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Table 2 Comparison of patients’ clinical characteristics and the outcomes of the intervention between HaH and controls

From: Five years of Hospital at Home adoption in Catalonia: impact, challenges, and proposals for quality assurance

 

Matched HaH

Matched control

Effect size (CI)

n = 24,802

n = 24,802

Demographics & baseline use of resources

Age, mean (sd)

73.15 (16.31)

72.73 (16.29)

-0.03 [-0.04, -0.01]

Gender; n (%)

  Male

11,644 (46.95)

11,984 (48.32)

0.01 [0.01, 0.02]

  Female

13,158 (53.05)

12,818 (51.68)

AMG, mean (sd)

28.36 (15.81)

27.87 (15.82)

-0.03 [-0.05, -0.01]

Patients with HRSN associated to housing and economic conditions, n (%)

2,986 (12.04)

2,935 (11.83)

-0.01 [-0.01, 0.02]

Patients with HRSN associated to family and social environment, n (%)

7,229 (29.15)

7,072 (28.51)

-0.01 [-0.01, -0.03]

Patients receiving palliative care, n (%)

937 (3.78)

621 (2.5)

-0.71 [-0.06, -0.09]

Patients requiring hospital admissions within the 12 months before the admission, n (%)

11,580 (46.83)

11,050 (44.75)

-0.01 [-0.01, 0.03]

Patients requiring emergency room visits within the 12 months before the admission, n (%)

19,611 (79.31)

18,427 (74.63)

-0.02 [-0.04, 0.00]

Total Expenditure in € within the 12 months before the admission, median (P25-P75)

3,697.46 (1,522.40 – 7422.74)

3,399.38 (1380.34 – 7163.79)

-0.01 [-0.01, -0.03]

Hospitalization episode

LoS, mean (sd)

8.46 (6.05)

7.09 (5.83)

-0.23 [-0.25, -0.21]

Patients requiring in-hospital all-cause re-admissions, n (%)

1,204 (4.85)

N.A

N.A

Patients requiring emergency room visits without in-hospital readmission, n (%)

923 (3.72)

N.A

N.A

Mortality, n (%)

76 (0.31)

112 (0.45)

0.01 [0.01, 0.02]

Queralt Index, mean (sd)

28.04 (15.55)

36.69 (21.96)

0.45 [0.40, 0.53]

Case Mix Index

0.65

0.74

0.32 [0.31, 0.34]

Health outcomes 30 days after discharge

Mortality, n (%)

973 (3.94)

1112 (4.5)

0.01 [0.01, 0.02]

Patients requiring hospital admissions, n (%)

2,003 (8.08)

1,625 (6.58)

-0.07 [-0.09, -0.06]

Patients requiring emergency room visits, n (%)

4,109 (16.62)

3,968 (16.07)

-0.01 [-0.03, 0.01]

Total Expenditure in €, median (P25-P75)

809.92 (344.65 – 2,276.98)

681.11 (285.89 – 1,786.66)

-0.03 [-0.05, -0.02]

Rubin’s B

0.003

Rubin’s R

1.001

  1. AMG stands for Adjusted Morbidity Groups, HRSN for health-related social needs and LoS for length of stay. The comparability of the matched groups is assessed by Rubin’s B and Rubin’s R, considered acceptable if Rubin’s B is less than 0.25 and Rubin’s R is between 0.5 and 2