Characteristics Associated with In-Hospital Death among Commercially Insured Decedents with Cancer
Abstract Background: A majority of patients with poor-prognosis cancer express a preference for in-home death; however, in-hospital deaths are common. Objective: We sought to identify characteristics associated with in-hospital death. Design: Case series. Setting/Subjects: Commercially insured patients with cancer who died between July 2010 and December 2013 and who had at least two outpatient visits at a tertiary cancer center during the last six months of life. Measurements: Patient characteristics, healthcare utilization, and in-hospital death (primary outcome) were ascertained from institutional records and healthcare claims. Bivariate and multivariable analyses were used to evaluate the association of in-hospital death with patient characteristics and end-of-life outcome measures. Results: We identified 904 decedents, with a median age of 59 years at death. In-hospital death was observed in 254 patients (28%), including 110 (12%) who died in an intensive care unit. Hematologic malignancy was associat...