Table 2 Mortality and health system use among 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 7Â days of discharge
| Â | 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 | Â |
Number of deaths, n (%) | ||||||
 Within 7 days | 52 (2.7 %) | 0 (0.0 %) | 15 (2.4 %) | 12 (4.0 %) | 25 (4.3 %) | <.001 |
 Within 1 year | 337 (17.7 %) | 61 (15.5 %) | 88 (13.9 %) | 76 (25.2 %) | 112 (19.3 %) | <.001 |
 Within 5 years | 787 (41.3 %) | 149 (37.9 %) | 269 (42.6 %) | 142 (47.0 %) | 227 (39.1 %) | 0.057 |
Acute Care & Psychiatric Hospital Admissions | ||||||
 Any admission, n (%) | 981 (51.5 %) | 197 (50.1 %) | 302 (47.9 %) | 128 (42.4 %) | 354 (61.0 %) | <.001 |
 Mean ± SD | 1.9 ± 1.6 | 1.9 ± 1.4 | 1.7 ± 1.2 | 2.2 ± 1.9 | 1.9 ± 1.9 | 0.053 |
 Median (IQR) | 1 (1–2) | 1 (1–2) | 1 (1–2) | 1 (1–3) | 1 (1–2) | 0.025 |
 Acute length of stay |  |  |  |  |  |  |
 Mean ± SD | 19.8 ± 84.5 | 13.3 ± 30.8 | 23.1 ± 104.9 | 17.8 ± 108.5 | 21.4 ± 75.1 | 0.613 |
 Median (IQR) | 7 (4–13) | 7 (4–12) | 6 (4–12) | 6 (3–10) | 9 (4–15) | <.001 |
Acute Care Alternate Level of Care (ALC) Admissions | ||||||
 Any ALC, n (%) | 196 (10.3 %) | 54 (13.7 %) | 42 (6.7 %) | 23 (7.6 %) | 77 (13.3 %) | <.001 |
 ALC length of stay |  |  |  |  |  |  |
 Mean ± SD | 23.0 ± 40.6 | 17.2 ± 23.6 | 30.6 ± 62.8 | 8.2 ± 7.7 | 27.3 ± 39.4 | 0.089 |
 Median (IQR) | 10 (4–24) | 11 (5–19) | 8 (6–19) | 6 (4–10) | 15 (5–33) | 0.049 |
Any Same-day Surgery Visits, n (%) | 309 (16.2Â %) | 67 (17.0Â %) | 96 (15.2Â %) | 47 (15.6Â %) | 99 (17.1Â %) | 0.784 |
 Mean ± SD | 1.6 ± 1.9 | 1.8 ± 2.3 | 1.5 ± 1.3 | 1.5 ± 1.1 | 1.8 ± 2.4 | 0.664 |
 Median (IQR) | 1 (1–2) | 1 (1–2) | 1 (1–2) | 1 (1–2) | 1 (1–2) | 0.296 |
Emergency Department Visits | ||||||
 Any visit, n (%) | 1,204 (63.2 %) | 265 (67.4 %) | 374 (59.3 %) | 191 (63.2 %) | 374 (64.5 %) | 0.055 |
 Mean ± SD | 10.6 ± 29.4 | 8.9 ± 24.3 | 10.5 ± 30.5 | 11.0 ± 28.5 | 11.6 ± 31.8 | 0.713 |
 Median (IQR) | 2 (1–5) | 3 (1–6) | 2 (1–4) | 3 (1–7) | 2 (1–5) | 0.006 |
Inpatient Rehabilitation Admissions | ||||||
 Any admission, n (%) | 263 (13.8 %) | 25 (6.4 %) | 72 (11.4 %) | 15 (5.0 %) | 151 (26.0 %) | <.001 |
 Mean ± SD | 1.1 ± 0.3 | 1.1 ± 0.4 | 1.2 ± 0.4 | 1.1 ± 0.4 | 1.1 ± 0.2 | 0.103 |
 Median (IQR) | 1 (1–1) | 1 (1–1) | 1 (1–1) | 1 (1–1) | 1 (1–1) | 0.151 |
Complex Continuing Care Admissions | ||||||
 Any admission, n (%) | 389 (20.4 %) | 55 (14.0 %) | 160 (25.4 %) | 32 (10.6 %) | 142 (24.5 %) | <.001 |
 Mean ± SD | 7.0 ± 7.6 | 3.7 ± 5.5 | 8.7 ± 8.2 | 2.6 ± 2.8 | 7.3 ± 7.4 | <.001 |
 Median (IQR) | 4 (2–9) | 2 (1–3) | 6 (3–11) | 1 (1–3) | 5 (2–10) | <.001 |
Primary Care Physician Visits | ||||||
 Any visit, n (%) | 1,764 (92.5 %) | 356 (90.6 %) | 631 (100.0 %) | 302 (100.0 %) | 475 (81.9 %) | <.001 |
 Mean ± SD | 21.0 ± 27.1 | 9.1 ± 9.6 | 32.0 ± 32.9 | 14.0 ± 13.4 | 19.6 ± 28.3 | <.001 |
 Median (IQR) | 11 (5–24) | 6 (3–12) | 20 (9–44) | 11 (5–18) | 8 (4–19) | <.001 |
Specialist Visits | ||||||
 Any visit, n (%) | 1,425 (74.8 %) | 307 (78.1 %) | 447 (70.8 %) | 230 (76.2 %) | 441 (76.0 %) | 0.04 |
 Mean ± SD | 6.9 ± 9.8 | 6.8 ± 7.0 | 5.9 ± 8.6 | 7.0 ± 7.3 | 7.8 ± 13.1 | 0.034 |
 Median (IQR) | 4 (2–8) | 5 (2–9) | 4 (2–7) | 5 (2–10) | 4 (2–9) | 0.003 |
Home Care Service Use | ||||||
 Any home care service use, n (%) | 626 (32.8 %) | 252 (64.1 %) | 89 (14.1 %) | 176 (58.3 %) | 109 (18.8 %) | <.001 |
 Mean ± SD | 19.0 ± 19.7 | 23.7 ± 22.2 | 13.5 ± 17.3 | 18.9 ± 17.7 | 12.6 ± 15.2 | <.001 |
 Median (IQR) | 12 (6–26) | 18 (9–31) | 7 (3–18) | 14 (6–25) | 7 (4–14) | <.001 |
Long-Term Care Use | ||||||
 Any long-term care applications, n (%) | 138 (7.2 %) | 36 (9.2 %) | 42 (6.7 %) | 16 (5.3 %) | 44 (7.6 %) | 0.233 |
 Any long-term care placements, n(%) | 300 (15.7 %) | 21 (5.3 %) | 196 (31.1 %) | 14 (4.6 %) | 69 (11.9 %) | <.001 |