Table 1.
By Discharge Status * |
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---|---|---|---|---|---|
Home (9.9%) N=6,350 |
Institution (90.1%) N=57,715 |
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Entire Sample (100%) |
Home (45.3%) |
HH (54.7%) |
SNF† (80.5%) |
IRF† (19.5%) |
|
DEMOGRAPHIC & GEOGRAPHIC | |||||
Female (%) | 75.1 | 69.0# | 71.5# | 76.2 | 73.9 |
Race (%) | |||||
White | 91.5 | 86.1# | 87.2# | 93.0 | 91.2 |
Black | 2.7¶ | 2.1# | 3.0# | 2.6** | 2.1** |
Hispanic | 5.8 | 11.8 | 9.8 | 4.4 | 6.7 |
Mean(±SD) Age, y | 82.9(7.5) | 79.9(8.2) | 79.2(8.2) | 83.7(7.3) | 81.4(7.3) |
Insurance (%) | |||||
Medicare/Private | 98.8 | 94.5 | 97.0 | 99.3** | 99.1** |
Medicaid | 0.6 | 3.1 | 1.8 | 0.5** | 0.5** |
None/Self-Pay | 0.5 | 2.4 | 1.2 | 0.5 | 0.2 |
Median Household Income‡ (%) | |||||
Highest quartile | 23.8 | 22.5 | 18.9 | 26.6 | 34.4 |
Quartile 3 | 24.3 | 27.2 | 24.5 | 24.9** | 23.9** |
Quartile 2 | 28.0¶ | 25.4 | 28.6 | 28.0 | 21.7 |
Lowest quartile | 24.0 | 25.1 | 28.1 | 20.6** | 20.1** |
Patient residence§ (%) | |||||
Micropolitan, non-metro area | 9.7 | 17.2 | 9.7 | 11.4 | 5.4 |
Medium-small metro area | 30.0 | 26.4 | 34.5 | 27.8 | 31.5 |
Large metro area | 60.2 | 56.3 | 55.8 | 60.8 | 63.1 |
Patient State (%) | |||||
Arizona | 14.2 | 27.3# | 25.1# | 16.3** | 16.8** |
Florida | 50.5 | 38.1 | 60.1 | 37.4 | 29.8 |
New Jersey | 20.8 | 13.2 | 7.2 | 25.0 | 43.0 |
Wisconsin | 14.5 | 21.4 | 7.6 | 20.8 | 10.9 |
CLINICAL | |||||
ED admission (%) | 81.8 | 71.1# | 70.5# | 80.8 | 87.1 |
Mean (±SD) length of stay, days | 6.2 (4.0) | 6.5 (5.8)# | 6.8 (5.2)# | 6.2 (3.9) | 5.9 (3.4) |
Fracture with a joint replacement (%) | 33.0 | 26.6# | 24.2# | 33.2 | 36.9 |
APR-DRG severity measure (%) | |||||
Minor | 24.2 | 27.8# | 28.2# | 24.8 | 29.2 |
Moderate | 48.5 | 47.6 # | 46.4# | 47.7** | 47.7** |
Major/extreme | 27.3 | 24.5 # | 25.4# | 27.5 | 23.1 |
APR-DRG mortality risk (%) | |||||
Minor | 28.6 | 40.6# | 41.9# | 25.5 | 35.0 |
Moderate | 54.6 | 44.5# | 44.4# | 56.7 | 50.2 |
Major/extreme | 16.8 | 14.9# | 13.7# | 17.8 | 14.8 |
Comorbidities (%) | |||||
Diabetes with complications | 2.3 ¶ | 1.8 # | 2.0# | 2.3 | 3.0 |
Obesity | 1.9 ¶ | 1.2 # | 2.0# | 1.9** | 2.2** |
Hypertension | 64.3 | 59.4# | 59.6# | 65.4** | 66.4** |
Congestive heart failure | 15.8 | 10.2 # | 11.5# | 17.4 | 13.2 |
Peripheral vascular disorders | 5.6 | 5.0# | 5.8# | 5.9** | 5.5** |
Chronic pulmonary disease | 21.5 | 20.5 # | 20.1# | 21.4** | 21.3** |
Rheumatoid arthritis | 3.1 ¶ | 3.4 # | 3.7# | 3.1** | 3.5** |
Osteoarthritis | 11.5¶ | 10.7 | 13.4 | 11.1 | 12.9 |
Cancer | 2.7 ¶ | 3.2 # | 2.8# | 2.7** | 2.7** |
Weight loss | 2.4 | 3.9 | 5.5 | 2.4 | 1.4 |
Depression | 9.9 | 6.9# | 7.7# | 11.0 | 9.3 |
4 or more comorbidities | 26.6 | 19.6# | 20.1# | 29.3 | 25.1 |
HH=home health; SNF=skilled nursing facility; IRF=inpatient rehabilitation facility; APR-DRG=All patient refined diagnosis related group
all comparisons significantly different (p<.01) unless indicated;
only 2006 FL data are included, in 2005 the FL State Inpatient Database did not distinguish between IRF and SNF discharges;
based on patient zip-code;
based on patient county of residence;
no statistically significant difference in proportion discharged to institution vs home;
no statistically significant difference in proportion discharged to home with HH vs no HH;
no statistically significant difference in proportion discharged to IRF vs SNF