Table 4 Subgroup analysis stratified by the four most common reasons for admission
From: Clinical factors contributing to high cost hospitalizations in a Canadian tertiary care centre
Variablea | Reason for admission | ||||
|---|---|---|---|---|---|
Complex medical (n = 98) | Elective surgery (n = 28) | Emergent surgery (n = 28) | Trauma (n = 23) | ||
Age at admission - Mean (SD), years | 70 (15) | 67 (12) | 64 (14) | 75 (15) | |
Male | 44 (45%) | 18 (64%) | 15 (54%) | 8 (35%) | |
Admitted route | Emergent | 84 (86%) | 5 (18%) | 23 (82%) | 23 (100%) |
Elective | 5 (5%) | 21 (75%) | 2 (7%) | 0 (0%) | |
Urgent | 9 (9%) | 2 (7%) | 3 (11%) | 0 (0%) | |
Elixhauser Comorbidity Score - Mean (SD) | 8.5 (6.6) | 5.2 (5.7) | 3.4 (4.1) | 5.7 (5.5) | |
Total LOS (days) - Median (IQR) | 24 (19–47) | 16 (10–28) | 31 (15–51) | 29 (22–58) | |
Acute LOS (days) – Median (IQR) | 21 (15–28) | 16 (10–28) | 25 (14–46) | 21 (19–29) | |
ICU Days | >0 | 34 (35%) | 6 (21%) | 11 (39%) | 4 (17%) |
Median (IQR) | 9 (7–13) | 7 (3–8) | 8 (4–24) | 5 (3–11) | |
ALC Days | >0 | 36 (37%) | 0 (0%) | 8 (29%) | 12 (52%) |
Median (IQR) | 28 (17–38) | 0 | 18 (13–35) | 27 (13–62) | |
Total Cost (CDN) – Median (IQR) | $34,680 (23,969–54,258) | $34,137 (23,844–45,713) | $41,738 (23,475–83,092) | $38,529 (23,958–53,893) | |
Discharge Disposition | Died | 20 (20%) | 1 (4%) | 4 (14%) | 2 (9%) |
Home | 18 (18%) | 9 (32%) | 6 (21%) | 0 (0%) | |
Home with supportive services | 22 (22%) | 14 (50%) | 7 (25%) | 6 (26%) | |
Other acute care facility | 6 (6%) | 2 (7%) | 4 (14%) | 3 (13%) | |
Long-term care | 29 (30%) | 2 (7%) | 7 (25%) | 12 (52%) | |
Other | 3 (3%) | 0 (0%) | 0 (0%) | 0 (0%) | |
Complications | 62 (63%) | 17 (61%) | 19 (68%) | 8 (35%) | |
Services delay | 42 (43%) | 5 (18%) | 12 (43%) | 14 (61%) | |
Disposition delay | 54 (55%) | 3 (11%) | 15 (54%) | 20 (87%) | |
Inefficient clinical decision-making | 19 (19%) | 2 (7%) | 2 (7%) | 2 (9%) | |
Inpatient encounters in 365 days post discharge | Total accumulated inpatient days Mean (SD) | 14 (36) | 12 (18) | 16 (29) | 18 (40) |
0 visits | 59 (60%) | 14 (50%) | 14 (50%) | 13 (57%) | |
1 visit | 22 (22%) | 6 (21%) | 7 (25%) | 9 (39%) | |
2 visits | 9 (9%) | 6 (21%) | 2 (7%) | 0 (0%) | |
3 visits | 5 (5%) | 2 (7%) | 4 (14%) | 0 (0%) | |
4+ visits | 3 (3%) | 0 (0%) | 1 (4%) | 1 (4%) | |