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Table 2 The 180 day post-discharge healthcare utilization

From: Care trajectories of chronically ill older adult patients discharged from hospital: a quantitative cross-sectional study using health insurance claims data

 

Older adult with any admission in 2015 (N = 21,258)

Older adult admitted with hip fracture (N = 814)

Measure

N (%)

Mean (SD)

Median [Range]

N (%)

Mean (SD)

Median [Range]

Hospital

 Clinical admission

10,955 (51.5)

24.4 (29.2)

12 [1–179]

608 (74.7)***

44.9 (35.1)

38 [1–179]

 ICU day

1487 (7.0)

1.0 (0.2)

1 [1–2]

34 (4.2)

1.0 (0)

1 [1–1]

 ER visit

2612 (12.3)

1.3 (0.7)

1 [1–9]

60 (7.4)

1.2 (0.4)

1 [1–2]

 Outpatient visit

17,540 (82.5)

4.8 (4.0)

4 [1–74]

660 (81.1)***

3.9 (3.3)

3 [1–22]

 Day care treatment

2647 (12.5)

1.7 (2.4)

1 [1–77]

49 (6.0)

1.4 (0.7)

1 [1–4]

 Surgery

4510 (21.2)

1.5 (0.9)

1 [1–14]

204 (25.1)*

1.3 (0.6)

1 [1–5]

 Laboratory tests

13,697 (64.4)

10.1 (7.4)

9 [1–48]

487 (59.8)

10.6 (7.7)

10 [1–38]

 Pathology tests

167 (0.8)

1.0 (0.2)

1 [1–2]

< 10

  

 CT-scan

4577 (21.5)

1.4 (0.9)

1 [1–14]

103 (12.7)***

1.2 (0.5)

1 [1–4]

 MRI-scan

1123 (5.3)

1.2 (0.5)

1 [1–7]

18 (2.2)

1.2 (0.4)

1 [1–2]

 PET/CT-scan

348 (1.6)

1.1 (0.3)

1 [1–3]

< 10

  

 Other nuclear tests

427 (2.0)

1.3 (0.5)

1 [1–4]

< 10

  

 Other imaging

12,668 (59.6)

2.8 (2.7)

2 [1–39]

621 (76.3)

2.8 (2.3)

2 [1–21]

 Invasive diagnostics

3057 (14.4)

1.4 (1.0)

1 [1–18]

58 (7.1)

1.3 (0.7)

1 [1–4]

 Other non-invasive diagnostics

11,961 (56.3)

2.7 (2.6)

2 [1–42]

322 (39.6)**

1.8 (1.4)

1 [1–11]

 Rehabilitation days

4224 (19.9)

29.2 (23.4)

25 [1–161]

499 (61.3)***

34.6 (21.9)

29 [1–155]

Community home care

 Nursing hours

9675 (45.5)

26.8 (55.5)

0 [0–8]

367 (45.1)

18.8 (34.2)

5.9 [0.2–351.9]

 Care giving hours

10,216 (48.1)

94.3 (128.7)

0 [0–59]

377 (46.3)

81.8 (110.9)

56.5 [0.1–1431.5]

LTC at home or facility

 Nursing hours

439 (2.1)

1551.5 (2531.0)

665 [5–21,329]

14 (1.7)

392.9 (466.3)

203 [45–1528]

 Care giving hours

676 (3.2)

6510.0 (6710.7)

4230 [15–43,063]

16 (2.0)

3458.1 (3802.1)

2261.5 [105–13,890]

 HCI package 3, hours

388 (1.8)

108.7 (70.5)

122 [1–185]

31 (3.8)

114.8 (66.5)

119 [17–184]

 HCI package 4, hours

1152 (5.4)

115.0 (62.1)

124 [1–285]

93 (11.4)*

102.5 (60.8)

110 [1–195]

 HCI package 5, hours

832 (3.9)

110.9 (60.6)

117 [1–223]

90 (11.1)

111.0 (60.5)

107.5 [1–195]

 HCI package 6, hours

1227 (5.8)

101.9 (62.2)

102 [1–208]

93 (11.4)

103.6 (59.9)

103 [2–208]

 HCI package 7, hours

50 (0.2)

96.6 (63.5)

93 [1–184]

< 10

  

 HCI package 8, hours

24 (0.1)

105.9 (69.3)

132 [1–199]

< 10

  

 HCI package 9, hours

90 (0.4)

65.4 (52.4)

48 [1–181]

26 (3.2)

66.7 (51.6)

63.5 [6–173]

 HCI package 10, hours

60 (0.3)

25.3 (32.7)

12 [1–166]

< 10

  

Short stay nursing home

1037 (4.9)

43.4 (33.3)

38 [1–184]

44 (5.4)

45.3 (31.9)

45 [1–156]

GP care

 Consultations

19,276 (90.7)

8.1 (6.4)

7 [1–71]

707 (86.9)**

7.5 (6.1)

6 [1–40]

 Home visits

13,851 (65.2)

4.1 (3.8)

3 [1–53]

543 (66.7)

3.9 (3.3)

3 [1–19]

  1. All group differences were tested with a Chi-square test. Differences are significant at the significance levels .001 (***), .01(**), and .05 (*). The health care intensity packages are a predefined package of healthcare. The higher the package number, the more intense healthcare a person receives. It ranges from living with daily assistance and nursing care to intensive palliative care in a home
  2. CT-scan computerized tomography scan, ER emergency room, GP general practitioner, HCI health care intensity, ICU intensive care unit, LTC long-term care, MRI-scan magnetic resonance imaging scan