From: Clinical factors contributing to high cost hospitalizations in a Canadian tertiary care centre
Variable | High cost admissions | |
---|---|---|
n = 200 | ||
Age at Admission – Mean (SD), years | 69 (15) | |
Male | 92 (46%) | |
Admitted route | Emergent | 146 (73%) |
Urgent | 20 (10%) | |
Elective | 34 (17%) | |
Elixhauser Comorbidity Score - Mean (SD) | 7.1 (6.6) | |
Total LOS (days) - Median (IQR) | 27 (18–48) | |
Acute LOS (days) - Median (IQR) | 21 (14–31) | |
ICU Days | >0 | 58 (29%) |
Median (IQR) | 9 (6–14) | |
ALC Days | >0 | 65 (33%) |
Median (IQR) | 29 (17–40) | |
Total Cost (CDN) - Median (IQR) | $35,438 ($23,963–$54,075) | |
Discharge disposition | Died | 28 (14%) |
Home | 38 (19%) | |
Home with supportive services | 53 (27%) | |
Other acute care facility | 16 (8%) | |
Long-term care | 62 (31%) | |
Other | 3 (2%) | |
Reason for admission | Cancer | 12 (6%) |
Complex medical | 98 (49%) | |
Elective surgery | 28 (14%) | |
Emergent surgery | 28 (14%) | |
Maternal | 2 (1%) | |
Social | 9 (5%) | |
Trauma | 23 (12%) | |
Complications | 119 (60%) | |
Services delay | 78 (39%) | |
Disposition delay | 105 (53%) | |
Inefficient clinical decision-making | 25 (13%) | |
Inpatient encounters in 365 days post discharge | Total accumulated inpatient days - Mean (SD) | 15 (33) |
0 visits | 112 (56%) | |
1 visit | 51 (26%) | |
2 visits | 19 (10%) | |
3 visits | 12 (6%) | |
4+ visits | 6 (3%) |