Table 2.
Characteristics of older adult fall patients with accumulated rates of ED revisits at various time intervals after their incident ED visit, N=21,340, February 1, 2005-December 31, 2011
| Incident Visit |
Accumulated rate of ED revisit at 3 days |
Accumulated rate of ED revisit at 7 days |
Accumulated rate of ED revisit at 30 days |
Accumulated rate of ED revisit at 1 year |
||||||
|---|---|---|---|---|---|---|---|---|---|---|
| No | Yes | No | Yes | No | Yes | No | Yes | P | ||
| N=21,340 | N=20883 (98%) |
N=457 (2%) |
20334 (95%) |
N=1006 (5%) |
18583 (87%) |
2757 (13%) |
15942 (75%) |
5398 (25%) |
||
| Age, mean (SD) | 79 (8) | 78.7 (8) | 77.5 (8) | 78.7 (8) | 78.0 (8) | 78.6 (8) | 78.7 (8) | 78.5 (8.4) | 79.0 (8) | 0.001, 0.01,0.98, 0.0002 |
| Sex, Male (%) | 7,419 (35) | 7232 (35) | 187 (41) | 7024 (35) | 395 (39) | 6308 (34) | 1111 (41) | 5389 (34) | 2030 (38) | 0.005, 0.002, <0.0001, <0.0001 |
| Race/Ethnicity | <.0001, <.0001, <.0001, <.0001 | |||||||||
| White (%) | 17,549 (82) | 17201 (82) | 348 (76) | 16756 (82) | 793 (79) | 15350 (83) | 2199 (80) | 13227 (83) | 4322 (80) | |
| Black (%) | 1,251 (6) | 1216 (6) | 35 (8) | 1178 (6) | 73 (8) | 1041 (6) | 210 (8) | 812 (5) | 439 (8) | |
| Hispanic (%) | 888 (4) | 843 (4) | 45 (10) | 806 (4) | 82 (8) | 719 (4) | 169 (6) | 581 (4) | 307 (6) | |
| Asian (%) | 433 (2) | 424 (2) | 9 (2) | 419 (2) | 14 (1) | 390 (2) | 43 (2) | 355 (2) | 78 (1) | |
| Other (%) | 242 (1) | 236 (1) | 6 (1) | 232 (2) | 10 (1) | 211 (1) | 31 (1) | 191 (1) | 51 (1) | |
| Unknown (%) | 977 (5) | 963 (5) | 14 (3) | 943 (5) | 34 (3) | 872 (5) | 105 (4) | 776 (5) | 201 (4) | |
| Primary Language | ||||||||||
| English (%) | 18,865 (88) | 18453 (88) | 412 (90) | 17967 (88) | 898 (8) | 16429 (88) | 2436 (88) | 14080 (88) | 4785 (89) | 0.24, 0.38, 0.94, 0.52 |
| Median Income, mean (SD) | 70,152 (25,778) | 70240 (25771) | 66136 (25782) | 70327 (25816) | 66636 (24742) | 70522 (25853) | 67658 (25126) | 71129 (25995) | 67283 (24912) | .0009, <0.0001, <0.0001, <0.0001 |
| Insurance Medicare (%) | 15,808 (74) | 15451 (74) | 357 (78) | 15033 (74) | 775 (77) | 13716 (74) | 2092 (76) | 11674 (73) | 4134 (77) | 0.79, 0.013, 0.94, 0.52 |
| Private (%) | 3,024 (14) | 2973 (14) | 51 (11) | 2917 (14) | 107 (11) | 2714 (15) | 310 (11) | 2434 (15) | 590 (11) | |
| Medicaid/Commonwealth (%) | 577 (3) | 564 (3) | 13 (3) | 554 (3) | 23 (2) | 502 (3) | 75 (3) | 417 (3) | 160 (3) | |
| Self pay (%) | 358 (2) | 356 (2) | 2 (.4) | 342 (2) | 16 (2) | 304 (2) | 54 (2) | 266 (2) | 92 (2) | |
| Other/missing (%) | 1,573 (7) | 1539 (7) | 34 (.4) | 1488 (7) | 85 (8) | 1347 (7) | 226 (8) | 1151 (7) | 422 (8) | |
| Primary care physician listed (%) | 21,263 (100) | 20809 (100) | 454 (99) | 20263 (100) | 1000 (99) | 18520 (100) | 2743 (99) | 15885 (100) | 5378 (100) | |
| Charlson Comorbidity, mean (SD) | 2.7 (3) | 2.7 (2.8) | 3.2 (3.2) | 2.6 (2.8) | 3.3 (3.2) | 2.5 (2.7) | 3.7 (3.2) | 2.3 (2.6) | 3.8 (3.2) | 0.0007, <0.0001, <0.0001, <0.0001 |
| Injury Severity Score, mean (SD) | 5.8 (6) | 5.9 (5.6) | 3.5 (3.5) | 5.9 (5.6) | 4.4 (4.5) | 5.8 (5.6) | 5.8 (5.6) | 6.0 (5.7) | 5.2 (5.2) | 0.0007, <0.0001, <0.0001, <0.0001 |
| Index ED visit disposition | ||||||||||
| Admitted (%) | 9191 (43) | 9148 (43.8) | 43 (9.4) | 8951 (44.0) | 240 (23.9) | 8034 (43.2) | 1157 (42.0) | 6979 (43.8) | 2122 (41.0) | |
| Hospital (%) | 7977 (37) | 7957 (38.1) | 20 (4.4) | 7797 (38.3) | 180 (17.9) | 6982 (37.6) | 995 (36.1) | 6083 (38.2) | 1894 (35.1) | <0.0001, <0.0001, 0.13, <0.0001 |
| Observation unit (%) | 1214 (6) | 1191 (5.7) | 23 (5.0) | 1154 (5.7) | 60 (6.0) | 1052 (5.7) | 162 (5.9) | 896 (5.6) | 318 (5.9) | 0.54, 0.70, 0.65, 0.46 |
| Discharged | 12,149 (57) | 11735 (56.2) | 414 (90.6) | 11383 (56.0) | 766 (76.1) | 10549 (56.8) | 1600 (58.0) | 8963 (56.2) | 3186 (59.0) | |
| % Return to ED with fall diagnosis, (n) | 38.1 (174/457) | 31.4 (316/1006) | 24.6 (678/2757) | 29.0 (1567/5398) | ||||||
| % Return to ED the hospitalized | 29.8 (136/457) | 34.5 (347/1006) | 45.1 (1244/2757) | 54.5 (2937/5398) | ||||||
| % Return to the ED then admitted to observation unit | 7.4 (34/457) | 7.1 (71/1006) | 6.2 (171/2757) | 9.5 (515/5398) | ||||||
| % Return to the ED and hospitalized related to fall | 9.6 (44/457) | 8.6 (87/1006) | 7.7 (212/2757) | 10.0 (539/5398) | ||||||
| %Return to the ED and admitted to observation related to fall | 4.2 (19/457) | 2.6 (26/2006) | 1.5 (42/2757) | 1.9 (103/5398) | ||||||