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Hospice Care Services Associated With a Lower Utilization of Life-Sustaining Treatments During End-Of-Life Care Among People Living With HIV/AIDS: A Population-Based Cohort Study

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dc.creatorLai, Yun-Ju
dc.creatorKo, Ming-Chung
dc.creatorChan, Shang-Yih
dc.creatorChou, Yi-Sheng
dc.creatorWang, Chun-Chieh
dc.creatorKu, Po-Wen
dc.creatorChen, Li-Jung
dc.creatorHsu, Li-Fei
dc.creatorChuang, Pei-Hung
dc.creatorChen, Chu-Chieh
dc.creatorYen, Yung-Feng
dc.date2022-01
dc.date.accessioned2023-05-03T02:40:12Z
dc.date.accessioned2025-07-28T15:04:47Z
dc.date.available2023-05-03T02:40:12Z
dc.date.issued2023-05-03T02:40:12Z
dc.description.abstractBackground: Hospice care involves improving quality of end-of-life (EOL) care and respecting patients' preferences regarding EOL treatment. However, the impact of hospice care services on the utilization of life-sustaining treatments during EOL care in patients with life-limiting diseases has not been extensively studied. Objectives: This nationwide cohort study aimed to determine the impact of hospice care services on the utilization of life-sustaining treatments during the last 3 months of life among people living with HIV/AIDS (PLWHA) in Taiwan. Methods: From 2000 to 2018, we identified adult PLWHA from Taiwan centers for disease control HIV Surveillance System. HIV-infected individuals were defined as positive HIV-1 Western blot. Life-sustaining treatments included cardiopulmonary resuscitation, intubation, mechanical ventilation support, and defibrillation. The association of hospice care services with the utilization of life-sustaining treatments was determined using multiple logistic regression. Results: Of 5691 PLWHA, 2595 (45.9%) subjects utilized life-sustaining treatments during the last 3 months of life. After adjusting for other covariates, PLWHA with hospice care services were less likely to receive life-sustaining treatments during the last 3 months of life than those without the services (adjusted odds ratio [AOR] = .50, 95% confidence interval [CI]: .37-.66). Considering the type of life-sustaining treatments, hospice care services were associated with lower likelihood of receiving cardiopulmonary resuscitation (AOR = .22, 95% CI: .13-.39), endotracheal intubation (AOR = .48, 95% CI: .35-.65), and mechanical ventilation support (AOR = .56, 95% CI: .42-.75). Conclusion: Hospice care services were associated with a lower utilization of life-sustaining treatments during the last 3 months of life among PLWHA.
dc.format.extent107 bytes
dc.format.mimetypetext/html
dc.identifier.issn1049-9091
dc.identifier.issn1938-2715
dc.identifier.urihttps://ir.ntus.edu.tw/handle/987654321/65641
dc.languageen_US
dc.publisherTHOUSAND OAKS, CA: SAGE PUBLICATIONS
dc.relationAMERICAN JOURNAL OF HOSPICE & PALLIATIVE MEDICINE, 39(10), p.1165-1173
dc.subjectpeople living with HIV
dc.subjectAIDS
dc.subjecthospice care
dc.subjectlife-sustaining treatment
dc.subjectcohort study
dc.titleHospice Care Services Associated With a Lower Utilization of Life-Sustaining Treatments During End-Of-Life Care Among People Living With HIV/AIDS: A Population-Based Cohort Study
dc.typearticle
dspace.entity.typePublication

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