Table 3.
CHARACTERISTICS ASSOCIATED WITH THE ODDS OF HAVING MADE AT LEAST ONE EMERGENCY DEPARTMENT (ED) VISIT FOLLOWING ENROLLMENT IN CHIPCS: ALL PATIENTS* AND BY SEX
| Characteristic | Odds Ratio; 95% Confidence Intervals
|
|||
|---|---|---|---|---|
| All patients | Female | Male | ||
| Unadjusted | Adjusted2 | Adjusted2 | Adjusted2 | |
| Sex (vs. male) | ||||
| female | 1.0 (0.9, 1.1) | _ | _ | _ |
| Age, years (vs. <65) | ||||
| 65–74 | 0.7 (0.6, 0.9) | 0.8 (0.6, 1.0) | 0.7 (0.5, 0.9) | 0.9 (0.7, 1.2) |
| 75–84 | 0.7 (0.6, 0.9) | 0.8 (0.7, 1.0) | 0.9 (0.7, 1.3) | 0.7 (0.5, 1.0) |
| 85+ | 0.6 (0.4, 0.7) | 0.7 (0.6, 1.0) | 0.6 (0.4, 0.9) | 1.0 (0.6, 1.5) |
| Location of death (vs. home) | ||||
| acute hospital death | 3.2 (2.7, 3.9) | 3.5 (2.8, 4.3) | 3.6 (2.7, 4.8) | 3.4 (2.5, 4.9) |
| hospital palliative care unit | 3.5 (2.9, 4.2) | 3.3 (2.7, 4.0) | 3.1 (2.3, 4.1) | 3.5 (2.7, 4.7) |
| long-term care facility | 1.2 (0.8, 1.8) | 1.0 (0.6, 1.7) | 0.5 (0.2, 1.2) | 1.4 (0.8, 2.7) |
| Census residency indicator (vs. urban) | ||||
| rural | 1.2 (1.0, 1.5) | 1.3 (1.0, 1.6) | 1.6 (1.2, 2.3) | 1.0 (0.7, 1.4) |
| Caregiver relationship (vs. spouse, partner) | ||||
| child | 0.9 (0.8, 1.1) | 1.0 (0.8, 1.2) | 1.1 (0.8, 1.4) | 1.0 (0.7, 1.4) |
| friend/other | 1.4 (0.9, 2.0) | 1.4 (0.9, 2.2) | 1.6 (0.8, 3.2) | 1.4 (0.8 2.5) |
| parents/other relations | 1.6 (1.2, 2.0) | 1.5 (1.1, 1.9) | 1.4 (1.0, 2.0) | 1.6 (1.1, 2.4) |
| Pain as primary reason for PCP referral (vs. no) | ||||
| yes | 0.9 (0.8, 1.0) | 0.8 (0.7, 1.0) | – | – |
| Potential ED days1 (vs. 94+ days) | ||||
| 1–31 | 0.3 (0.2, 0.4) | 0.3 (0.2, 0.4) | 0.3 (0.2, 0.4) | 0.3 (0.2, 0.4) |
| 32–93 | 0.5 (0.4, 0.6) | 0.5 (0.4, 0.6) | 0.5 (0.4, 0.7) | 0.5 (0.4, 0.6) |
Limited to patients with at least one day’s opportunity to make an ED visit (n=3,221)
1
Potential ED days=total days from PCP admission to death minus total days as a hospital inpatient during this period
2
Adjusted for all other characteristics in the models shown. Income, diagnosis, pain, other symptoms as primary reason for CHIPCS referral, and year of admission to the program did not add significantly to the models.