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Table 1 Baseline demographic and functional characteristics of young to midlife Ontario adults discharged from complex continuing care between April 1st 2005 and March 31st 2006, by type of community follow-up within 7 days of discharge

From: Patterns of community follow-up, subsequent health service use and survival among young and mid-life adults discharged from chronic care hospitals: a retrospective cohort study

 

Overall

Home Care Visit Only

Primary Care Physician Visit Only

Both

Neither

p-value

Young to midlife adults discharged from complex continuing care, N

1,906

393

631

302

580

 

Age (years)

 Mean ± SD

52.0 ± 10.2

52.2 ± 10.4

52.0 ± 9.7

52.6 ± 10.0

51.6 ± 10.6

0.549

 18–54

933 (49.0 %)

186 (47.3 %)

306 (48.5 %)

147 (48.7 %)

294 (50.7 %)

0.758

 55–64

973 (51.0 %)

207 (52.7 %)

325 (51.5 %)

155 (51.3 %)

286 (49.3 %)

 

Sex

 Female

919 (48.2 %)

217 (55.2 %)

277 (43.9 %)

158 (52.3 %)

267 (46.0 %)

0.001

 Male

987 (51.8 %)

176 (44.8 %)

354 (56.1 %)

144 (47.7 %)

313 (54.0 %)

 

Neighbourhood income quintile

 Q1 (lowest)

547 (28.7 %)

122 (31.0 %)

169 (26.8 %)

94 (31.1 %)

162 (27.9 %)

0.122

 Q2

396 (20.8 %)

76 (19.3 %)

132 (20.9 %)

52 (17.2 %)

136 (23.4 %)

 

 Q3

367 (19.3 %)

67 (17.0 %)

127 (20.1 %)

60 (19.9 %)

113 (19.5 %)

 

 Q4

327 (17.2 %)

69 (17.6 %)

109 (17.3 %)

50 (16.6 %)

99 (17.1 %)

 

 Q5 (highest)

250 (13.1 %)

55 (14.0 %)

88 (13.9 %)

38 (12.6 %)

69 (11.9 %)

 

Rurality Index of Ontario

 Major urban

1,230 (64.5 %)

231 (58.8 %)

430 (68.1 %)

181 (59.9 %)

388 (66.9 %)

0.004

 urban

427 (22.4 %)

116 (29.5 %)

121 (19.2 %)

70 (23.2 %)

120 (20.7 %)

 

 Rural

201 (10.5 %)

41 (10.4 %)

62 (9.8 %)

42 (13.9 %)

56 (9.7 %)

 

Living status

  Not reported

117 (6.1 %)

14 (3.6 %)

53 (8.4 %)

14 (4.6 %)

36 (6.2 %)

0.041

 Others

1,331 (69.8 %)

285 (72.5 %)

438 (69.4 %)

207 (68.5 %)

401 (69.1 %)

 

 Reported living alone

458 (24.0 %)

94 (23.9 %)

140 (22.2 %)

81 (26.8 %)

143 (24.7 %)

 

Primary language spoken at home

 Other

151 (7.9 %)

18 (4.6 %)

57 (9.0 %)

22 (7.3 %)

54 (9.3 %)

0.032

 English

1,755 (92.1 %)

375 (95.4 %)

574 (91.0 %)

280 (92.7 %)

526 (90.7 %)

 

Length of stay in Complex Continuing Care

 Mean ± SD

214.2 ± 797.5

72.9 ± 285.5

376.9 ± 1,131.1

78.3 ± 276.1

203.6 ± 744.0

<.001

 Median (IQR)

36 (15–98)

28 (13–57)

59 (20–199)

26 (13–58)

38 (16–96)

<.001

  < 30 days

851 (44.6 %)

207 (52.7 %)

220 (34.9 %)

167 (55.3 %)

257 (44.3 %)

<.001

 30 to 90 days

542 (28.4 %)

126 (32.1 %)

160 (25.4 %)

86 (28.5 %)

170 (29.3 %)

 

  > 90 days

513 (27.0 %)

60 (15.2 %)

251 (39.7 %)

49 (16.2 %)

153 (26.4 %)

 

Home care referral prior to discharge

 No

1,112 (58.3 %)

106 (27.0 %)

427 (67.7 %)

84 (27.8 %)

495 (85.3 %)

<.001

 Yes

794 (41.7 %)

287 (73.0 %)

204 (32.3 %)

218 (72.2 %)

85 (14.7 %)

 

Health conditions/diagnoses

 Endocrine/Metabolic/Nutritional

527 (27.6 %)

118 (30.0 %)

166 (26.3 %)

93 (30.8 %)

150 (25.9 %)

0.251

 Heart/Circulation

689 (36.1 %)

155 (39.4 %)

217 (34.4 %)

119 (39.4 %)

198 (34.1 %)

0.165

 Musculoskeletal

428 (22.5 %)

116 (29.5 %)

123 (19.5 %)

74 (24.5 %)

115 (19.8 %)

<.001

 Neurological

889 (46.6 %)

153 (38.9 %)

356 (56.4 %)

120 (39.7 %)

260 (44.8 %)

<.001

 Psychiatric/Mood

534 (28.0 %)

92 (23.4 %)

208 (33.0 %)

83 (27.5 %)

151 (26.0 %)

