULTS: From the 167 centers with 126,259 injured patients, there were 8,862 deaths: 746 (8.4%) were discharged to a hospice, and the remainder was counted as in-hospital deaths. Overall, 106 centers (63.5%) reported at least one discharge to hospice, with the proportion of deaths ranging from 1.6% to 57%. Logistic regression demonstrated that age greater than 70 years (odds ratio [OR], 4.3; 95% confidence interval [CI], 3.5-5.1), male sex (OR, 0.7; 95% CI, 0.6-0.8), nonblack race (OR, 1.9; 95% CI, 1.3-2.7), noncommercial insurance (OR, 1.4; 95% CI, 1.1-1.7), and comorbidity counts greater than 2 (OR, 1.3; 95% CI, 1.1-1.6) were associated with hospice care. If patients transferred to a hospice were treated as survivors in the estimation of risk-adjusted mortality, 34 centers (20%) would have a change in status. Changes would be in both directions for average-performing centers, while high-performing centers would seem worse and poor-performing centers would seem better. For centers that reported hospice deaths, the relative risk-adjusted mortality decreased by 8.8% for every 10% increase in the proportion of deaths recorded as discharged to a hospice. CONCLUSION: Given the large variation in the proportion of deaths recorded as discharged to a hospice rather than as in-hospital deaths, there is the potential for significant distortion of actual performance. Failure to consider this potential may misguide efforts directing performance improvement, research, and national reporting. Discharges to a hospice should be included with in-hospital deaths when reporting risk-adjusted mortality.
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Comment cette classification a été obtenuedéplier
Prédiction machine sur la base complète
Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Le volet Gemma est une étiquette directe du modèle pour chaque travail de la base, lue sur la notice réduite au titre. Le volet Codex est un classifieur appris des 10 348 étiquettes directes de Codex et calibré sur les taux pondérés de l'échantillon; les champs sans appui suffisant ne portent aucun appel Codex. Le mode candidate est l'union des deux volets; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont pas des étiquettes humaines.
Scores du classifieur distillé par catégorie (deux têtes)
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,013 | 0,076 |
| Méta-épidémiologie (sens strict) | 0,000 | 0,000 |
| Méta-épidémiologie (sens large) | 0,001 | 0,002 |
| Bibliométrie | 0,001 | 0,002 |
| Études des sciences et des technologies | 0,000 | 0,001 |
| Communication savante | 0,001 | 0,002 |
| Science ouverte | 0,001 | 0,001 |
| Intégrité de la recherche | 0,001 | 0,002 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,002 | 0,000 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
score_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découleClassification
machine, non validéePrédiction automatique; un appel candidat d’une seule source (Gemma direct ou Codex distillé), pas un consensus.
Le détail, modèle par modèle et score par score, se trouve en fin de page sous « Comment cette classification a été obtenue ».