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Table 1 Baseline demographic and functional characteristics of young to midlife Ontario adults discharged from complex continuing care between April 1st 2005 and March 31st 2006, by type of community follow-up within 7 days of discharge

From: Patterns of community follow-up, subsequent health service use and survival among young and mid-life adults discharged from chronic care hospitals: a retrospective cohort study

  Overall Home Care Visit Only Primary Care Physician Visit Only Both Neither p-value
Young to midlife adults discharged from complex continuing care, N 1,906 393 631 302 580  
Age (years)
 Mean ± SD 52.0 ± 10.2 52.2 ± 10.4 52.0 ± 9.7 52.6 ± 10.0 51.6 ± 10.6 0.549
 18–54 933 (49.0 %) 186 (47.3 %) 306 (48.5 %) 147 (48.7 %) 294 (50.7 %) 0.758
 55–64 973 (51.0 %) 207 (52.7 %) 325 (51.5 %) 155 (51.3 %) 286 (49.3 %)  
Sex
 Female 919 (48.2 %) 217 (55.2 %) 277 (43.9 %) 158 (52.3 %) 267 (46.0 %) 0.001
 Male 987 (51.8 %) 176 (44.8 %) 354 (56.1 %) 144 (47.7 %) 313 (54.0 %)  
Neighbourhood income quintile
 Q1 (lowest) 547 (28.7 %) 122 (31.0 %) 169 (26.8 %) 94 (31.1 %) 162 (27.9 %) 0.122
 Q2 396 (20.8 %) 76 (19.3 %) 132 (20.9 %) 52 (17.2 %) 136 (23.4 %)  
 Q3 367 (19.3 %) 67 (17.0 %) 127 (20.1 %) 60 (19.9 %) 113 (19.5 %)  
 Q4 327 (17.2 %) 69 (17.6 %) 109 (17.3 %) 50 (16.6 %) 99 (17.1 %)  
 Q5 (highest) 250 (13.1 %) 55 (14.0 %) 88 (13.9 %) 38 (12.6 %) 69 (11.9 %)  
Rurality Index of Ontario
 Major urban 1,230 (64.5 %) 231 (58.8 %) 430 (68.1 %) 181 (59.9 %) 388 (66.9 %) 0.004
 urban 427 (22.4 %) 116 (29.5 %) 121 (19.2 %) 70 (23.2 %) 120 (20.7 %)  
 Rural 201 (10.5 %) 41 (10.4 %) 62 (9.8 %) 42 (13.9 %) 56 (9.7 %)  
Living status
Not reported 117 (6.1 %) 14 (3.6 %) 53 (8.4 %) 14 (4.6 %) 36 (6.2 %) 0.041
 Others 1,331 (69.8 %) 285 (72.5 %) 438 (69.4 %) 207 (68.5 %) 401 (69.1 %)  
 Reported living alone 458 (24.0 %) 94 (23.9 %) 140 (22.2 %) 81 (26.8 %) 143 (24.7 %)  
Primary language spoken at home
 Other 151 (7.9 %) 18 (4.6 %) 57 (9.0 %) 22 (7.3 %) 54 (9.3 %) 0.032
 English 1,755 (92.1 %) 375 (95.4 %) 574 (91.0 %) 280 (92.7 %) 526 (90.7 %)  
Length of stay in Complex Continuing Care
 Mean ± SD 214.2 ± 797.5 72.9 ± 285.5 376.9 ± 1,131.1 78.3 ± 276.1 203.6 ± 744.0 <.001
 Median (IQR) 36 (15–98) 28 (13–57) 59 (20–199) 26 (13–58) 38 (16–96) <.001
  < 30 days 851 (44.6 %) 207 (52.7 %) 220 (34.9 %) 167 (55.3 %) 257 (44.3 %) <.001
 30 to 90 days 542 (28.4 %) 126 (32.1 %) 160 (25.4 %) 86 (28.5 %) 170 (29.3 %)  
  > 90 days 513 (27.0 %) 60 (15.2 %) 251 (39.7 %) 49 (16.2 %) 153 (26.4 %)  
Home care referral prior to discharge
 No 1,112 (58.3 %) 106 (27.0 %) 427 (67.7 %) 84 (27.8 %) 495 (85.3 %) <.001
 Yes 794 (41.7 %) 287 (73.0 %) 204 (32.3 %) 218 (72.2 %) 85 (14.7 %)  
Health conditions/diagnoses
 Endocrine/Metabolic/Nutritional 527 (27.6 %) 118 (30.0 %) 166 (26.3 %) 93 (30.8 %) 150 (25.9 %) 0.251
 Heart/Circulation 689 (36.1 %) 155 (39.4 %) 217 (34.4 %) 119 (39.4 %) 198 (34.1 %) 0.165
 Musculoskeletal 428 (22.5 %) 116 (29.5 %) 123 (19.5 %) 74 (24.5 %) 115 (19.8 %) <.001
