Table 2. Crude incidence rate (IR) per 100 person-years, crude hazard ratio (HR), and 95% confidence intervals (CI) for emergency department (ED) encounters, hospital admissions, and potentially avoidable ED encounters, whole cohort and by current depression and recreational drug use status measured at the baseline.
ED encounters | Hospital admissions | Potentially avoidable ED encounters | ||||||||
---|---|---|---|---|---|---|---|---|---|---|
(N = 2,108) | ||||||||||
(N = 3,482) | (N = 3,482) | Low-acuity ED encounters a | Repeated ED encounters b | ED encounters without seeking ambulatory care c | ||||||
IR | Crude HR Ratio | IR | Crude HR Ratio | IR | Crude HR Ratio | IR | Crude HR Ratio | IR | Crude HR Ratio | |
(95% CI) | (95% CI) | (95% CI) | (95% CI) | (95% CI) | (95% CI) | (95% CI) | (95% CI) | (95% CI) | (95% CI) | |
Cohort | 25.6 | 6.9 | 19.4 | 10.9 | 7.9 | |||||
(24.5, 26.8) | (6.4, 7.4) | (18.3, 20.6) | (10.2, 11.7) | (7.2, 8.6) | ||||||
Current depression and recreational drug use | ||||||||||
Current depression-only | 34.8 | 1.6 | 9.1 | 1.5 | 21.8 | 1.2 | 12.2 | 1.3 | 7.3 | 1.03 |
(31.8, 38.0) | (1.4, 1.7) | (7.9, 10.4) | (1.3, 1.8) | (19.4, 24.6) | (1.1, 1.4) | (10.5, 14.1) | (1.1, 1.5) | (6.5, 8.2) | (0.8, 1.3) | |
Recreational drug use-only | 30.0 | 1.3 | 6.0 | 1.0 | 22.8 | 1.3 | 13.2 | 1.4 | 7.5 | 1.5 |
(26.4, 34.1) | (1.2, 1.5) | (4.8, 7.6) | (0.8, 1.3) | (19.2, 27.0) | (1.1, 1.6) | (10.8, 16.2) | (1.1, 1.8) | (6.3, 9.0) | (1.2, 1.9) | |
Co-occurring current depressive symptoms and recreational drug use | 51.9 | 2.2 | 13.0 | 2.2 | 25.6 | 1.4 | 16.9 | 1.8 | 10.8 | 1.2 |
(44.8, 60.1) | (1.9, 2.6) | (10.4, 16.1) | (1.7, 2.7) | (21.1, 31.1) | (1.1, 1.7) | (13.5, 21.1) | (1.4, 2.3) | (8.7, 13.4) | (0.9, 1.7) | |
Without current depression and recreational drug use (reference) | 21.2 | 1 | 5.9 | 1 | 17.2 | 1 | 9.4 | 1 | 9.2 | 1 |
(20.0, 22.4) | (5.4, 6.5) | (15.8, 18.6) | (8.5, 10.3) | (6.9, 12.2) |
IR = Incidence rate
HR = Hazard ratio
CI = Confidence intervals
ED = Emergency department encounters
a Low-acuity ED encounters were identified using level four or five of the five-level Canadian triage and acuity scale (1 = resuscitation, 2 = emergency, 3 = urgent, 4 = semi-urgent, 5 = non-urgent) AND a visit disposition at discharge that indicated the participants were not transferred to inpatient care.
b Repeated ED encounters were defined by discharge date of an emergency department encounter that occurred within 30 days of a previous encounter at the same or a different facility.
c Emergency department encounters without seeking ambulatory care were defined as emergency department encounters without an ambulatory visit to a physician in the 30 days prior to the index encounter