TABLE 4. Outcomes of Emergency Department Visits by US Nursing Home Residents, 2005-2008.
Odds ratios for nursing home vs. non-nursing home, unadjusted and adjusted for age-decile, sex, and race and ethnicity category.
| Characteristic | Nursing Home Residents (n=2,276,184 annual ED visits) |
Non-Nursing Home Residents (n=116,493,273 annual ED visits) |
Odds Ratio Nursing Home vs. Non-Nursing Home |
Odds Ratio Nursing Home vs. Non-Nursing Home Adjusted for Age-Decile, Sex, Race/Ethnicity |
||||
|---|---|---|---|---|---|---|---|---|
| % | (95% CI) | % | (95% CI) | OR | (95% CI) | OR | (95% CI) | |
| Length of ED Stay (minutes, 95% CI) | 289 | (270-309) | 199 | (193-206) | *‡90 | (73-107) | *‡48 | (26-60) |
| Admitted to Hospital | ||||||||
| No | 51.8 | (48.6-54.9) | 86.9 | (86.0-87.7) | Ref | --- | Ref | --- |
| Yes | 48.2 | (45.1-51.4) | 13.1 | (12.3-14.0) | ‡6.2 | (5.5-6.9) | ‡1.8 | (1.6-2.0) |
|
Admission Destination
(of admitted patients) |
||||||||
| Critical Care Unit | 19.5 | (16.4-23.0) | 15.5 | (13.9-17.2) | ‡1.3 | (1.01-1.6) | 1.2 | (0.961.0-1.5) |
| Operating Room/Cath Lab | 1.2 | (0.7-2.2) | 5.2 | (4.6-5.9) | ‡0.2 | (0.1-0.4) | ‡0.4 | (0.2-0.7) |
| Other Bed/Unit | 79.3 | (75.8-82.4) | 79.4 | (77.5-81.1) | Ref | --- | Ref | --- |
|
Discharge Outcome
(of admitted patients) |
||||||||
| Alive | 81.2 | (77.2-84.7) | 86.4 | (83.7-88.6) | Ref | --- | Ref | --- |
| Dead | 6.9 | (5.2-9.0) | 1.9 | (1.7-2.2) | ‡3.8 | (2.7-5.3) | ‡2.3 | (1.6-3.3) |
| Unknown | 11.9 | (8.7-16.0) | 11.7 | (9.5-14.4) | 1.1 | (0.8-1.4) | 1.0 | (0.8-1.4) |
ED = Emergency Department. MSA = metropolitan statistical area. OR = Odds Ratio. CI = Confidence Interval.
*
Mean difference and 95% confidence interval.
‡
Significant at p<0.05.
**
Based upon fewer than 30 raw observations - estimate considered unreliable; ORs not calculated for these variables.28