Table 2.
Distribution of NH characteristics by ED transfer rate
| NH-specific rates of ED transfer | Association between NH characteristics and high transfer rate NH | ||||
|---|---|---|---|---|---|
| High rate | Intermediate rate | Low rate | Total | ||
| n = 115 | n = 359 | n = 130 | N = 604 | Adjusted OR§ (95% CI) | |
| ED transfer rate range* | 35.5-58.6% | 17.7-41.2% | 4.3-23.1% | 4.3-58.6% | - |
| Location, n (%) | |||||
| Rura | 20 (17.4%) | 111 (30.9%) | 35 (26.9%) | 166 (27.5%) | Reference |
| Urbar | 95 (82.6%) | 248 (69.1%) | 95 (73.1%) | 438 (72.5%) | 1.41 (0.76, 2.61) |
| ≥5 minutes to closest ED | 37 (31.6%) | 171 (47.3%) | 60 (46.2%) | 268 (44.1%) | Reference |
| <5 minutes to closest ED | 78 (68.4%) | 188 (52.7%) | 70 (53.8%) | 336 (55.9%) | 1.77 (1.09, 2.86) |
| Size, n (%) | |||||
| <100 beds | 28 (24.4%) | 161 (44.8%) | 56 (43.1%) | 245 (40.6%) | Reference |
| ≥100 beds | 87 (75.6%) | 198 (55.2%) | 74 (56.9%) | 359 (59.4%) | 1.91 (1.13, 3.23) |
| Ownership,¶ n (%) | |||||
| Municipal | 14 (12.3%) | 61 (17.2%) | 27 (20.9%) | 102 (17.1%) | Reference |
| Non-profit | 27 (23.7%) | 80 (22.5%) | 36 (27.9%) | 143 (23.9%) | 1.64 (0.76, 3.56) |
| For-profit | 73 (64.0%) | 214 (60.3%) | 66 (51.2%) | 353 (59.0%) | 1.57 (0.79, 3.12) |
| Historical transfer rate, n (%) | |||||
| <13% | 96 (84.2%) | 183 (51.0%) | 12 (9.2%) | 291 (48.3%) | Reference |
| ≥ 13% | 19 (15.8%) | 176 (49%) | 118 (90.8%) | 313 (51.7%) | 7.03 (4.04, 12.24) |
CI = confidence intervals; ED = emergency department; NH = nursing homes; OR = odds ratio.
*
Transfer rates overlap owing to funnel shape of control bounds.
§
All NH factors modelled simultaneously and adjusted for NH case-mix variables (proportion of residents with each behavioural problems, cognitive impairment and high levels of instability).
¶
Not available for all NHs.