Table 4 Predisposing and need factors of chronic patients using hospital care by adjusted morbidity groups (AMG) risk levels and sex
Hospital care users n (%) | High risk 376 (8.8) | Medium risk 1251 (29.2) | Low risk 2657 (62) | P | Female sex 2626 (61.3) | Male sex 1658 (38.7) | p |
|---|---|---|---|---|---|---|---|
Predisposing factors | |||||||
Female gender | 198 (52.7) | 794 (63.5) | 1634 (61.5) | 2626 (61.3) | 0 | ||
Agea | 78 (12.2) | 71.9 (14.7) | 52.4 (19.5) | < 0.01 | 61.2 (20.4) | 59,1 (20.4) | < 0.01 |
< 15 years | 1 (0.3) | 9 (0.7) | 104 (3.9) | 52 (2) | 62 (3.7) | < 0.01 | |
15–65 years | 57 (15.2) | 329 (26.3) | 1850 (69.6) | < 0.01 | 1344 (51.2) | 892 (53.8) | |
> 65 years | 318 (84.6) | 913 (73) | 703 (26.5) | 1230 (46.8) | 704 (42.5) | ||
Origin Spain | 341 (90.1) | 1181 (94.4) | 2463(92.7) | 0.032 | 2460 (93.7) | 1525 (92) | 0.01 |
Europe | 6 (1.6) | 23 (1.8) | 52 (2) | 53 (2) | 28 (1.7) | ||
Rest of the world | 29 (7.7) | 47 (3.8) | 142 (5.3) | 113 (4.3) | 105 (6.3) | ||
Necessity factors | |||||||
Immobilized | 96 (25.5) | 75 (6) | 23 (0.9) | < 0.01 | 138 (5.3) | 56 (3.4) | < 0.01 |
Institutionalized | 31 (8.2) | 27 (2.2) | 30 (1.1) | < 0.01 | 65 (2.5) | 23 (1.4) | 0.014 |
Primary caregiver | 80 (21.3) | 61 (4.9) | 13 (0.5) | < 0.01 | 106 (4) | 48 (2.9) | 0.051 |
Home support | 22 (5.9) | 24 (1.9) | 4 (0.2) | < 0.01 | 31 (1.2) | 19 (1.1) | 0.92 |
Palliative care | 25 (6.6) | 5 (0.4) | 5 (0.2) | < 0.01 | 16 (0.6) | 19 (1.1) | 0.057 |
Complexity weighta | 30.6 (12.6) | 12.7 (2.7) | 4.8 (2.2) | < 0.01 | 9.2 (7.9) | 9.7 (9.5) | 0.41 |
Multimorbidity | 372 (98.9) | 1207 (96.5) | 1566 (58.9) | < 0.01 | 1962 (74.7) | 1183 (71.4) | 0.015 |
Chronic diseasesa | 6.9 (2.4) | 4.3 (1.5) | 2.1 (1.2) | < 0.01 | 3.2 (2.1) | 3.01 (2.02) | < 0.01 |
Anemia | 99 (26.3) | 115 (9.2) | 187 (7) | < 0.01 | 292 (11.1) | 109 (6.6) | < 0.01 |
Anxiety | 75 (19.9) | 289 (23.1) | 661 (24.9) | 0.08 | 732 (27.9) | 293 (17.7) | < 0.01 |
Osteoarthritis | 96 (25.5) | 325 (26) | 217 (8.2) | < 0.01 | 476 (18.1) | 162 (9.8) | < 0.01 |
Asthma | 25 (6.6) | 120 (9.6) | 311 (11.7) | < 0.01 | 315 (12) | 141 (8.5) | < 0.01 |
Ischemic heart disease | 92 (24.5) | 124 (9.9) | 44 (1.7) | < 0.01 | 93 (3.5) | 167 (10.1) | < 0.01 |
Cirrhosis | 44 (11.7) | 133 (10.6) | 94 (3.5) | < 0.01 | 139 (5.3) | 132 (8) | < 0.01 |
Dementia | 47 (12.5) | 54 (4.3) | 26 (1) | < 0.01 | 91 (3.5) | 36 (2.2) | 0.015 |
Depression | 88 (23.4) | 252 (20.1) | 288 (10.8) | < 0.01 | 478 (18.2) | 150 (9) | < 0.01 |
Diabetes mellitus | 156 (41.5) | 296 (23.7) | 178 (6.7) | < 0.01 | 308 (11.7) | 322 (19.4) | < 0.01 |
Dyslipidemia | 255 (67.8) | 758 (60.6) | 904 (34) | < 0.01 | 1134 (43.2) | 783 (47.2) | 0.01 |
Dysrhythmias | 166 (44.1) | 211 (16.9) | 72 (2.7) | < 0.01 | 257 (9.8) | 192 (11.6) | 0.062 |
COPD | 95 (25.3) | 124 (9.9) | 56 (2.1) | < 0.01 | 114 (4.3) | 161 (9.7) | < 0.01 |
Glaucoma | 39 (10.4) | 106 (8.5) | 102 (3.8) | < 0.01 | 161 (6.1) | 86 (5.2) | 0.197 |
Hypertension | 316 (84) | 828 (66.2) | 698 (26.3) | < 0.01 | 1084 (41.3) | 758 (45.7) | < 0.01 |
Stroke | 80 (21.3) | 69 (5.5) | 28 (1.1) | < 0.01 | 98 (3.7) | 79 (4.8) | 0.098 |
Heart failure | 110 (29.3) | 67 (5.4) | 6 (0.2) | < 0.01 | 117 (4.5) | 66 (4) | 0.45 |
Chronic kidney disease | 84 (22.3) | 26 (2.1) | 6 (0.2) | < 0.01 | 58 (2.2) | 58 (3.5) | 0.011 |
Active neoplasia | 144 (38.3) | 137 (11) | 60 (2.3) | < 0.01 | 156 (5.9) | 185 (11.2) | < 0.01 |
Obesity | 112 (29.8) | 322 (25.7) | 379 (14.3) | < 0.01 | 495 (18.8) | 318 (19.2) | 0.789 |
Thyroid disorder | 91 (24.2) | 279 (22.3) | 442 (16.6) | < 0.01 | 671 (25.6) | 141 (8.5) | < 0.01 |
HIV | 5 (1.3) | 7 (0.6) | 28 (1.1) | 0.22 | 4 (0.2) | 36 (2.2) | < 0.01 |
Polymedication | 307 (81.6) | 541 (43.2) | 225 (8.5) | < 0.01 | 708 (27) | 365 (22) | < 0.01 |