Table 2 Inpatient healthcare use in the last year of life by high user groups
Inpatient Service | Persistent high user (N = 11,375) | Non-persistent high user (N = 78,989) | Non-high user (N = 88,141) | Total (N = 191,310) |
|---|---|---|---|---|
# of hospital admissions: mean, median (IQR) | 5.0, 4.0 (3–6) | 2.8, 2.0 (1–4) | 1.8, 2.0 (1–2) | 2.5, 2.0 (1–3) |
Total # of hospital admissions: N, (Col%) | ||||
 1 | 397 (3.5) | 20,569 (26.0) | 43,879 (49.8) | 66,433 (34.7) |
 2 | 1363 (12.0) | 20,793 (26.3) | 25,891 (29.4) | 50,866 (26.6) |
 3 | 1941 (17.1) | 16,011 (20.3) | 11,616 (13.2) | 32,288 (16.9) |
 4 | 2019 (17.8) | 10,084 (12.8) | 4468 (5.1) | 18,698 (9.8) |
  ≥5 | 5655 (49.7) | 11,532 (14.6) | 2287 (2.6) | 23,025 (12.0) |
Total days in hospital: mean, median (IQR) | 20.2,9 (4–23) | 19.8,10 (4–23) | 7.0,5 (2–9) | 15.0,7 (3–16) |
Intensive Care Unit | ||||
 # of admissions to ICU (Col%) | ||||
   0 | 49 | 77 | 92 | 81.1 |
   1 | 24 | 15 | 7 | 12.3 |
   ≥2 | 28 | 8 | 1 | 6.6 |
 # of admissions to ICUa: mean, median (IQR) | 2.2, 2.0 (1–3) | 1.6, 1.0 (1–2) | 1.2, 1.0 (1–1) | 1.6, 1.0 (1–2) |
Total days in ICUa: mean, median (IQR) | 13.7, 6.9 (3–15) | 7.6, 4.1 (2.0–8.7) | 3.7, 2.7 (1.3–4.8) | 7.9, 4.1 (1.9–8.6) |
Alternate Level of Care | ||||
 # of admissions to ALC (Col%) | ||||
   0 | 65 | 86 | 94 | 87 |
   1 | 24 | 12 | 5 | 11 |
   ≥2 | 11 | 2 | < 1 | 2 |
 # of admissions to ALCa: mean, median (IQR) | 1.4, 1.0 (1–2) | 1.2, 1.0 (1–1) | 1.1, 1.0 (1–1) | 1.2, 1.0 (1–1) |
Total days in ALCa: mean, median (IQR) | 32.4, 16.0 (7–41) | 22.3, 11.0 (5–26) | 10.8, 7.0 (3–13) | 23.8, 11.0 (5–27) |
Terminal Hospitalization Admission Type | ||||
 Elective (Col%) | 12 | 10 | 4 | 7 |
   Length of Stay: mean, median (IQR) | 46.7, 28.0 (11–55) | 33.3, 20.0 (9–39) | 7.2, 5.0 (2–10) | 26.5, 13.0 (5–31) |
 Emergent/Urgent (Col%) | 88 | 90 | 96 | 93 |
   Length of Stay: mean, median (IQR) | 34.8, 20.0 (8–44) | 32.1, 21.0 (9–40) | 7.0, 5.0 (2–10) | 18.6, 9.0 (3–22) |
In-hospital Interventions: N, (Col%) | ||||
  Mechanical ventilation | 2966 (26%) | 22,947 (29%) | 13,058 (15%) | 40,510 (21%) |
  Cardiopulmonary resuscitation | 685 (6%) | 4604 (6%) | 4235 (5%) | 10,040 (5%) |
  Defibrillation | 232 (2%) | 2066 (3%) | 1406 (2%) | 3863 (2%) |
  Dialysis | 1519 (13%) | 6886 (9%) | 1608 (2%) | 10,492 (5%) |
  Percutaneous coronary intervention | 55 (< 1%) | 842 (1%) | 732 (1%) | 1661 (1%) |
  Feeding tube | 590 (5%) | 4000 (5%) | 869 (1%) | 5586 (3%) |
  Blood transfusion | 33 (< 1%) | 88 (< 1%) | 25 (< 1%) | 153 (< 1%) |
  Bronchoscopy | 277 (2%) | 2207 (3%) | 278 (< 1%) | 2794 (1%) |
  Any interventionab | 4120 (36%) | 27,962 (35%) | 16,428 (19%) | 50,681 (26%) |