Table 2.
Relative risks of health service use, PAHs, and falls in each year before index date (N = 19,679 matched pairs)
Condition | Time before index date |
|||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|
Year 3 |
Year 2 |
Year 1 |
||||||||||
AD |
Controls |
RR |
P | AD |
Controls |
RR |
P | AD |
Controls |
RR |
P | |
% | % | AD/controls | % | % | AD/controls | % | % | AD/controls | ||||
All-cause ED visits | 37.2 | 27.5 | 1.35 | ** | 41.8 | 29.0 | 1.44 | ** | 60.2 | 37.0 | 1.62 | ** |
All-cause hospitalizations | 20.2 | 15.5 | 1.30 | ** | 23.4 | 15.7 | 1.49 | ** | 37.6 | 22.5 | 1.67 | ** |
Any PAH | 6.5 | 4.8 | 1.35 | ** | 8.3 | 5.5 | 1.51 | ** | 14.6 | 8.6 | 1.70 | ** |
PAH for chronic conditions | ||||||||||||
Short-term complications of diabetes | 0.05 | 0.02 | 2.25 | 0.07 | 0.03 | 2.17 | 0.15 | 0.04 | 3.75 | ** | ||
Long-term complications of diabetes | 1.2 | 0.7 | 1.61 | ** | 1.4 | 0.8 | 1.89 | ** | 2.4 | 1.2 | 1.95 | ** |
COPD/asthma | 2.6 | 2.2 | 1.17 | * | 3.3 | 2.7 | 1.23 | ** | 5.5 | 4.2 | 1.32 | ** |
Hypertension | 0.1 | 0.1 | 1.16 | 0.1 | 0.1 | 1.25 | 0.2 | 0.2 | 1.00 | |||
Heart failure | 1.9 | 1.6 | 1.17 | * | 2.5 | 1.9 | 1.31 | ** | 4.9 | 3.4 | 1.45 | ** |
PAH for acute conditions | ||||||||||||
Dehydration | 0.4 | 0.2 | 1.93 | ** | 0.4 | 0.1 | 2.88 | ** | 0.7 | 0.2 | 3.72 | ** |
Bacterial pneumonia | 1.1 | 0.8 | 1.36 | ** | 1.5 | 1.0 | 1.60 | ** | 2.5 | 1.6 | 1.59 | ** |
Urinary tract infection | 1.0 | 0.4 | 2.44 | ** | 1.5 | 0.6 | 2.60 | ** | 3.5 | 0.6 | 5.35 | ** |
Any fall | 7.0 | 3.4 | 2.04 | ** | 6.9 | 3.0 | 2.27 | ** | 10.6 | 3.8 | 2.80 | ** |
Abbreviations: AD, Alzheimer's disease; COPD, chronic obstructive pulmonary disease; ED, emergency department; PAH, potentially avoidable hospitalization; RR, risk ratio.
**P < .01 and *P < .05, evaluated using McNemar's tests for proportions and Wilcoxon sign-rank test for continuous measures.