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Table 1 Baseline characteristics and outcomes of ALC and non-ALC patients

From: Risk factors, costs and complications of delayed hospital discharge from internal medicine wards at a Canadian academic medical centre: retrospective cohort study

 

ALC patients (N = 255)

Non-ALC patients (N = 4056)

P-value

Age median (IQR)

81.0 (72.5–88.0)

68.0 (55.0–79.0)

< 0.0001

Age by category

 < 80 years

103 (40.4%)

3059 (75.4%)

< 0.0001

 > =80 years

152 (59.6%)

997 (24.6%)

 

Male

111 (43.5%)

2049 (50.5%)

0.0357

Estimated yearly income ($) based on postal code

35,277

35,277

0.4345

Median (IQR)

(32,410-36,685)

(31,883-36,685)

Marital status

 Currently married

100 (39.2%)

1817 (44.8%)

< 0.0001

 Widowed

87 (34.1%)

707 (17.4%)

 

 Other

68 (26.7%)

1532 (37.8%)

 

Admitted from

 Home

187 (73.3%)

3639 (89.7%)

< 0.0001

 Retirement home

51 (20.0%)

245 (6.0%)

 

 Other

17 (6.7%)

172 (4.2%)

 

Charlson Comorbidity Index

 0

50 (19.6%)

1322 (32.6%)

< 0.0001

 1

57 (22.4%)

941 (23.2%)

 

 > =2

148 (58.0%)

1793 (44.2%)

 

Charlson Comorbidity

 Cerebrovascular disease

19 (7.5%)

83 (2.1%)

< 0.0001

 Dementia

79 (31.0%)

184 (4.5%)

< 0.0001

 Diabetes with complications

75 (29.4%)

790 (19.5%)

0.0002

Top 7 CMG

 139

11 (4.3%)

430 (10.6%)

0.0019

 Chronic obstructive pulmonary disease

 138

15 (5.9%)

232 (5.7%)

> 0.9999

 Viral / unspecified pneumonia

 487

17 (6.7%)

173 (4.3%)

0.0980

 Lower urinary tract infection

 

 254

4 (1.6%)

145 (3.6%)

0.1090

 Gastrointestinal hemorrhage

 196

9 (3.5%)

134 (3.3%)

0.9881

 Heart failure without cardiac catheter

 437

7 (2.8%)

113 (2.8%)

> 0.9999

 Diabetes

 477

6 (2.4%)

109 (2.7%)

0.9036

 Renal failure

Allied health team in hospital

 Physiotherapy

221 (86.7%)

1340 (33.0%)

< 0.0001

 Occupational therapy

178 (69.8%)

510 (12.6%)

< 0.0001

 Speech language pathology

50 (19.6%)

149 (3.7%)

< 0.0001

 Respiratory therapy

18 (7.1%)

175 (4.3%)

0.0575

Length of stay in days

30.85 (19.79–69.88)

3.95 (2.29–7.57)

< 0.0001

Median (IQR)

ALC days

13.00

  

Median (IQR)

(7.00–37.50)

Hospital cost per patient ($)

22,459

5003

< 0.0001

Median (IQR)

(11,230-52,837)

(3627-8189)

Complications in hospital

 Patients with any complication

65 (25.5%)

213 (5.3%)

< 0.0001

 Delirium

12 (4.7%)

29 (0.7%)

< 0.0001

 Aspiration

9 (3.5%)

16 (0.4%)

< 0.0001

 Pulmonary embolism

0 (0%)

3 (0.1%)

> 0.9999

 Congestive heart failure exacerbation

4 (1.6%)

47 (1.2%)

0.5424

 Acute kidney injury

7 (2.8%)

57 (1.4%)

0.1013

 Pressure ulcer

4 (1.6%)

3 (0.1%)

0.0004

 Traumatic fractures

3 (1.2%)

2 (0.1%)

0.0019

 Drug adverse effects

3 (1.2%)

10 (0.3%)

0.0376

 Nosocomial infections

36 (14.1%)

76 (1.9%)

< 0.0001

 Pneumonia

15 (5.9%)

24 (0.6%)

< 0.0001

 Urinary tract infection

17 (6.7%)

34 (0.8%)

< 0.0001

 Clostridioides difficile colitis

8 (3.1%)

9 (0.2%)

< 0.0001

 Sepsis

0 (0%)

12 (0.3%)

> 0.9999

Death in hospital

36 (14.1%)

166 (4.1%)

 

Mortality rate

0.25

0.66

 

Deaths / 100 patient days

Discharge destination (of those who were discharged alive)

< 0.0001

 Acute care hospital

6 (2.7%)

51 (1.3%)

 

 Rehabilitation

71 (32.4%)

65 (1.7%)

 

 Home

14 (6.4%)

2462 (63.3%)

 

 Home with community agency support

52 (23.7%)

1015 (26.1%)

 

 Retirement home

18 (8.2%)

145 (3.7%)

 

 Nursing home

38 (17.4%)

21 (0.5%)

 

 Chronic care

15 (6.9%)

32 (0.8%)

 

 Other

5 (2.3%)

99 (2.5%)

 

Readmission to hospital within 30 days (of those who were discharged alive)

26/219 (11.9%)

676/3890 (17.4%)

0.0440