Place of @entity204 of Houston area residents with XXXX over a two-year period.

@entity5 @entity1 @entity204
The majority of @entity5 @entity1 wish to die at home. Improved understanding of place of @entity204 and its relevant demographic predictors is important for the planning of @entity5 care programs. The purpose of this study was to determine the place and predictors of site of @entity204 in @entity5 @entity1 in a major U.S. metropolitan area. Death certificate data over two years were analyzed for Houston area residents with @entity5 who died in the Houston area. Information was obtained on factors that might be associated with the place where @entity5 @entity1 die. For the purpose of this study, we looked at the following variables: primary site of @entity5 (hematological, breast, genitourinary, gastrointestinal, lung, and other); black, white, Hispanic, or Asian; age at @entity204 ; marital status; sex; whether or not veteran of U.S. armed forces; levels of education; and area of residency within the Houston area. Univariate and multivariate analyses were performed. The majority of @entity1 died in the hospital (51-52% both years), with the next most frequently occurring group dying at home (34-35% both years). Stepwise multivariate analysis resulted in a 6-variable logistic regression model. In this model, the odds of dying in hospital were increased by a factor of 2.7 if the @entity1 had a hematological @entity5 (P<0.0001), a factor of 1.6 if the @entity1 lived in Harris County (P<0.0001), and a factor of 1.5 if the @entity1 was black (P<0.0001). Further characterization of factors associated with increased risk of hospital @entity204 rate is needed and systems should be developed to enable the majority of @entity5 @entity1 to access palliative care services in the multiple settings in which they die.
