Lugar de muerte en Chile: un estudio descriptivo de serie temporal entre 1990-2014

Background: With the aim to inform end of life public policies, the place of death in Chile, its trends and associated factors were analysed. Materials and Methods: A cross sectional using publically available death database from 1990 to 2014 was conducted. The proportion of hospital deaths was se...

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Autores principales:	Browne,Jorge, Castro,Ignacio, Pavlovic,Andrés
Lenguaje:	Spanish / Castilian
Publicado:	Sociedad Médica de Santiago 2019
Materias:	Chile Death Death Certificates Terminal Care
Acceso en línea:	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872019000600727
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spelling	oai:scielo:S0034-988720190006007272019-08-28Lugar de muerte en Chile: un estudio descriptivo de serie temporal entre 1990-2014Browne,JorgeCastro,IgnacioPavlovic,Andrés Chile Death Death Certificates Terminal Care Background: With the aim to inform end of life public policies, the place of death in Chile, its trends and associated factors were analysed. Materials and Methods: A cross sectional using publically available death database from 1990 to 2014 was conducted. The proportion of hospital deaths was selected as the main outcome. A logistic regression was used to assess the association between place of death, age, and main diagnosis at death. Also, a Prais-Winsten regression and a Chi2 test were used to assess a time series and regional analysis, respectively. Results: 2,063,615 deaths were analysed. Overall, deaths 898,871 (43.6%) occurred at hospital. Those who died over 85 years (OR 2,52 IC95% 2.49-2.55) and those who died from cancer (OR 2.43 IC95% 2.42-2.45) had higher risk for dying outside de hospital. For the general population and those who die form cancer, there is no evidence for an increase or decrease trend in the proportion of hospital deaths over time (p = 0,75 and p = 0.68, respectively). However, there is an increase of the proportion of hospital deaths in those who died over 85 years (p < 0.001,27% in 1990 to 32% in 2014). Also, there are geographic differences between country regions (p < 0.001) (Eg. Magallanes 52.9%). Conclusions: The proportion of hospital deaths has been stable over time in the general population and has increased in those over 85 years.info:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.147 n.6 20192019-06-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872019000600727es10.4067/S0034-98872019000600727
institution	Scielo Chile
collection	Scielo Chile
language	Spanish / Castilian
topic	Chile Death Death Certificates Terminal Care
spellingShingle	Chile Death Death Certificates Terminal Care Browne,Jorge Castro,Ignacio Pavlovic,Andrés Lugar de muerte en Chile: un estudio descriptivo de serie temporal entre 1990-2014
description	Background: With the aim to inform end of life public policies, the place of death in Chile, its trends and associated factors were analysed. Materials and Methods: A cross sectional using publically available death database from 1990 to 2014 was conducted. The proportion of hospital deaths was selected as the main outcome. A logistic regression was used to assess the association between place of death, age, and main diagnosis at death. Also, a Prais-Winsten regression and a Chi2 test were used to assess a time series and regional analysis, respectively. Results: 2,063,615 deaths were analysed. Overall, deaths 898,871 (43.6%) occurred at hospital. Those who died over 85 years (OR 2,52 IC95% 2.49-2.55) and those who died from cancer (OR 2.43 IC95% 2.42-2.45) had higher risk for dying outside de hospital. For the general population and those who die form cancer, there is no evidence for an increase or decrease trend in the proportion of hospital deaths over time (p = 0,75 and p = 0.68, respectively). However, there is an increase of the proportion of hospital deaths in those who died over 85 years (p < 0.001,27% in 1990 to 32% in 2014). Also, there are geographic differences between country regions (p < 0.001) (Eg. Magallanes 52.9%). Conclusions: The proportion of hospital deaths has been stable over time in the general population and has increased in those over 85 years.
author	Browne,Jorge Castro,Ignacio Pavlovic,Andrés
author_facet	Browne,Jorge Castro,Ignacio Pavlovic,Andrés
author_sort	Browne,Jorge
title	Lugar de muerte en Chile: un estudio descriptivo de serie temporal entre 1990-2014
title_short	Lugar de muerte en Chile: un estudio descriptivo de serie temporal entre 1990-2014
title_full	Lugar de muerte en Chile: un estudio descriptivo de serie temporal entre 1990-2014
title_fullStr	Lugar de muerte en Chile: un estudio descriptivo de serie temporal entre 1990-2014
title_full_unstemmed	Lugar de muerte en Chile: un estudio descriptivo de serie temporal entre 1990-2014
title_sort	lugar de muerte en chile: un estudio descriptivo de serie temporal entre 1990-2014
publisher	Sociedad Médica de Santiago
publishDate	2019
url	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872019000600727
work_keys_str_mv	AT brownejorge lugardemuerteenchileunestudiodescriptivodeserietemporalentre19902014 AT castroignacio lugardemuerteenchileunestudiodescriptivodeserietemporalentre19902014 AT pavlovicandres lugardemuerteenchileunestudiodescriptivodeserietemporalentre19902014
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Lugar de muerte en Chile: un estudio descriptivo de serie temporal entre 1990-2014

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