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Table 2 Mortality and health system use among 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  
Number of deaths, n (%)
 Within 7 days 52 (2.7 %) 0 (0.0 %) 15 (2.4 %) 12 (4.0 %) 25 (4.3 %) <.001
 Within 1 year 337 (17.7 %) 61 (15.5 %) 88 (13.9 %) 76 (25.2 %) 112 (19.3 %) <.001
 Within 5 years 787 (41.3 %) 149 (37.9 %) 269 (42.6 %) 142 (47.0 %) 227 (39.1 %) 0.057
Acute Care & Psychiatric Hospital Admissions
 Any admission, n (%) 981 (51.5 %) 197 (50.1 %) 302 (47.9 %) 128 (42.4 %) 354 (61.0 %) <.001
 Mean ± SD 1.9 ± 1.6 1.9 ± 1.4 1.7 ± 1.2 2.2 ± 1.9 1.9 ± 1.9 0.053
 Median (IQR) 1 (1–2) 1 (1–2) 1 (1–2) 1 (1–3) 1 (1–2) 0.025
 Acute length of stay       
 Mean ± SD 19.8 ± 84.5 13.3 ± 30.8 23.1 ± 104.9 17.8 ± 108.5 21.4 ± 75.1 0.613
 Median (IQR) 7 (4–13) 7 (4–12) 6 (4–12) 6 (3–10) 9 (4–15) <.001
Acute Care Alternate Level of Care (ALC) Admissions
 Any ALC, n (%) 196 (10.3 %) 54 (13.7 %) 42 (6.7 %) 23 (7.6 %) 77 (13.3 %) <.001
 ALC length of stay       
 Mean ± SD 23.0 ± 40.6 17.2 ± 23.6 30.6 ± 62.8 8.2 ± 7.7 27.3 ± 39.4 0.089
 Median (IQR) 10 (4–24) 11 (5–19) 8 (6–19) 6 (4–10) 15 (5–33) 0.049
Any Same-day Surgery Visits, n (%) 309 (16.2 %) 67 (17.0 %) 96 (15.2 %) 47 (15.6 %) 99 (17.1 %) 0.784
 Mean ± SD 1.6 ± 1.9 1.8 ± 2.3 1.5 ± 1.3 1.5 ± 1.1 1.8 ± 2.4 0.664
 Median (IQR) 1 (1–2) 1 (1–2) 1 (1–2) 1 (1–2) 1 (1–2) 0.296
Emergency Department Visits
 Any visit, n (%) 1,204 (63.2 %) 265 (67.4 %) 374 (59.3 %) 191 (63.2 %) 374 (64.5 %) 0.055
 Mean ± SD 10.6 ± 29.4 8.9 ± 24.3 10.5 ± 30.5 11.0 ± 28.5 11.6 ± 31.8 0.713
 Median (IQR) 2 (1–5) 3 (1–6) 2 (1–4) 3 (1–7) 2 (1–5) 0.006
Inpatient Rehabilitation Admissions
 Any admission, n (%) 263 (13.8 %) 25 (6.4 %) 72 (11.4 %) 15 (5.0 %) 151 (26.0 %) <.001
 Mean ± SD 1.1 ± 0.3 1.1 ± 0.4 1.2 ± 0.4 1.1 ± 0.4 1.1 ± 0.2 0.103
 Median (IQR) 1 (1–1) 1 (1–1) 1 (1–1) 1 (1–1) 1 (1–1) 0.151
Complex Continuing Care Admissions
 Any admission, n (%) 389 (20.4 %) 55 (14.0 %) 160 (25.4 %) 32 (10.6 %) 142 (24.5 %) <.001
 Mean ± SD 7.0 ± 7.6 3.7 ± 5.5 8.7 ± 8.2 2.6 ± 2.8 7.3 ± 7.4 <.001
 Median (IQR) 4 (2–9) 2 (1–3) 6 (3–11) 1 (1–3) 5 (2–10) <.001
Primary Care Physician Visits
 Any visit, n (%) 1,764 (92.5 %) 356 (90.6 %) 631 (100.0 %) 302 (100.0 %) 475 (81.9 %) <.001
 Mean ± SD 21.0 ± 27.1 9.1 ± 9.6 32.0 ± 32.9 14.0 ± 13.4 19.6 ± 28.3 <.001
 Median (IQR) 11 (5–24) 6 (3–12) 20 (9–44) 11 (5–18) 8 (4–19) <.001
Specialist Visits
 Any visit, n (%) 1,425 (74.8 %) 307 (78.1 %) 447 (70.8 %) 230 (76.2 %) 441 (76.0 %) 0.04
 Mean ± SD 6.9 ± 9.8 6.8 ± 7.0 5.9 ± 8.6 7.0 ± 7.3 7.8 ± 13.1 0.034
 Median (IQR) 4 (2–8) 5 (2–9) 4 (2–7) 5 (2–10) 4 (2–9) 0.003
Home Care Service Use
 Any home care service use, n (%) 626 (32.8 %) 252 (64.1 %) 89 (14.1 %) 176 (58.3 %) 109 (18.8 %) <.001
 Mean ± SD 19.0 ± 19.7 23.7 ± 22.2 13.5 ± 17.3 18.9 ± 17.7 12.6 ± 15.2 <.001
 Median (IQR) 12 (6–26) 18 (9–31) 7 (3–18) 14 (6–25) 7 (4–14) <.001
Long-Term Care Use
 Any long-term care applications, n (%) 138 (7.2 %) 36 (9.2 %) 42 (6.7 %) 16 (5.3 %) 44 (7.6 %) 0.233
 Any long-term care placements, n(%) 300 (15.7 %) 21 (5.3 %) 196 (31.1 %) 14 (4.6 %) 69 (11.9 %) <.001
  1. SD standard deviation, IQR interquartile range