0.005

 Pulmonary

212 (11.1 %)

44 (11.2 %)

55 (8.7 %)

44 (14.6 %)

69 (11.9 %)

0.053

 Sensory

83 (4.4 %)

13 (3.3 %)

38 (6.0 %)

8 (2.6 %)

24 (4.1 %)

0.06

 Other

817 (42.9 %)

185 (47.1 %)

257 (40.7 %)

139 (46.0 %)

236 (40.7 %)

0.095

Number of concurrent conditions

 0

51 (2.7 %)

13 (3.3 %)

16 (2.5 %)

9 (3.0 %)

13 (2.2 %)

0.242

 1

241 (12.6 %)

43 (10.9 %)

79 (12.5 %)

33 (10.9 %)

86 (14.8 %)

 

 2

272 (14.3 %)

60 (15.3 %)

93 (14.7 %)

35 (11.6 %)

84 (14.5 %)

 

 3+

1,034 (54.2 %)

212 (53.9 %)

358 (56.7 %)

174 (57.6 %)

290 (50.0 %)

 

 missing

308 (16.2 %)

65 (16.5 %)

85 (13.5 %)

51 (16.9 %)

107 (18.4 %)

 

Resource Utilization Group (RUG-III class)

 Special Rehabilitation

917 (48.1 %)

199 (50.6 %)

296 (46.9 %)

160 (53.0 %)

262 (45.2 %)

0.001

 Extensive Services

91 (4.8 %)

15 (3.8 %)

25 (4.0 %)

9 (3.0 %)

42 (7.2 %)

 

 Special Care

232 (12.2 %)

47 (12.0 %)

84 (13.3 %)

44 (14.6 %)

57 (9.8 %)

 

 Clinically Complex

253 (13.3 %)

49 (12.5 %)

95 (15.1 %)

29 (9.6 %)

80 (13.8 %)

 

 Functional Impairment

73 (3.8 %)

10 (2.5 %)

35 (5.5 %)

7 (2.3 %)

21 (3.6 %)

 

  missing

340 (17.8 %)

73 (18.6 %)

96 (15.2 %)

53 (17.5 %)

118 (20.3 %)

 

Activity of Daily Living Self-Performance Hierarchy

 0

203 (10.7 %)

44 (11.2 %)

53 (8.4 %)

35 (11.6 %)

71 (12.2 %)

<.001

 1–3

710 (37.3 %)

160 (40.7 %)

220 (34.9 %)

127 (42.1 %)

203 (35.0 %)

 

 4–6

685 (35.9 %)

124 (31.6 %)

273 (43.3 %)

89 (29.5 %)

199 (34.3 %)

 

  missing

308 (16.2 %)

65 (16.5 %)

85 (13.5 %)

51 (16.9 %)

107 (18.4 %)

 

Cog4nitive Performance Scale

 0–2

1,087 (57.0 %)

266 (67.7 %)

301 (47.7 %)

200 (66.2 %)

320 (55.2 %)

<.001

 3+

511 (26.8 %)

62 (15.8 %)

245 (38.8 %)

51 (16.9 %)

153 (26.4 %)

 

  missing

308 (16.2 %)

65 (16.5 %)

85 (13.5 %)

51 (16.9 %)

107 (18.4 %)

 

Changes in Health, End-Stage Disease, Signs, and Symptoms Scale

 0

488 (25.6 %)

105 (26.7 %)

176 (27.9 %)

66 (21.9 %)

141 (24.3 %)

0.276

 1–3

1,024 (53.7 %)

209 (53.2 %)

344 (54.5 %)

169 (56.0 %)

302 (52.1 %)

 

 4+

86 (4.5 %)

14 (3.6 %)

26 (4.1 %)

16 (5.3 %)

30 (5.2 %)

 

  missing

308 (16.2 %)

65 (16.5 %)

85 (13.5 %)

51 (16.9 %)

107 (18.4 %)

 

Depression Rating Scale

 0–2

1,219 (64.0 %)

258 (65.6 %)

411 (65.1 %)

195 (64.6 %)

355 (61.2 %)

0.329

 3+

364 (19.1 %)

68 (17.3 %)

129 (20.4 %)

54 (17.9 %)

113 (19.5 %)

 

  missing

323 (16.9 %)

67 (17.0 %)

91 (14.4 %)

53 (17.5 %)

112 (19.3 %)

 

Index of Social Engagement

 0–2

644 (33.8 %)

108 (27.5 %)

265 (42.0 %)

85 (28.1 %)

186 (32.1 %)

<.001

 3+

954 (50.1 %)

220 (56.0 %)

281 (44.5 %)

166 (55.0 %)

287 (49.5 %)

 

  missing

308 (16.2 %)

65 (16.5 %)

85 (13.5 %)

51 (16.9 %)

107 (18.4 %)

 

Aggressive Behaviour Scale

 0

1,161 (60.9 %)

261 (66.4 %)

373 (59.1 %)

188 (62.3 %)

339 (58.4 %)

0.005

 1+

422 (22.1 %)

65 (16.5 %)

167 (26.5 %)

61 (20.2 %)

129 (22.2 %)

 

  missing

323 (16.9 %)

67 (17.0 %)

91 (14.4 %)

53 (17.5 %)

112 (19.3 %)

 
  1. SD standard deviation, IQR interquartile range