Table 5.
Prognostic factors of residential care in older patients discharge alive after an acute emergency department (ED) contact
| %, total (n) | 0–30 days | 0–360 days | |||||||||
| N, (%) | Crude SHR (95% CI) |
P value | Adjusted SHR (95% CI)* |
P value | %, (n) | Crude SHR (95% CI) |
P value | Adjusted SHR (95% CI)* | P value | ||
| Gender | |||||||||||
| Female | 53.8 (1596) | 6.9 (110) | 1 (ref) | 1 | 10.1 (161) | 1 | 1 | ||||
| Male | 46.2 (1368) | 6.2 (85) | 0.90 (0.68 to 1.19) | 0.460 | 1.30 (0.95 to 1.78) | 0.099 | 8.6 (117) | 0.84 (0.66 to 1.06) | 0.144 | 1.28 (0.98 to 1.67) | 0.067 |
| Age | 1.09 (1.07 to 1.10) | <0.001 | 1.05 (1.03 to 1.07) | <0.001 | 1.06 (1.05 to 1.07) | <0.001 | 1.03 (1.01 to 1.04) | <0.001 | |||
| Charlson Comorbidity Index | |||||||||||
| 0 | 31.7 (939) | 5.6 (53) | 1 | 1 | 8.5 (80) | 1 | 1 | ||||
| 1–2 | 40.9 (1211) | 7.1 (86) | 1.26 (0.90 to 1.77) | 0.175 | 1.03 (0.74 to 1.45) | 0.849 | 10.3 (125) | 1.22 (0.92 to 1.62) | 0.161 | 1.03 (0.77 to 1.39) | 0.841 |
| ≥3 | 27.4 (814) | 6.9 (56) | 1.22 (0.84 to 1.77) | 0.287 | 0.91 (0.62 to 1.33) | 0.626 | 9.0 (73) | 1.05 (0.77 to 1.44) | 0.760 | 0.76 (0.53 to 1.08) | 0.122 |
| Living status | |||||||||||
| Not alone | 47.0 (1393) | 4.3 (60) | 1 | 1 | 5.7 (80) | 1 | 1 | ||||
| Alone | 50.0 (1540) | 8.5 (131) | 2.00 (1.48 to 2.70) | <0.001 | 1.21 (0.85 to 1.73) | 0.295 | 12.7 (196) | 2.29 (1.77 to 2.97) | <0.001 | 1.50 (1.11 to 2.03) | 0.009 |
| Urgency | |||||||||||
| Less urgent | 61.0 (1809) | 6.2 (112) | 1 | 1 | 9.12 (165) | 1 | 1 | ||||
| Urgent | 37.3 (1107) | 7.2 (80) | 1.17 (0.88 to 1.55) | 0.269 | 1.21 (0.91 to 1.61) | 0.184 | 9.8 (108) | 1.08 (0.85 to 1.37) | 0.548 | 1.12 (0.88 to 1.43) | 0.358 |
| No of medications | |||||||||||
| <5 | 37.7 (1116) | 6.9 (77) | 1 | 1 | 9.3 (104) | 1 | 1 | ||||
| ≥5 | 62.3 (1848) | 6.4 (118) | 0.92 (0.70 to 1.22) | 0.576 | 0.71 (0.53 to 0.97) | 0.030 | 9.4 (174) | 1.01 (0.79 to 1.28) | 0.945 | 0.81 (0.62 to 1.05) | 0.116 |
| Length of stay | |||||||||||
| ED-visit | 34.1 (1012) | 1.1 (11) | 1 | 1 | 5.6 (57) | 1 | 1 | ||||
| <48 hours | 12.9 (382) | 0.3 (1) | 0.24 (0.03 to 1.86) | 0.172 | 0.23 (0.03 to 1.74) | 0.153 | 8.1 (31) | 1.44 (0.94 to 2.21) | 0.096 | 1.43 (0.93 to 2.19) | 0.104 |
| ≥48 hours | 53.0 (1570) | 11.7 (183) | 11.07 (6.05 to 20.24) | <0.001 | 8.28 (4.49 to 15.24) | <0.001 | 12.1 (190) | 2.25 (1.68 to 3.02) | <0.001 | 1.76 (1.30 to 2.39) | <0.001 |
| Municipality healthcare | |||||||||||
| Independent | 50.3 (1772) | 2.9 (51) | 1 | 1 | 4.5 (79) | 1 | 1 | ||||
| Dependent | 33.9 (1192) | 12.1 (144) | 4.31 (3.14 to 5.91) | <0.001 | 2.64 (1.82 to 3.82) | <0.001 | 16.7 (199) | 3.98 (3.07 to 5.17) | <0.001 | 3.26 (2.34 to 4.54) | <0.001 |
Proportions, SHRs, and p-values < 0.05 presented as bold values.
*Competing risks regression model adjusted for gender, age as continuous variable, Charlson Comorbidity Index (0, 1–2, ≥3), number of medications (<5, ≥5), length of stay, living alone, urgency level (urgent, less urgent) and municipality healthcare the month before index contact as categorical variable.
SHR, sub-HR.