Table 2:
Features of the index unplanned medical hospital admission for older Ontarians, by care setting combination (Apr. 1, 2008, to Dec. 31, 2015)
| Feature of hospital admission | Care setting combination; no. of individuals and % of individuals (95% CI for %)* | |||
|---|---|---|---|---|
| Community to community n = 414 302 |
Community to community with home care n = 221 169 |
Community to long-term care n = 21 440 |
Long-term care to long-term care n = 44 616 |
|
| Top 10 aggregated CMGs (based on overall population) | ||||
| Gastroenteritis, bowel obstruction, other GI problem | 60 159 14.5 (14.4–14.6) |
18 951 8.6 (8.4–8.7) |
675 3.1 (2.9–3.4) |
5167 11.6 (11.3–11.9) |
| Ischemic heart disease | 47 031 11.4 (11.2–11.4) |
9890 4.5 (4.4–4.6) |
509 2.4 (2.2–2.6) |
1843 4.1 (3.9–4.3) |
| Chronic obstructive pulmonary disease | 25 273 6.1 (6.0–6.2) |
12 262 5.5 (5.4–5.6) |
522 2.4 (2.2–2.6) |
2693 6.0 (5.8–6.3) |
| Pneumonia or other respiratory infection | 22 955 5.5 (5.5–5.6) |
12 940 5.9 (5.7–6.0) |
960 4.5 (4.2–4.8) |
6907 15.5 (15.1–15.9) |
| Heart failure | 20 301 4.9 (4.8–5.0) |
12 007 5.4 (5.3–5.5) |
657 3.1 (2.8–3.3) |
2227 5.0 (4.8–5.2) |
| Arrhythmia | 26 458 6.4 (6.3–6.4) |
6099 2.8 (2.7–2.8) |
266 1.2 (1.1–1.4) |
958 2.1 (2.0–2.3) |
| Stroke | 18 124 4.4 (4.3–4.4) |
9801 4.4 (4.3–4.5) |
1598 7.5 (7.1–7.8) |
1761 3.9 (3.8–4.1) |
| Urinary tract infection | 11 890 2.9 (2.8–2.9) |
9227 4.2 (4.1–4.3) |
755 3.5 (3.3–3.8) |
4360 9.8 (9.5–10.1) |
| Cardiovascular problem | 16 616 4.0 (4.0–4.1) |
8374 3.8 (3.7–3.9) |
286 1.3 (1.2–1.5) |
901 2.0 (1.9–2.2) |
| Cancer | 10 742 2.6 (2.5–2.6) |
13 690 6.2 (6.1–6.3) |
369 1.7 (1.5–1.9) |
611 1.4 (1.3–1.5) |
| Length of stay, d, mean ± SD | 4.8 (7.7) | 9.4 (11.6) | 56.9 (70.6) | 7.3 (13.6) |
| Length of stay category, d | ||||
| 1–3 | 220 555 53.2 (53.0–53.5) |
58 238 26.3 (26.1–26.5) |
680 3.2 (2.9–3.4) |
15 848 35.5 (35.0–36.1) |
| 4–6 | 111 322 26.9 (26.7–27.0) |
55 731 25.2 (25.0–25.4) |
712 3.3 (3.1–3.6) |
12 833 28.8 (28.3–29.3) |
| 7–10 | 49 728 12.0 (11.9–12.1) |
46 475 21.0 (20.8–21.2) |
1132 5.3 (5.0–5.6) |
8366 18.8 (18.3–19.2) |
| 11–13 | 13 414 3.2 (3.2–3.3) |
18 837 8.5 (8.4–8.6) |
985 4.6 (4.3–4.9) |
2942 6.6 (6.4–6.8) |
| ≥ 14 | 19 283 4.7 (4.6–4.7) |
41 888 18.9 (18.8–19.1) |
17 931 83.6 (82.4–84.9) |
4627 10.4 (10.1–10.7) |
| Alternate level of care (ALC) | ||||
| Any ALC time | 10 143 2.4 (2.4–2.5) |
23 507 10.6 (10.5–10.8) |
18 303 85.4 (84.1–86.6) |
1881 4.2 (4.0–4.4) |
| Time in ALC, d, mean ± SD | 14.0 ± 30.1 | 11.4 ± 16.9 | 48.7 ± 69.0 | 23.6 ± 50.8 |
| In-hospital complication | 25 617 6.2 (6.1–6.3) |
29 882 13.5 (13.4–13.7) |
6747 31.5 (30.7–32.2) |
5013 11.2 (10.9–11.5) |
Note: CI = confidence interval, CMG = case mix group, GI = gastrointestinal, SD = standard deviation.
*
Except where indicated otherwise.