 Neurological 889 (46.6 %) 153 (38.9 %) 356 (56.4 %) 120 (39.7 %) 260 (44.8 %) <.001
 Psychiatric/Mood 534 (28.0 %) 92 (23.4 %) 208 (33.0 %) 83 (27.5 %) 151 (26.0 %) 0.005
 Pulmonary 212 (11.1 %) 44 (11.2 %) 55 (8.7 %) 44 (14.6 %) 69 (11.9 %) 0.053
 Sensory 83 (4.4 %) 13 (3.3 %) 38 (6.0 %) 8 (2.6 %) 24 (4.1 %) 0.06
 Other 817 (42.9 %) 185 (47.1 %) 257 (40.7 %) 139 (46.0 %) 236 (40.7 %) 0.095
Number of concurrent conditions
 0 51 (2.7 %) 13 (3.3 %) 16 (2.5 %) 9 (3.0 %) 13 (2.2 %) 0.242
 1 241 (12.6 %) 43 (10.9 %) 79 (12.5 %) 33 (10.9 %) 86 (14.8 %)  
 2 272 (14.3 %) 60 (15.3 %) 93 (14.7 %) 35 (11.6 %) 84 (14.5 %)  
 3+ 1,034 (54.2 %) 212 (53.9 %) 358 (56.7 %) 174 (57.6 %) 290 (50.0 %)  
 missing 308 (16.2 %) 65 (16.5 %) 85 (13.5 %) 51 (16.9 %) 107 (18.4 %)  
Resource Utilization Group (RUG-III class)
 Special Rehabilitation 917 (48.1 %) 199 (50.6 %) 296 (46.9 %) 160 (53.0 %) 262 (45.2 %) 0.001
 Extensive Services 91 (4.8 %) 15 (3.8 %) 25 (4.0 %) 9 (3.0 %) 42 (7.2 %)  
 Special Care 232 (12.2 %) 47 (12.0 %) 84 (13.3 %) 44 (14.6 %) 57 (9.8 %)  
 Clinically Complex 253 (13.3 %) 49 (12.5 %) 95 (15.1 %) 29 (9.6 %) 80 (13.8 %)  
 Functional Impairment 73 (3.8 %) 10 (2.5 %) 35 (5.5 %) 7 (2.3 %) 21 (3.6 %)  
missing 340 (17.8 %) 73 (18.6 %) 96 (15.2 %) 53 (17.5 %) 118 (20.3 %)  
Activity of Daily Living Self-Performance Hierarchy
 0 203 (10.7 %) 44 (11.2 %) 53 (8.4 %) 35 (11.6 %) 71 (12.2 %) <.001
 1–3 710 (37.3 %) 160 (40.7 %) 220 (34.9 %) 127 (42.1 %) 203 (35.0 %)  
 4–6 685 (35.9 %) 124 (31.6 %) 273 (43.3 %) 89 (29.5 %) 199 (34.3 %)  
missing 308 (16.2 %) 65 (16.5 %) 85 (13.5 %) 51 (16.9 %) 107 (18.4 %)  
Cog4nitive Performance Scale
 0–2 1,087 (57.0 %) 266 (67.7 %) 301 (47.7 %) 200 (66.2 %) 320 (55.2 %) <.001
 3+ 511 (26.8 %) 62 (15.8 %) 245 (38.8 %) 51 (16.9 %) 153 (26.4 %)  
missing 308 (16.2 %) 65 (16.5 %) 85 (13.5 %) 51 (16.9 %) 107 (18.4 %)  
Changes in Health, End-Stage Disease, Signs, and Symptoms Scale
 0 488 (25.6 %) 105 (26.7 %) 176 (27.9 %) 66 (21.9 %) 141 (24.3 %) 0.276
 1–3 1,024 (53.7 %) 209 (53.2 %) 344 (54.5 %) 169 (56.0 %) 302 (52.1 %)  
 4+ 86 (4.5 %) 14 (3.6 %) 26 (4.1 %) 16 (5.3 %) 30 (5.2 %)  
missing 308 (16.2 %) 65 (16.5 %) 85 (13.5 %) 51 (16.9 %) 107 (18.4 %)  
Depression Rating Scale
 0–2 1,219 (64.0 %) 258 (65.6 %) 411 (65.1 %) 195 (64.6 %) 355 (61.2 %) 0.329
 3+ 364 (19.1 %) 68 (17.3 %) 129 (20.4 %) 54 (17.9 %) 113 (19.5 %)  
missing 323 (16.9 %) 67 (17.0 %) 91 (14.4 %) 53 (17.5 %) 112 (19.3 %)  
Index of Social Engagement
 0–2 644 (33.8 %) 108 (27.5 %) 265 (42.0 %) 85 (28.1 %) 186 (32.1 %) <.001
 3+ 954 (50.1 %) 220 (56.0 %) 281 (44.5 %) 166 (55.0 %) 287 (49.5 %)  
missing 308 (16.2 %) 65 (16.5 %) 85 (13.5 %) 51 (16.9 %) 107 (18.4 %)  
Aggressive Behaviour Scale
 0 1,161 (60.9 %) 261 (66.4 %) 373 (59.1 %) 188 (62.3 %) 339 (58.4 %) 0.005
 1+ 422 (22.1 %) 65 (16.5 %) 167 (26.5 %) 61 (20.2 %) 129 (22.2 %)  
missing 323 (16.9 %) 67 (17.0 %) 91 (14.4 %) 53 (17.5 %) 112 (19.3 %)  
  1. SD standard deviation, IQR interquartile range