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Table 3 Characteristics, mortality and admission rates by type of care received during the 90 days after discharge, total group

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

N = 20,753

 

CN (N = 8110, 39.1%)

LTC (N = 2961, 14.3%)

GR + CN (N = 890, 4.3%)

CN + LTC (N = 666, 3.2%)

GR (N = 457, 2.2%)

ST (N = 157, 0.8%)

Other combination (N = 930, 4.5%)

None of the four types of aftercare (N = 6582, 31.7%)

Age, mean (SD)

 

83.7 (5.4)

87.1 (5.6)

84.0 (5.2)

85.5 (5.4)

83.1 (5.2)

85.4 (5.5)

85.6 (5.3)

81.6 (4.9)

Male, %

 

36.7

25.7

34.8

35.6

33.5

31.9

27.5

47.8

SES, median [range]

 

−0.2 [−5.7–2.7]

−0.2 [−5.7–2.4]

− 0.1 [− 5.7–2.6]

−0.1 [− 5.7–2.4]

−0.3 [−4–2.6]

−0.3 [−3.5–1.8]

−0.3 [− 5.7–2.6]

−0.2 [− 5.7–2.8]

Number of morbidities (PCG)

 

4 [2–11]

3 [2–10]

4 [2–11]

4 [2–9]

3 [2–8]

3 [2–7]

3 [2–9]

4 [2–10]

Total 2015 costs in Euro's, median

 

23,993 [2364-216,437.4]

14,415.9 [1426-394,268]

40,559 [2669-180,726]

22,653 [3662.4-147,844]

42,445 [1344-160,956]

20,613 [4370-107,046]

26,769 [2887-171,810]

12,525 [705–468,772]

Top 3 DRG’s opened on admission

1

Injury, poisoning and certain other consequences of external causes (6%)

Injury, poisoning and certain other consequences of external causes (11%)

Injury - fracture hip/upper leg (9%)

Clinical geriatrics – other (11%)

Injury - fracture hip/upper leg (11%)

Injury, poisoning and certain other consequences of external causes (15%)

Injury, poisoning and certain other consequences of external causes (11%)

Ischemia. CABG. PCI (9%)

2

Ischemia. CABG. PCI (5%)

Clinical geriatrics – other (10%)

Injury, poisoning and certain other consequences of external causes (9%)

Injury, poisoning and certain other consequences of external causes (10%)

Cerebrovascular disease (9%)

Generic symptoms (8%)

Clinical geriatrics – other (10%)

Cardiac arrhythmia (7%)

3

Diseases of the digestive system (5%)

Injury - fracture hipz/upper leg (7%)

Cerebrovascular disease (8%)

Cerebrovascular disease (5%)

Injury, poisoning and certain other consequences of external causes (8%)

Cerebrovascular disease (6%)

Injury - fracture hip/upper leg (7%)

Disorders of digestive system (6%)

Mortality, N (%)

0–90 days

770 (9.5)

563 (18.9)

44 (4.9)

88 (13.2)

47 (10.3)

50 (38.2)

118 (12.7)

480 (7.3)

90–180 days

454 (5.6)

249 (8.4)

54 (6.1)

53 (8.0)

29 (6.3)

12 (7.6)

103 (11.0)

170 (2.6)

Age at death, mean (SD)

84.2 (5.6)

87.9 (5.6)

85.5 (5.5)

86.6 (5.2)

86.0 (5.4)

86.9 (5.4)

86.1 (5.5)

84.0 (5.7)

90–180 day readmission (clinical), N (%)

1602 (19.8)

414 (14.0)

197 (22.1)

114 (17.1)

99 (21.7)

20 (15.3)

138 (14.8)

1292 (19.6)

Top 3 DRG’s opened on readmission

1

Cardiac arrhythmia (5%)

Injury, poisoning and certain other consequences of external causes (10%)

Injury - fracture hip/upper leg (9%)

Clinical geriatrics – other (10%)

PAOD (10%)

Cardiac arrhythmia (21%)

Clinical geriatrics – other (16%)

Ischemia. CABG. PCI (8%)

2

Infection – LRT (5%)

COPD (6%)

Cerebrovascular disease (6%)

COPD (9%)

Injury, poisoning and certain other consequences of external causes (9%)

Injury, poisoning and certain other consequences of external causes (14%)

Cerebrovascular disease (12%)

Malignant neoplasms of unrinary organs (6%)

3

Ischemia. CABG. PCI (5%)

Clinical geriatrics – other (6%)

PAOD (6%)

Infection – LRT (8%)

Ischemia. CABG. PCI (9%)

Infectious diseases- other (8%)

Injury - fracture hip/upper leg (8%)

Cardiac arrhythmia (6%)

  1. GR geriatric rehabilitation, LTC long-term home care, CN community nursing, PAOD peripheral arterial occlusive disease, LRT Lower respiratory tract